互联网在慢性阻塞性肺疾病管理中的应用进展
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摘要
慢性阻塞性肺疾病(COPD)是我国病死率较高的慢性多发性疾病,严重影响患者的生活质量。"互联网+"的发展打破了传统的医疗服务模式,在疾病管理中实现了"家庭-医院"的无缝连接。本文综述了互联网在COPD疾病管理中的形式及其在COPD管理中的应用情况和相关报道,并分析了互联网在COPD管理应用中所存在的问题,以期为我国COPD管理提供借鉴和参考。
Chronic obstructive pulmonary disease(COPD) is one of the multiple chronic diseases with a high mortality in China,which seriously affects the quality of life in patients.The application of Internet technologies in healthcare delivery upgrades the traditional delivery patterns of medical services,realizing the family-hospital seamless connection in disease management.We reviewed the articles about the application forms and areas of the Internet technologies in COPD management,and analyzed the problems during the Internet-based management,with a view to providing a reference for COPD management in China.
Chronic obstructive pulmonary disease(COPD) is one of the multiple chronic diseases with a high mortality in China,which seriously affects the quality of life in patients.The application of Internet technologies in healthcare delivery upgrades the traditional delivery patterns of medical services,realizing the family-hospital seamless connection in disease management.We reviewed the articles about the application forms and areas of the Internet technologies in COPD management,and analyzed the problems during the Internet-based management,with a view to providing a reference for COPD management in China.
引文
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[19]陆浩南,郑则广,刘妮,等.慢性阻塞性肺疾病网络辅助诊疗平台的应用探讨[J].中国全科医学,2016,19(31):3799-3802.DOI:10.3969/j.issn.1007-9572.2016.31.008.LU H N,ZHENG Z G,LIU N,et al.Discussion of application of network auxiliary diagnosis and treatment platform of chronic obstructive pulmonary disease[J].Chinese General Practice,2016,19(31):3799-3802.DOI:10.3969/j.issn.1007-9572.2016.31.008.
[20]ISIK A H,GüLER L,SENER M U.A low-cost mobile adaptive tracking system for chronic pulmonary patients in home environment[J].Telemed J E Health,2013,1(19):24-30.DOI:10.1089/tmj.2012.0056.
[21]HALPIN M G,LAING-MORTON T,SPEDDING S,et al.A randomised controlled trial of the effect of automated interactive calling combined with a health risk forecast on frequency and severity of exacerbations of COPD assessed clinically and using EXACTPRO[J].Prim Care Respir J,2011,20(3):324-331.DOI:10.4104/pcrj.2011.00057.
[22]VORRINK S N,KORT H S,TROOSTERS T,et al.A mobile phone App to stimulate daily physical activity in patients with chronic obstructive pulmonary disease:development,feasibility,and pilot studies[J].JMIR Mhealth Uhealth,2016,4(1):e11.DOI:10.2196/mhealth.4741.
[23]VERWEY R,VAN DER WEEGEN S,SPREEUWENBERG M,et al.A monitoring and feedback tool embedded in a counseling protocolto increase physical activity of patients with COPD or type 2 diabetes in primary care:study protocol of a three-arm clusterrandomised controlled trial[J].BMC Fam Pract,2014,15:93.DOI:10.1186/1471-2296-15-93.
[24]VERWEY R,VAN DER WEEGEN S,SPREEUWENBERG M,et al.A pilot study of a tool to stimulate physical activity in patients with COPD or type 2 diabetes in primary care[J].J Telemed Telecare,2014,20(1):29-34.DOI:10.1177/1357633X13519057.
[25]SMITH H S,CRINER A J,FEHRLE D,et al.Use of a smartphone/tablet-based bidirectional telemedicine disease management program facilitates early detection and treatment of COPD exacerbation symptoms[J].Telemed J E Health,2016,22(5):395-399.DOI:10.1089/tmj.2015.0135.
[26]FARIA I,GASPAR C,ZAMITH M,et al.TELEMOLD project:oximetry and exercise telemonitoring to improve long-term oxygen therapy[J].Telemed J E Health,2014,20(7):626-632.DOI:10.1089/tmj.2013.0248.
[27]JUEN J,CHENG Q,PRIETO-CENTURION V,et al.Health monitors for chronic disease by gait analysis with mobile phones[J].Telemed J E Health,2014,20(11):1035-1041.DOI:10.1089/tmj.2014.0025.
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