%0期刊文章@ 1438- 8871% I JMIR出版物%V 19%卡塔尔世界杯8强波胆分析 N 7% P e264% T评估中国慢性阻塞性肺疾病患者使用电子健康记录的基于web的指导计划:随机对照试验%王a，何兰%A，林a，陶艳霞%A，孙艳霞%A，郑李%A，郑红%A，沈雅姝%A，刘月豪%A，赵素燕%A，王玥%A，姚刚%+卫生服务管理，天津医科大学公共卫生学院，中国天津市七香台路22号，86 022 83336636,wyg@tmu.edu.cn %K慢性阻塞性肺疾病%K电子健康档案%K网络辅导项目%D 2017 %7 21.07.2017 %9原创论文%J J Med Internet Res %G英文%X慢性阻塞性肺病(COPD)目前是世界上第四大死亡原因，在发展中国家还在继续增加。世界卫生组织预计，到2020年，COPD将成为世界上第三大常见死亡原因。有效和持续的出院后护理可以帮助患者保持良好的健康。在中国，使用电子健康档案作为社区卫生保健的一个组成部分是一项新技术。目的:本研究的目的是开发和评估使用电子病历对中国COPD患者身体功能和健康相关生活质量进行网络指导的项目。方法:2008年至2015年在两家医院进行随机对照试验。对照组接受常规护理，干预组接受常规护理，并添加了基于网络的电子病历指导计划。这些用于管理患者的人口统计学和临床变量，发布相关信息，并在患者和医疗保健提供者之间进行沟通。 Participants were not blinded to group assignment. The effects of the intervention were evaluated by lung function, including percent of forced expiratory volume in 1 second (FEV1%), percent of forced vital capacity (FVC%), peak expiratory flow (PEF), maximum midexpiratory flow; St George’s Respiratory Questionnaire (SGRQ); Modified Medical Research Council Dyspnea Scale (MMRC); and 6-Minute Walk Test (6MWT). Data were collected before the program, and at 1, 3, 6, and 12 months after the program. Results: Of the 130 participants, 120 (92.3%) completed the 12-month follow-up program. There were statistically significant differences in lung function (FEV1%: F1,4=5.47, P=.002; FVC%: F1,4=3.06, P=.02; PEF: F1,4=12.49, P<.001), the total score of SGRQ (F1,4=23.30, P<.001), symptoms of SGRQ (F1,4=12.38, P<.001), the activity of SGRQ (F1,4=8.35, P<.001), the impact of SGRQ (F1,4=12.26, P<.001), MMRC (F1,4=47.94, P<.001), and 6MWT (F1,4=35.54, P<.001) between the two groups with the variation of time tendency. Conclusions: The Web-based coaching program using EHRs in China appears to be useful for patients with COPD when they are discharged from hospital into the community. It promotes the sharing of patients’ medical information by hospital and community nurses, and achieves dynamic management and follow-up analysis for patients’ disease. In addition, this program can postpone the decreasing rate of lung function, improve quality of life, decrease dyspnea, and increase physical capacity. %M 28733270 %R 10.2196/jmir.6743 %U //www.mybigtv.com/2017/7/e264/ %U https://doi.org/10.2196/jmir.6743 %U http://www.ncbi.nlm.nih.gov/pubmed/28733270