数字健康技术对老年COPD患者远程管理研究进展
Research Progress on Remote Management of Elderly COPD Patients via Digital Health Technology
DOI: 10.12677/ns.2025.1410229, PDF,    科研立项经费支持
作者: 杨 静, 张文静, 李伶俐:湖北医药学院护理学院,湖北 十堰;周玉梅*, 马林源:湖北医药学院附属襄阳市第一人民医院护理部,湖北 襄阳
关键词: 数字健康技术COPD互联网综述Digital Health Technology COPD Internet Review
摘要: 目的:通过对数字健康在COPD领域中的应用进展进行综述,为提高国内数字健康的临床实践提供参考依据。方法:检索国内外相关文献,总结数字健康的概念及其在COPD中的应用现状、效果和存在问题。结果:数字健康在COPD中的应用涵盖移动医疗、虚拟现实、人工智能等领域,在提升患者自我管理能力、获取健康资源以及优化医疗资源分配方面取得显著成果。结论:数字健康在COPD领域应用广泛,但国内相关研究较为不足。应加强高质量研究,提升患者及社会对数字健康的接受度,并完善制度,以推动其在我国的进一步发展和应用。
Abstract: Objective: To review the application progress of digital health in the field of chronic obstructive pulmonary disease (COPD) and provide a reference basis for improving the clinical practice of digital health in China. Methods: Search relevant domestic and foreign literature, and summarize the concept of digital health as well as its application status, effects and existing problems in COPD. Results: The application of digital health in COPD covers fields such as mobile health, virtual reality and artificial intelligence, and has achieved remarkable results in improving patients’ self-management ability, obtaining health resources and optimizing the allocation of medical resources. Conclusion Digital health is widely applied in the field of COPD, but relevant domestic research is relatively insufficient. High-quality research should be strengthened, the acceptance of digital health by patients and society should be enhanced, and the system should be improved to promote its further development and application in China.
文章引用:杨静, 周玉梅, 马林源, 张文静, 李伶俐. 数字健康技术对老年COPD患者远程管理研究进展[J]. 护理学, 2025, 14(10): 1718-1724. https://doi.org/10.12677/ns.2025.1410229

参考文献

[1] Jandoo, T. (2020) WHO Guidance for Digital Health: What It Means for Researchers. Digital Health, 6, 1-4. [Google Scholar] [CrossRef] [PubMed]
[2] 张栩彰, 李乐之, 王祎雅, 等. 数字健康在安宁疗护中的应用进展[J]. 护理学报, 2023, 30(10): 35-39.
[3] 孙婧, 李印璐, 周小宣, 等. 数字健康干预在安宁疗护中的应用进展[J]. 中国护理管理, 2023, 23(5): 730-734.
[4] 常红, 张素. 数字健康时代脑卒中全生命周期管理的发展现状及展望[J]. 中国实用护理杂志, 2023, 39(18): 1361-1366.
[5] 陈凯, 王桃清. 数字健康产业发展现状及对策建议[J]. 科技中国, 2023(8): 29-33.
[6] 陈典, 隆寰宇, 李姝润, 等. 2024年GOLD慢性阻塞性肺疾病诊断、治疗、管理及预防全球策略更新要点解读[J]. 中国全科医学, 2024, 27(13): 1533-1543+1567.
[7] Soriano, J.B., Kendrick, P.J., Paulson, K.R., Gupta, V., Abrams, E.M., Adedoyin, R.A., et al. (2020) Prevalence and Attributable Health Burden of Chronic Respiratory Diseases, 1990-2017: A Systematic Analysis for the Global Burden of Disease Study 2017. The Lancet Respiratory Medicine, 8, 585-596. [Google Scholar] [CrossRef] [PubMed]
[8] Chen, S., Kuhn, M., Prettner, K., Yu, F., Yang, T., Bärnighausen, T., et al. (2023) The Global Economic Burden of Chronic Obstructive Pulmonary Disease for 204 Countries and Territories in 2020-50: A Health-Augmented Macroeconomic Modelling Study. The Lancet Global Health, 11, e1183-e1193. [Google Scholar] [CrossRef] [PubMed]
[9] Wang, C., Xu, J., Yang, L., Xu, Y., Zhang, X., Bai, C., et al. (2018) Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease in China (the China Pulmonary Health [CPH] Study): A National Cross-Sectional Study. The Lancet, 391, 1706-1717. [Google Scholar] [CrossRef] [PubMed]
[10] Stellefson, M., Chaney, B., Ochipa, K., Chaney, D., Haider, Z., Hanik, B., et al. (2014) YouTube as a Source of Chronic Obstructive Pulmonary Disease Patient Education. Chronic Respiratory Disease, 11, 61-71. [Google Scholar] [CrossRef] [PubMed]
[11] Apperson, A., Stellefson, M., Paige, S., Chaney, B., Chaney, J., Wang, M., et al. (2019) Facebook Groups on Chronic Obstructive Pulmonary Disease: Social Media Content Analysis. International Journal of Environmental Research and Public Health, 16, Article 3789. [Google Scholar] [CrossRef] [PubMed]
[12] Cherrez Ojeda, I., Calderon, J., Jove, O.L., Guerreros, A., Plaza, K.J., Cano, J.A., et al. (2018) What Kind of Information and Communication Technologies Do Patients with COPD Prefer to Use? A Cross-Sectional Study in Latin America. Chronic Respiratory Disease, 15, 286-295. [Google Scholar] [CrossRef] [PubMed]
[13] Li, Y., Qian, H., Yu, K. and Huang, Y. (2022) The Long-Term Maintenance Effect of Remote Pulmonary Rehabilitation via Social Media in COPD: A Randomized Controlled Trial. International Journal of Chronic Obstructive Pulmonary Disease, 17, 1131-1142. [Google Scholar] [CrossRef] [PubMed]
[14] 方慧, 刘贤亮, 王斌, 等. 远程医疗技术在慢性阻塞性肺疾病患者居家肺康复中的应用进展[J]. 中华护理杂志, 2019, 54(10): 1597-1600.
[15] 毛敏, 谢湘梅, 严婷, 等. 远程医疗在慢性阻塞性肺疾病健康管理中的应用进展[J]. 循证护理, 2024, 10(5): 826-830.
[16] 姜丽, 王辰硕, 李玥琪, 等. 基于云平台和微信小程序的慢性呼吸疾病远程监护系统的开发[J]. 中国医疗设备, 2021, 36(12): 94-98.
[17] Perez, A.J. and Zeadally, S. (2021) Recent Advances in Wearable Sensing Technologies. Sensors, 21, Article 6828. [Google Scholar] [CrossRef] [PubMed]
[18] 蒋维芃, 金鑫, 陈翠翠, 等. 可穿戴设备在呼吸系统疾病中的应用现状与展望[J]. 中国临床医学, 2021, 28(6): 919-924.
[19] Wu, C.T., Li, G.H., Huang, C.T., et al. (2021) Acute Exacerbation of a Chronic Obstructive Pulmonary Disease Prediction System Using Wearable Device Data, Machine Learning, and Deep Learning: Development and Cohort Study. JMIR mHealth and uHealth, 9, e22591. [Google Scholar] [CrossRef] [PubMed]
[20] 陶丽君. 无创呼吸机治疗COPD合并Ⅱ型呼吸衰竭患者应用手机APP辅助式延续运动方案干预效果研究[J]. 护理实践与研究, 2021, 18(7): 949-953.
[21] Liu, H., Yang, X., Wang, X., Yang, X., Zhang, X. and Li, Q. (2021) Study on Adjuvant Medication for Patients with Mild Cognitive Impairment Based on VR Technology and Health Education. Contrast Media & Molecular Imaging, 2021, 1-6. [Google Scholar] [CrossRef] [PubMed]
[22] Wootton, S.L., Dale, M.T., Alison, J.A., Brown, S., Rutherford, H., Chan, A.S.L., et al. (2023) Mobile Health Pulmonary Rehabilitation Compared to a Center-Based Program for Cost-Effectiveness and Effects on Exercise Capacity, Health Status, and Quality of Life in People with Chronic Obstructive Pulmonary Disease: A Protocol for a Randomized Controlled Trial. Physical Therapy, 103, pzad044. [Google Scholar] [CrossRef] [PubMed]
[23] 唐玲, 郭爱敏, 俞杰, 等. 社区老年慢性阻塞性肺疾病患者对基于移动医疗的健康教育需求的质性研究[J]. 中国护理管理, 2022, 22(4): 537-542.
[24] Gelbman, B.D. and Reed, C.R. (2022) An Integrated, Multimodal, Digital Health Solution for Chronic Obstructive Pulmonary Disease: Prospective Observational Pilot Study. JMIR Formative Research, 6, e34758. [Google Scholar] [CrossRef] [PubMed]
[25] 石福荣, 张敏. 基于微信APP的健康教育对老年COPD患者疾病知识掌握及自我管理能力的影响[J]. 临床医学工程, 2022, 22(9): 1283-1284.
[26] 覃梦霞, 潜艳, 陈英. 肺康复在肺癌患者治疗中的应用进展[J]. 护理学杂志, 2019, 34(10): 101-104.
[27] Zhang, A., Wang, L., Long, L., et al. (2020) Effectiveness and Economic Evaluation of Hospital-Outreach Pulmonary Rehabilitation for Patients with Chronic Obstructive Pulmonary Disease. International Journal of Chronic Obstructive Pulmonary Disease, 2020, 1071-1083.
[28] 袁泉, 陆海英, 王怡, 等. 远程医疗管理在老年中重度慢性阻塞性肺疾病患者稳定期呼吸康复中的效果: 一项随机对照研究[J]. 中国全科医学, 2024, 27(6): 711-716.
[29] 梁梦瑶, 陆芹珍. COPD患者“互联网+护理服务”体验的质性研究[J]. 上海护理, 2023, 23(12): 11-16.
[30] Watson, A. and Wilkinson, T.M.A. (2022) Digital Healthcare in COPD Management: A Narrative Review on the Advantages, Pitfalls, and Need for Further Research. Therapeutic Advances in Respiratory Disease, 16, Article 17534666221075493. [Google Scholar] [CrossRef] [PubMed]
[31] 郝晨璐, 胡铭. 老年慢性病病人电子健康素养研究进展[J]. 护理研究, 2023, 37(3): 506-510.
[32] 胡扬名, 陈妍芳. 互联网使用对老年人“养儿防老”观念的影响研究[J]. 中国卫生事业管理, 2024, 41(3): 334-338.
[33] 冉晓醒, 胡宏伟. 城乡差异、数字鸿沟与老年健康不平等[J]. 人口学刊, 2022, 44(3): 46-58.
[34] 黄齐娴, 李晓宛, 袁睿洁, 等. 数字鸿沟与数字反哺: 基于UTAUT模型下互联网医疗代际使用差异的研究[J]. 中国集体经济, 2022(10): 82-85.
[35] Lopez de Coca, T., Moreno, L., Alacreu, M. and Sebastian-Morello, M. (2022) Bridging the Generational Digital Divide in the Healthcare Environment. Journal of Personalized Medicine, 12, Article 1214. [Google Scholar] [CrossRef] [PubMed]
[36] 中国互联网络信息中心. 第50次中国互联网络发展状况统计报告[EB/OL]. 2022-09-14.
http://cnnic.cn/n4/2022/0914/c88-10226.html, 2023-03-15.
[37] 郑君. 乡村数字健康治理: 意义、困境与路径探析[J]. 农村经济与科技, 2023, 34(18): 164-167.
[38] 刘珍, 张晗, 张艳, 等. 郑州市农村老年人电子健康素养现状及影响因素分析[J]. 现代预防医学, 2020, 47(2): 283-286+309.
[39] 吴青娴, 刘春香, 刘丽欢, 范葵娣. 老年患者就医技术焦虑及影响因素调查分析[J]. 护理学杂志, 2023, 38(14): 17-20
[40] 葛振兴, 李晓光, 王慧. 老年数字化健康管理研究进展[J]. 生命科学, 2023, 35(8): 984-993.
[41] 杨烨阳, 苏果云. 数字医疗技术应用中的伦理困境及其实践边界[J]. 医学与哲学, 2023, 44(13): 34-39.