| PurposeTo construct pulmonary rehabilitation scheme based on information management platform,and to investigate the effect of this protocol in quality of life,pulmonary function,degree of dyspnea,exercise endurance,self-management ability and the adherence to non-invasive ventilation for patients with COPD using non-invasive ventilation at home,so as to provide the basis for promoting the rehabilitation of patients with COPD using non-invasive ventilation at home.MethodsA tolal of 76 patients with COPD using non-invasive ventilation at home from a class iii a general hospital in nanchang,jiangxi province from July 2019 to December 2020 who met the inclusion and exclusion criteria in the department of respiratory and critical care medicine were selected as the research objects.The participants were randomly assigned into the observation group or the control group.The control group received routine discharge guidance and telephone follow-up,observation group received lung rehabilitation based on information management platform on this basis,the intervention lasted for 12 weeks.The quality of life（CAT score）,lung function（FEV1%,FEV1/FVC）,dyspnea（m MRC）,exercise endurance（6MWT）,self-management ability and the adherence to non-invasive ventilation（average daily hours on the ventilator,percentage of days on ventilator for more than4 hours per day）were compared between the two groups before and after intervention.Results1.General information A total of 76 patients were included in this research,there were 38 patients in each group.During the research,2 patients in the observation group fell off.74 patients（36 patients in the observation group and 38patients in the control group）finally completed the research.There was no statistically significant difference in general data between the two groups（P>0.05）.2.The quality of life There was no statistically significant difference in CAT between the observation group（25.78±3.87）and the control group（24.81±3.70）before intervention（P>0.05）.The CAT of the observation group（19.42±3.99）was lower than the control group（22.39±3.76）after intervention,there was a significant difference in CAT between the two groups（P<0.05）.Within groups,CAT of the observation group and the control group were lower after intervention than before,and their differences were statistically significant（P<0.05）.The difference of CAT between the two groups before and after intervention was statistically significant（P<0.05）.3.Lung function There was no statistically significant difference in lung function between the observation group（FEV1%28.69±7.60,FEV1/FVC 42.78±5.46）and the control group（FEV1%29.09±7.49,FEV1/FVC 43.20±5.20）before intervention（P>0.05）.After intervention,there was a significant difference in lung function between the observation group（FEV1%33.13±7.68,FEV1/FVC 46.35±4.11）and the control group（FEV1%28.99±7.31,FEV1/FVC 43.38±3.53）（P<0.05）.Within groups,there was statistically significant differences in lung function in the observation group before and after intervention（P<0.05）,and there was no statistically significant difference in lung function in the control group（P>0.05）.The difference of lung function between the two groups before and after intervention was statistically significant（P<0.05）.4.Dyspnea There was no statistically significant difference in m MRC between the observation group and the control group before intervention（P>0.05）.There was a significant difference in m MRC between the two groups after intervention（P<0.05）.There was statistically significant differences in m MRC in the observation group before and after intervention（P<0.05）,and there was no statistically significant difference in m MRC in the control group before and after intervention（P>0.05）.5.Exercise endurance There was no statistically significant difference in6MWT between the observation group（233.14±33.65）and the control group（237.45±32.61）before intervention（P>0.05）.The 6MWT of the observation group（265.47±34.08）was higher than the control group（239.24±30.81）after intervention（P<0.05）.The 6MWT after intervention was higher than that before intervention in the observation group（P<0.05）,and there was no statistically significant difference in 6MWT in the control group before and after intervention（P>0.05）.The difference of 6MWT between the two groups before and after intervention was statistically significant（P<0.05）.6.Self-management ability Before intervention,there was no statistically significant difference in the score of self-management ability between the observation group（133.53±17.63）and the control group（130.47±17.95）（P>0.05）.After intervention,the score of self-management ability in observation group（155.64±15.35）were significantly higher than those in control group（134.34±17.36）（P<0.05）.Within groups,the score of self-management ability of the observation group and the control group were lower after intervention than before,and their differences were statistically significant（P<0.05）.The difference of self-management ability between the two groups before and after intervention was statistically significant（P<0.05）.7.Adherence to non-invasive ventilation During the research,the average daily hours on the ventilator of the control group and the observation group were（8.40±2.62）and（5.74±2.65）,there was a significant difference between the two groups（P<0.05）.The percentage of days on ventilator for more than 4 hours per day of the control group and the observation group were（71.06±12.74）and（58.36±12.84）,there was a significant difference between the two groups（P<0.05）.Conclusions1.Pulmonary rehabilitation based on information management platform can improve the quality of life,lung function,exercise endurance and relieve the symptoms of dyspnea in patients with COPD using non-invasive ventilation at home.2.Pulmonary rehabilitation based on information management platform can increase the time of using ventilator,improve the adherence to non-invasive ventilation and contribute to the improvement of patients’ability of self-management of disease. |
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