在严重囊性纤维化等待肺移植患者中使用健身应用远程康复:一项试点研究。

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES
International Journal of Telemedicine and Applications Pub Date : 2021-02-26 eCollection Date: 2021-01-01 DOI:10.1155/2021/6641853
Aimee M Layton, Andrew M Irwin, Erin C Mihalik, Emily Fleisch, Claire L Keating, Emily A DiMango, Lori Shah, Selim M Arcasoy
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引用次数: 13

摘要

目的:本研究的目的是试点一种基于家庭的肺康复(PR)计划,该计划通过远程医疗方法对患有囊性纤维化(CF)的肺移植候选人使用健身应用和自我选择活动相结合的方法进行管理。方法:我们招募了患有CF的成年患者。主要结果是依从性,通过12周内完成的疗程数来衡量。次要结局是不良事件、6分钟步行距离(6MWD)和呼吸困难。研究人员为参与者提供了个性化的锻炼计划和设备,包括提供锻炼视频、记录锻炼时间和相应心率的健身应用程序。我们每天审查数据,并提供短信反馈。我们将我们的研究结果与一组CF患者的回顾性数据进行比较,这些患者参加了24期门诊医院PR项目。数据以均数±标准差表示。结果:11例患者参加了家庭PR计划,女性占45%,年龄33±7岁,预测FEV1 27±5%。完成疗程的家庭PR为19±12例,医院PR为9±4例,p = 0.03。50%的家庭治疗组在12周内完成了≥24次治疗,而医院治疗组的这一比例为0% (p = .03)。运动期间无不良事件发生。完成家庭作业的人比未完成作业的人(6MWD -7±15比-86±108米)的下降幅度更低,具有临床意义。只有一名参与者在基于医院的PR中进行了6年后的MWD。结论:严重CF患者通过健身应用和自我选择的活动证明了家庭PR的依从性,没有不良事件。这种方案风格可能是严重CF远程康复的可行解决方案,尤其适用于COVID时代。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Telerehabilitation Using Fitness Application in Patients with Severe Cystic Fibrosis Awaiting Lung Transplant: A Pilot Study.

Telerehabilitation Using Fitness Application in Patients with Severe Cystic Fibrosis Awaiting Lung Transplant: A Pilot Study.

Telerehabilitation Using Fitness Application in Patients with Severe Cystic Fibrosis Awaiting Lung Transplant: A Pilot Study.

Telerehabilitation Using Fitness Application in Patients with Severe Cystic Fibrosis Awaiting Lung Transplant: A Pilot Study.

Purpose: The purpose of this study was to pilot a home-based pulmonary rehabilitation (PR) program administered via a telemedicine approach using a combination of fitness application and self-selected activity in lung transplant candidates with cystic fibrosis (CF).

Methods: We recruited adult patients with CF. The main outcome was adherence, measured by number of sessions completed in 12 weeks. Secondary outcomes were adverse events, six-minute walk distance (6MWD), and dyspnea. Participants were provided a personalized exercise program and equipment including a fitness application that provided exercise videos, recorded exercise time, and corresponding heart rate. We reviewed data daily and provided text messages with feedback. We compared our study outcomes to a retrospective data set of CF patients who participated in a 24-session outpatient hospital-based PR program. Data presented as mean ± standard deviation.

Results: Eleven patients participated in the home PR program, 45% female, age 33 ± 7 years, FEV1 27 ± 5% predicted. Sessions completed were 19 ± 12 home-based PR vs. 9 ± 4 hospital-based PR, p = .03. Fifty percent of the home-based group completed ≥24 sessions in 12 weeks versus 0% of the hospital-based patients (p = .03). There were no adverse events during exercise. Completers of the home-based program demonstrated a clinically meaningful lower decline in 6 MWD than noncompleters (6MWD -7 ± 15 vs. -86 ± 108 meters). Only one participant performed a post 6 MWD in the hospital-based PR.

Conclusion: Patients with severe CF demonstrated adherence to home PR delivered using fitness application and self-selected activity with no adverse events. This program style may be a viable solution for telerehabilitation in severe CF and is particularly relevant in the COVID era.

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来源期刊
CiteScore
6.90
自引率
2.30%
发文量
19
审稿时长
12 weeks
期刊介绍: The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.
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