TY -非盟的罗德里格斯Hermosa Juan Luis盟,柱身Gomila,安东尼娅盟——朋地Maestu Luis AU -阿马多Diago带领,卡洛斯·安东尼奥AU - Callejas冈萨雷斯,弗朗西斯科哈维尔AU - De莫利纳Ruiz不全,罗莎AU - f费雷尔,曼努埃尔•E AU -阿尔瓦雷斯Sala-Walther Jose Luis AU - Calle卢比奥,Myriam PY - 2020 DA - 2020/3/19 TI -合规和实用的智能手机应用程序检测患者的急性加重的慢性阻塞性肺疾病:队列研究JO - JMIR Mhealth Uhealth SP - e15699 VL - 8 IS - 3kw -慢性阻塞性肺疾病KW - Mhealth KW -依从性KW -移动电话AB -背景:近年来，移动健康(Mhealth)相关的应用程序已经开发出来，以帮助管理慢性疾病。应用程序可以让患有慢性阻塞性肺疾病(COPD)等以病情恶化为特征的慢性疾病的患者追踪甚至怀疑疾病的恶化，从而促进自我管理和及时干预。然而，没有足够的证据表明患者在日常使用移动健康应用程序进行慢性疾病监测方面的依从性。目的:本研究旨在提供进一步的证据，支持通过智能手机应用程序Prevexair前瞻性地记录日常症状，作为检测COPD恶化的有用策略。它还旨在分析使用Prevexair记录的日常依从性和慢性阻塞性肺病急性加重的频率和特征。方法:这是一项多中心队列研究，前瞻性病例招募包括116例COPD患者，这些患者有频繁加重的病史，并在6个月的时间内进行监测。在招募时，他们的智能手机上安装了Prevexair应用程序，并指导患者如何使用该应用程序。应用程序中记录的信息包括症状变化、药物使用和医疗资源使用情况。患者在应用程序中收到有关健康生活方式行为的信息，以及他们累积症状的记录。他们没有与研究团队的定期联系，也没有指导过程。如果寻求医疗护理，则认为病情恶化是报告的，如果没有向卫生保健专业人员报告，则认为未报告。 Results: Overall, compliance with daily records in the app was 66.6% (120/180), with a duration compliance of 78.8%, which was similar across disease severity, age, and comorbidity variables. However, patients who were active smokers, with greater dyspnea and a diagnosis of depression and obesity had lower compliance (P<.05). During the study, the patients experienced a total of 262 exacerbations according to daily records in the app, 99 (37.8%) of which were reported exacerbations and 163 (62.2%) were unreported exacerbations. None of the subject-related variables were found to be significantly associated with reporting. The duration of the event and number of symptoms present during the first day were strongly associated with reporting. Despite substantial variations in the COPD Assessment Test (CAT), there was improvement only among patients with no exacerbation and those with reported exacerbations. Nevertheless, CAT scores deteriorated among patients with unreported exacerbations. Conclusions: The daily use of the Prevexair app is feasible and acceptable for patients with COPD who are motivated in their self-care because of frequent exacerbations of their disease. Monitoring through the Prevexair app showed great potential for the implementation of self-care plans and offered a better diagnosis of their chronic condition. SN - 2291-5222 UR - http://mhealth.www.mybigtv.com/2020/3/e15699/ UR - https://doi.org/10.2196/15699 UR - http://www.ncbi.nlm.nih.gov/pubmed/32191213 DO - 10.2196/15699 ID - info:doi/10.2196/15699 ER -