Evaluation and Exploration on the Effect of the Management of Chronic Obstructive Pulmonary Disease in Rural Areas through an Internet-Based Network Consulting Room

Abstract

Objective: This study aims to improve the management quality of chronic obstructive pulmonary disease (COPD) in rural areas. Methods: Two hundred forty discharged COPD patients were divided into an intervention group and a control group. In the intervention group, 120 patients established contact with doctors through the network consulting room, i.e., the doctor’s mobile platform, and were managed through video, voice, and text by the doctors, kept close contact with the doctors after discharge (education, consultation), and received electronic prescriptions, and drugs were sent to the patients’ door by online retailers. The patients in the control group were managed in the traditional manner. One year later, the predicted forced expiratory volume in 1 s (FEV1)%, FEV1/forced vital capacity (FVC), and CAT scores and the number of rehospitalized patients were compared between these 2 groups. Results: After 1 year of follow-up, the predicted FEV1% and the FEV1/FVC ratio were significantly higher in the intervention group than in the control group (p < 0.05). CAT scores were lower for patients in the intervention group than for those in the control group after 1 year of follow-up (p < 0.05). After 1 year of follow-up, 22 (18.33%) patients were rehospitalized in the intervention group and 58 (48.33%) patients were rehospitalized in the control group (p < 0.05). Conclusion: Doctors can improve the quality of life of patients with COPD and reduce the number of rehospitalizations through use of the network consulting room.

Effects of home‐based telehealth on the physical condition and psychological status of patients with chronic obstructive pulmonary disease: A systematic review and meta‐analysis

“…A total of 32 studies met all of the eligibility criteria and were included in this meta‐analysis (Bernocchi et al, 2018; Cameron‐Tucker et al, 2016; Chatwin et al, 2016; Chen et al, 2014, 2021; Demeyer et al, 2017; Jehn et al, 2013; Jiménez‐Reguera et al, 2020; Kessler et al, 2018; Lahham et al, 2020; Li et al, 2014, 2018; Ma, 2019; McDowell et al, 2015; Mínguez Clemente et al, 2020; Park et al, 2020; Pinnock et al, 2013; Rixon et al, 2017; Steele et al, 2008; Tsai et al, 2017; Tupper et al, 2018; Vasilopoulou et al, 2017; Vianello et al, 2016; Vorrink et al, 2016; Walker et al, 2018; Wang et al, 2017; Wang, Guo, et al, 2021; Wang, Di, et al, 2021; Xing et al, 2021; Yan et al, 2018; Ye et al, 2019; Zhang et al, 2020). A flow diagram of the study selection process is shown in Figure 1.…”

“…All relevant data were documented in the electronic health records to allow the administrators and patients to refer to relevant information using the internet (Wang et al, 2017). In 15 studies, patients in the intervention groups received multicomponent telehealth, including telerehabilitation, telemonitoring, and self‐management programmes (Chen et al, 2014, 2021; Demeyer et al, 2017; Jiménez‐Reguera et al, 2020; Kessler et al, 2018; Lahham et al, 2020; Ma, 2019; Park et al, 2020; Vorrink et al, 2016; Wang, Di, et al, 2021; Wang, Guo, et al, 2021; Xing et al, 2021; Yan et al, 2018; Ye et al, 2019; Zhang et al, 2020). The duration of home‐based telehealth interventions ranged from 8 weeks to 24 months.…”

“…The authors of 25 studies (Cameron‐Tucker et al, 2016; Chen et al, 2014, 2021; Demeyer et al, 2017; Jiménez‐Reguera et al, 2020; Kessler et al, 2018; Lahham et al, 2020; Li et al, 2014; McDowell et al, 2015; Mínguez Clemente et al, 2020; Park et al, 2020; Pinnock et al, 2013; Rixon et al, 2017; Tsai et al, 2017; Tupper et al, 2018; Vasilopoulou et al, 2017; Vianello et al, 2016; Vorrink et al, 2016; Walker et al, 2018; Wang et al, 2017; Wang, Di, et al, 2021; Wang, Guo, et al, 2021; Xing et al, 2021; Ye et al, 2019; Zhang et al, 2020) reported the use of randomized sequence generation; however, the other studies (Bernocchi et al, 2018; Chatwin et al, 2016; Jehn et al, 2013; Li et al, 2018; Ma, 2019; Yan et al, 2018; Steele et al, 2008) only mentioned randomization. Given the nature of home‐based telehealth, it is not possible to blind personnel and patients.…”

eHealth for people with multimorbidity: Results from the ICARE4EU project and insights from the “10 e’s” by Gunther Eysenbach

“…Recent findings confirmed that the use of the network consulting room (e.g. mobile platform, with patient interacting through video, voice and text with the doctors) can improve the quality of life of patients and reduce the number of re-hospitalization [ 46 ]. A recent literature review suggested that web-based interventions, for supporting informal caregivers of adult people with chronic conditions living in the community, can improve general health outcomes of caregivers themselves (e.g.…”

Comparative effectiveness of eHealth interventions on the exercise endurance and quality of life of patients with COPD: A systematic review and network meta‐analysis

“…It enables services such as outpatient appointments, refilling medications, making payments and downloading medical history. These services effectively improve patients' medical experience and contribute to the improvement of their quality of life (Yan et al, 2018;Yang et al, 2019). On the contrary, patients with COPD are prone to anxiety, depression and other psychological problems when facing symptoms such as dyspnoea due to the long duration of the disease and recurrent episodes (Lou et al, 2012).…”