优化COPD住院患者的治疗:基于LINE应用程序的多学科团队方法对药物治疗、生活方式改变和戒烟的影响研究

IF 2.7 3区 医学 Q2 RESPIRATORY SYSTEM
Hsiang-Yu Huang, Chia-Ling Chen, Yi-Ling Lin, Shu-Chuan Chen, Li-Chu Lee, Huei-Min Dai, Cheng-Yang Chiang, Yu-Fan Chang, Hsiu Lu, Mung-Rung Lee, Chih-Chiao Yang, Chiu-Hui Su, Ying-Zhen Chiang, Mei-Chen Yang, Rong-Yaun Shyu, Chou-Chin Lan
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引用次数: 0

摘要

背景:慢性阻塞性肺疾病(COPD)是一种严重影响患者健康状况的进行性呼吸系统疾病。有效的管理需要一个多学科团队(MDT)来解决药物和非药物治疗。移动应用程序和设备的整合通过减少症状和恶化改善了COPD的管理。LINE,一个常用的沟通应用,增强了团队协调和实时决策。本研究探讨了基于line的MDT干预在COPD住院患者中的有效性。方法:这项回顾性分析纳入了因急性加重而入院的COPD患者,并比较了他们实施基于line的MDT治疗前后的结果。MDT由肺科医生、护理经理、护士、营养师、社会工作者、药剂师、呼吸治疗师和长期护理团队组成。LINE小组实时协调护理,使团队能够及时审查患者的病情,调整治疗计划,并提供量身定制的干预措施。结果:基于line的MDT组表现出更高的干预率,包括全身类固醇、吸入皮质类固醇、长效β受体激动剂、长效毒蕈碱拮抗剂和肺部康复(p0.05)。结论:正如BSRS评分的提高所证明的那样,实施基于线的MDT治疗显著改善了药物和非药物干预的提供,增强了协调,促进了综合管理,导致了更好的生活质量结果。这突出了利用实时通信工具(如LINE应用程序)优化COPD护理的价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Optimizing Treatment for Hospitalized Patients with COPD: A Study on the Impact of a LINE App-Based Multidisciplinary Team Approach Targeting Pharmacological Treatment, Lifestyle Changes, and Smoking Cessation.

Background: Chronic obstructive pulmonary disease (COPD) is a progressive respiratory condition that significantly impacts patients' health status. Effective management requires a multidisciplinary team (MDT) to address pharmacological and non- pharmacological treatments. The integration of mobile apps and devices improves COPD management by reducing symptoms and exacerbations. LINE, a commonly used communication app, enhanced team coordination and real-time decision-making. This study explored the effectiveness of LINE-based MDT interventions in hospitalized patients with COPD.

Methods: This retrospective analysis included patients with COPD admitted for exacerbations and compared their outcomes before and after the implementation of LINE-based MDT care. The MDT consisted of pulmonologists, care managers, nurses, dietitians, social workers, pharmacists, respiratory therapists, and long-term care teams. A LINE group coordinated care in real-time, enabling the team to promptly review the patients' conditions, adjust treatment plans, and provide tailored interventions.

Results: The LINE-based MDT group demonstrated significantly higher intervention rates, including systemic steroids, inhaled corticosteroids, long-acting beta-agonists, long-acting muscarinic antagonists, and pulmonary rehabilitation (p<0.05). BSRS improvement was greater in the MDT group than the non-MDT group (40.9% vs 29.7%, p = 0.016). However, there were no significant differences between the groups' readmission rates, emergency room visits, or one year survival (p>0.05).

Conclusion: Implementing LINE-based MDT care significantly improved the delivery of pharmacological and non-pharmacological interventions, enhanced coordination, and facilitated comprehensive management, leading to better quality of life outcomes, as evidenced by improvements in BSRS scores. This highlights the value of leveraging real-time communication tools like LINE app to optimize COPD care.

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来源期刊
CiteScore
4.80
自引率
10.70%
发文量
372
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed journal of therapeutics and pharmacology focusing on concise rapid reporting of clinical studies and reviews in COPD. Special focus will be given to the pathophysiological processes underlying the disease, intervention programs, patient focused education, and self management protocols. This journal is directed at specialists and healthcare professionals
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