Application of a Self-management Mobile Platform in Rehabilitation of Chronic Obstructive Pulmonary Disease / 中国康复理论与实践

ABSTRACT

Objective:To design a mobile health platform with the features of continuity, interactivity and involvement, which is suitable for patients with chronic obstructive pulmonary disease (COPD); and to test the effect of this platform which is expected to prolong the effect of pulmonary rehabilitation for patients with COPD. Methods:From March to June, 2016, 67 patients with COPD from department of respiration in our hospital were enrolled. They were divided into control group (n = 33) and intervention group (n = 34). The control group received the routine self-management intervention and the intervention group received the mobile health platform to carry out the dynamic, continuous and targeted pulmonary rehabilitation therapy and self-management intervention. They were assessed with forced expiratory volume in one second (FEV1%), COPD Assessment Test (CAT), modified Medical Research Council Dyspnea Scale (mMRC) and Self-management Scale. Results:No statistical differences was found on all the indexes between two groups before intervention (t < 0.945, χ2 = 2.044, P > 0.05). One month after intervention, the score of CAT decreased (t = 4.921, P < 0.001), and was lower in the intervention group than in the control group (t = 3.508, P = 0.001); the score of mMRC improved (χ2 = 7.937, P < 0.05), but no difference was found between two groups (χ2 =1.018, P > 0.05); the score of Self-management Scale significantly increased (t = -5.650, P < 0.001), and was significantly higher in the intervention group than in the control group (t = 4.812, P < 0.001). Conclusion:The continuous, interactive and participatory mobile health platform designed in this study could effectively improve the quality of life and self-management ability of COPD patients, and prolong the effect of pulmonary rehabilitation.