TY - JOUR AU - Wang, Lan AU - He, Lin AU - Tao, Yanxia AU - Sun, Li AU - Zheng, Hong AU - Zheng, yafshu AU - Shen, Yuehao AU - Liu, Suyan AU - Zhao, Yue AU - Wang耀刚PY - 2017 DA - 2017/07/21 TI -基于网络的慢性阻塞性肺疾病患者电子健康记录培训项目评估:随机对照试验JO - J Med Internet Res SP - e264 VL - 19 IS - 7kw -慢性阻塞性肺疾病KW -电子健康记录KW -网络指导计划AB -背景:慢性阻塞性肺疾病(COPD)目前是世界上第四大死亡原因，在发展中国家持续增加。世界卫生组织预计，到2020年，慢性阻塞性肺病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，将电子健康记录(EHRs)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一个基于网络的指导项目，使用电子病历对中国COPD患者的身体功能和健康相关生活质量进行指导。方法:2008 - 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，并加入基于网络的电子病历指导程序。这些数据用于管理患者的人口统计和临床变量，发布相关信息，并在患者和卫生保健提供者之间进行沟通。参与者对小组分配并不是盲目的。 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. SN - 1438-8871 UR - //www.mybigtv.com/2017/7/e264/ UR - https://doi.org/10.2196/jmir.6743 UR - http://www.ncbi.nlm.nih.gov/pubmed/28733270 DO - 10.2196/jmir.6743 ID - info:doi/10.2196/jmir.6743 ER -