Recent Advances in Internet-based Management of COPD

doi:10.12114/j.issn.1007-9572.2018.00.441

Abstract

Abstract: Chronic obstructive pulmonary disease（COPD） is one of the multiple chronic diseases with a high mortality in China，which seriously affects the quality of life in patients.The application of Internet technologies in healthcare delivery upgrades the traditional delivery patterns of medical services，realizing the family-hospital seamless connection in disease management.We reviewed the articles about the application forms and areas of the Internet technologies in COPD management，and analyzed the problems during the Internet-based management，with a view to providing a reference for COPD management in China.

Key words: Pulmonary disease, chronic obstructive, Disease management, Computer communication networks

摘要： 慢性阻塞性肺疾病（COPD）是我国病死率较高的慢性多发性疾病，严重影响患者的生活质量。“互联网+”的发展打破了传统的医疗服务模式，在疾病管理中实现了“家庭-医院”的无缝连接。本文综述了互联网在COPD疾病管理中的形式及其在COPD管理中的应用情况和相关报道，并分析了互联网在COPD管理应用中所存在的问题，以期为我国COPD管理提供借鉴和参考。

关键词: 肺疾病, 慢性阻塞性；疾病管理；计算机通信网络

YANG Zhenjiao,CUI Miaoling,TAN Guirong, et al. Recent Advances in Internet-based Management of COPD　[J]. Chinese General Practice, 2019, 22(24): 3011-3015. DOI: 10.12114/j.issn.1007-9572.2018.00.441.
杨珍娇,崔妙玲,谭桂蓉等. 互联网在慢性阻塞性肺疾病管理中的应用进展[J]. 中国全科医学, 2019, 22(24): 3011-3015. DOI: 10.12114/j.issn.1007-9572.2018.00.441.

References

［1］VOGELMEIER C F，CRINER G J，MARTINEZ F J，et al．Global strategy for the diagnosis，management and prevention of chronic obstructive lung disease 2017 report：GOLD executive summary［J］．Respirology，2017，22（3）：575-601．DOI：10.1111/resp.13012.
［2］MONTSERRAT-CAPDEVILA J，GODOY P，MARSAL J R，et al．
Risk of exacerbation in chronic obstructive pulmonary disease：a primary care retrospective cohort study［J］．BMC Fam Pract，2015，16：173．DOI：10.1186/s12875-015-0387-6.
［3］FANG L，GAO P，BAO H，et al．Chronic obstructive pulmonary disease in China：a nationwide prevalence study［J］．Lancet Respir Med，2018，6（6）：421-430．DOI：10.1016/S2213-2600（18）30103-6.
［4］曹志，郑小敏，乔亚楠，等．慢性病管理类医疗应用软件的现状与前景［J］．中华医学图书情报杂志，2016，25（7）：27-30．DOI：10.3969/j.issn.1671-3982.2016.07.005.
［5］AFSAR B.The relation between Internet and social media use and the demographic and clinical parameters，quality of life，depression，cognitive function and sleep quality in hemodialysis patients：social media and hemodialysis［J］．Gen Hosp Psychiatry，2013，35（6）：625-630．DOI：10.1016/j.genhosppsych.2013.05.001.
［6］STELLEFSON M，CHANEY B，OCHIPA K，et al．YouTube as a source of chronic obstructive pulmonary disease patient education：a social media content analysis［J］．Chron Respir Dis，2014，11（2）：61-71．DOI：10.1177/1479972314525058.
［7］STELLEFSON M，CHANEY B，CHANEY D.Heuristic evaluation of online COPD respiratory therapy and education video resource center［J］．Telemed J E Health，2014，20（10）：972-976．DOI：10.1089/tmj.2014.0009.
［8］陈贵华，吴松亮，罗晓庆，等．微信平台在慢性阻塞性肺疾病患者延伸管理中的应用［J］．重庆医学，2017，46（29）：4132-4134．DOI：10.3969/j.issn.1671-8348.2017.29.029.
CHEN G H，WU S L，LUO X Q，et al．Application of WeChat platform in extension management of patients with chronic obstructive pulmonary disease［J］．Chongqing Medicine，2017，46（29）：4132-4134．DOI：10.3969/j.issn.1671-8348.2017.29.029.
［9］余静珠，周丽娟，孙锦贤，等．基于手机新媒体为载体的健康教育在社区慢性阻塞性肺疾病干预中的作用评估［J］．临床肺科杂志，2018，23（1）：38-41．DOI：10.3969/j.issn.1009-6663.2018.01.011.
YU J Z，ZHOU L J，SUN J X，et al．Evaluation of health education based on mobile phone new media in community COPD intervention ［J］．Journal of Clinical Pulmonary Medicine，2018，23（1）：38-41．DOI：10.3969/j.issn.1009-6663.2018.01.011.
［10］黄晓琼，向红霞，马春秀，等．应用即时通讯技术对慢性阻塞性肺疾病患者外延式个体化护理模式的建立与实施［J］．山西医药杂志，2016，45（12）：1385-1387．DOI：10.3969/j.issn.0253-9926.2016.12.007.
HUANG X Q，XIANG H X，MA C X，et al．The influence of individualized extended care by synchronous communication tools on quality of life of patients with chronic obstructive pulmonary disease［J］．Shanxi Medical Journal，2016，45（12）：1385-1387．DOI：10.3969/j.issn.0253-9926.2016.12.007.
［11］梁磊，王玉萍，周桂英，等．微信教育对慢性阻塞性肺疾病稳定期患者家庭氧疗依从性的影响［J］．实用临床医药杂志，2016，20（2）：31-33．DOI：10.7619/jcmp.201602010.
LIANG L，WANG Y P，ZHOU G Y，et al．Effect of WeChat education on oxygen therapy compliance of chronic obstructive pulmonary disease patients in stable phase［J］．Journal of Clinical Medicine in Practice，2016，20（2）：31-33．DOI：10.7619/jcmp.201602010.
［12］SHAH S A，VELARDO C，FARMER A，et al．Exacerbations in chronic obstructive pulmonary disease：identification and prediction using a digital health system［J］．J Med Internet Res，2017，19（3）：e69．DOI：10.2196/jmir.7207.
［13］MOY M L，MARTINEZ C H，KADRI R，et al．Long-term effects of an internet-mediated pedometer-based walking program for chronic obstructive pulmonary disease：randomized controlled trial［J］．J Med Internet Res，2016，18（8）：e215．DOI：10.2196/jmir.5622.
［14］FARMER A，TOMS C，HARDINGE M，et al．Self-management support using an Internet-linked tablet computer（the EDGE platform）-based intervention in chronic obstructive pulmonary disease：protocol for the EDGE-COPD randomised controlled trial［J］．BMJ Open，2014，4（1）：e4437．DOI：10.1136/bmjopen-2013-004437.
［15］NARANJO-HERNáNDEZ D，TALAMINOS-BARROSO A，REINA-TOSINA J，et al．Smart vest for respiratory rate monitoring of COPD patients based on non-contact capacitive sensing［J］．Sensors（Basel），2018，18（7）．pii：e2144．DOI：10.3390/s18072144.
［16］赵东兴，陈淑云，周玉民，等．慢性阻塞性肺疾病社区综合防治管理平台的建立及应用效果评价［J］．中华结核和呼吸杂志，2017，40（2）：102-107．DOI：10.3760/cma.j.issn.1001-0939.2017.02.005.
ZHAO D X，CHEN S Y，ZHOU Y M，et al．Establishment and application effect appraisement of community chronic obstructive pulmonary disease integrated management system［J］．Chinese Journal of Tuberculosis and Respiratory Diseases，2017，40（2）：102-107．DOI：10.3760/cma.j.issn.1001-0939.2017.02.005.
［17］马伟光，郭爱敏，崔英，等．基于网络的自我管理模式在慢性阻塞性肺疾病患者中的应用研究［J］．中华护理杂志，2015，50（8）：901-905．DOI：10.3761/j.issn.0254-1769.2015.08.001.
MA W G，GUO A M，CUI Y，et al．Effectiveness of internet-based self-management model in patients with chronic obstructive pulmonary disease［J］．Chinese Journal of Nursing，2015，50（8）：901-905．DOI：10.3761/j.issn.0254-1769.2015.08.001.
［18］虞芬.基于网络的社区慢阻肺患者自我管理平台模块内容的构建研究［D］．南昌：南昌大学，2018.
［19］陆浩南，郑则广，刘妮，等．慢性阻塞性肺疾病网络辅助诊疗平台的应用探讨［J］．中国全科医学，2016，19（31）：3799-3802．DOI：10.3969/j.issn.1007-9572.2016.31.008.
LU H N，ZHENG Z G，LIU N，et al．Discussion of application of network auxiliary diagnosis and treatment platform of chronic obstructive pulmonary disease［J］．Chinese General Practice，2016，19（31）：3799-3802．DOI：10.3969/j.issn.1007-9572.2016.31.008.
［20］ISIK A H，GüLER L，SENER M U.A low-cost mobile adaptive tracking system for chronic pulmonary patients in home environment［J］．Telemed J E Health，2013，1（19）：24-30．DOI：10.1089/tmj.2012.0056.
［21］HALPIN M G，LAING-MORTON T，SPEDDING S，et al．A randomised controlled trial of the effect of automated interactive calling combined with a health risk forecast on frequency and severity of exacerbations of COPD assessed clinically and using EXACT PRO［J］．Prim Care Respir J，2011，20（3）：324-331．DOI：10.4104/pcrj.2011.00057.
［22］VORRINK S N，KORT H S，TROOSTERS T，et al．A mobile phone App to stimulate daily physical activity in patients with chronic obstructive pulmonary disease：development，feasibility，and pilot studies［J］．JMIR Mhealth Uhealth，2016，4（1）：e11．DOI：10.2196/mhealth.4741.
［23］VERWEY R，VAN DER WEEGEN S，SPREEUWENBERG M，et al．A monitoring and feedback tool embedded in a counseling protocolto increase physical activity of patients with COPD or type 2 diabetes in primary care：study protocol of a three-arm clusterrandomised controlled trial［J］．BMC Fam Pract，2014，15：93．DOI：10.1186/1471-2296-15-93.
［24］VERWEY R，VAN DER WEEGEN S，SPREEUWENBERG M，
et al．A pilot study of a tool to stimulate physical activity in patients with COPD or type 2 diabetes in primary care［J］．J Telemed Telecare，2014，20（1）：29-34．DOI：10.1177/1357633X13519057.
［25］SMITH H S，CRINER A J，FEHRLE D，et al．Use of a smartphone/tablet-based bidirectional telemedicine disease management program facilitates early detection and treatment of COPD exacerbation symptoms［J］．Telemed J E Health，2016，22（5）：395-399．DOI：10.1089/tmj.2015.0135.
［26］FARIA I，GASPAR C，ZAMITH M，et al．TELEMOLD project：oximetry and exercise telemonitoring to improve long-term oxygen therapy［J］．Telemed J E Health，2014，20（7）：626-632．DOI：10.1089/tmj.2013.0248.
［27］JUEN J，CHENG Q，PRIETO-CENTURION V，et al．Health monitors for chronic disease by gait analysis with mobile phones［J］．Telemed J E Health，2014，20（11）：1035-1041．DOI：10.1089/tmj.2014.0025.
［28］CHAMBERLAIN D B，KODGULE R，FLETCHER R R.A mobile platform for automated screening of asthma and chronic obstructive pulmonary disease［J］．Conf Proc IEEE Eng Med Biol Soc，2016，2016：5192-5195．DOI：10.1109/EMBC.2016.7591897.
［29］KWON H，LEE S，JUNG E J，et al．An mHealth management platform for patients with chronic obstructive pulmonary disease（efil breath）：randomized controlled trial［J］．JMIR Mhealth Uhealth，2018，6（8）：e10502．DOI：10.2196/10502.
［30］WINDMON A，MINAKSHI M，BHARTI P，et al．TussisWatch：a smartphone system to identify cough episodes as early symptoms of chronic obstructive pulmonary disease and congestive heart failure［J］．IEEE J Biomed Health Inform，2018．DOI：10.1109/JBHI.2018.2872038.
［31］CAO Z，ZHU R，QUE R Y.A wireless portable system with microsensors for monitoring respiratory diseases［J］．IEEE Trans Biomed Eng，2012，59（11）：3110-3116．DOI：10.1109/TBME.2012.2211354.
［32］LIU W T，WANG C H，LIN H C，et al．Efficacy of a cell phone-based exercise programme for COPD［J］．Eur Respir J，2008，32（3）：651-659．DOI：10.1183/09031936.00104407.
［33］李凡，高臻，盛春风，等．移动互联网信息平台在慢性阻塞性肺疾病分级诊疗中的应用分析［J］．中国全科医学，2018，21（30）：3730-3734．DOI：10.12114/j.issn.1007-9572.2018.00.030.
LI F，GAO Z，SHENG C F，et al．Role of Smartphone-based D2P-COPD Platform in the hierarchical diagnosis and treatment of chronic obstructive pulmonary disease［J］．Chinese General Practice，2018，21（30）：3730-3734．DOI：10.12114/j.issn.1007-9572.2018.00.030.
［34］AMBROSINO N，MAKHABAH D N，SUTANTO Y S.Tele-medicine in respiratory diseases［J］．Multidiscip Respir Med，2017，12：9．DOI：10.1186/s40248-017-0090-7.
［35］ZHOU Y，ZHONG N S，LI X，et al．Tiotropium in early-stage chronic obstructive pulmonary disease［J］．N Engl J Med，2017，377（10）：923-935．DOI：10.1056/NEJMoa1700228.
［36］LI F，CAI Y，ZHU Y，et al．The evaluation of general practitioners' awareness/knowledge and adherence to the GOLD guidelines in a Shanghai suburb［J］．Asia Pac J Public Health，2015，27（2）：P2067-2078．DOI：10.1177/1010539513475654.
［37］JOCHMANN A，NEUBAUER F，MIEDINGER D，et al．General practitioner's adherence to the COPD GOLD guidelines：baseline data of the Swiss COPD Cohort Study［J］．Swiss Med Wkly，2010，140．DOI：10.4414/smw.2010.13053.
［38］廖菁，杨建萍，朱文勇，等．远程医疗咨询系统的设计与应用［J］．实用医院临床杂志，2011，8（6）：206-208．DOI：10.3969/j.issn.1672-6170.2011.06.078.
［39］MAKE B，DUTRO M P，PAULOSE-RAM R，et al．Undertreatment of COPD：a retrospective analysis of US managed care and Medicare patients［J］．Int J Chron Obstruct Pulmon Dis，2012，7：1-9．DOI：10.2147/COPD.S27032.
［40］GARBARRON E，FERNANDEZ-LUQUE L，ARMAYONES M，et al．Identifying measures used for assessing quality of youtube videos with patient health information：a review of current literature［J］．Interact J Med Res，2013，2（1）：e6．DOI：10.2196/ijmr.2465.
［41］SYED-ABDUL S，FERNANDEZ-LUQUE L，WEN-SHAN J.Misleadinghealth-relatedinformationpromotedthrough video-based socialmedia：an orexia on YouTube［J］．J Med Internet Res，2013，15（2）：e30．DOI：10.2196/jmir.2237.
［42］STELLEFSON M L，SHUSTER J J，CHANEY B H，et al．Web-based health information seeking and ehealth literacy among patients living with chronic obstructive pulmonary disease（COPD）［J］．Health Commun，2018，33（12）：1410-1424．DOI：10.1080/10410236.2017.1353868.
［43］AL AYUBI S U，PELLETIER A，SUNTHARA G，et al．A Mobile App development guideline for hospital settings：maximizing the use of and minimizing the security risks of “Bring Your Own Devices” policies［J］．JMIR MHealth and UHealth，2016，4（2）：e50．DOI：10.2196/mhealth.4424.
［44］GOSTIN L O，HALABI S F，WILSON K.Health data and privacy in the digital era［J］．JAMA，2018，320（3）：233-234．DOI：10.1001/jama.2018.8374.
［45］FILKINS B L，KIM J Y，ROBERTS B，et al．Privacy and security in the era of digital health：what should translational researchers know and do about it？［J］．Am J Transl Res，2016，8（3）：1560-1580.

[1]	XU Baichuan, WANG Yan, ZHANG Peng, LI Yiting, LIU Feilai, XIE Yang. Research and Analysis of Screening Tools for Chronic Obstructive Pulmonary Disease Comorbidity Lung Cancer [J]. Chinese General Practice, 2025, 28(30): 3847-3852.
[2]	YAN Fanghong, PENG Guotian, ZHANG Guoli, SUN Ruiyi, MA Yuxia, HAN Lin. Matching Analysis of the Content of Chronic Disease Management for the Elderly in Medical Union: Based on the Perspective of "Guidance-Practice-Need" [J]. Chinese General Practice, 2025, 28(25): 3119-3126.
[3]	BAI Xue, CHEN Qianqian, LI Jie. Innovative Practices in Chronic Disease Management: a New Model for Generalist-Specialist Combination Management of Diabetes and Metabolic Dysfunction-associated Fatty Liver Disease [J]. Chinese General Practice, 2025, 28(23): 2841-2845.
[4]	JING Chenchen, WANG Yanru, WANG Shujuan, XU Huihui, XING Qing. Study on the Relationship between Respiratory Drive Index and Oxygenation after Sputum Aspiration in Patients with Noninvasive Mechanical Ventilation [J]. Chinese General Practice, 2025, 28(20): 2516-2522.
[5]	LI Liqing, YANG Sule, ZENG Chuanmei. Analysis of the Evolution Path and Development Trend of Research Hotspots in Chronic Disease Management in China [J]. Chinese General Practice, 2025, 28(19): 2321-2329.
[6]	GUO Xiangyun, ZHANG Yili, LI Ting, FENG Tianxiao, LI Linghui, SUN Kai, WANG Xu, QIN Xiaokuan, TIAN Jinzhou, ZHU Liguo, WEI Xu. Analysis of Prevalence Trends and Factors Influencing Key Bone Health Conditions [J]. Chinese General Practice, 2025, 28(19): 2346-2353.
[7]	JIN Feng, LI Wangling, XIE Fei. Case Sharing of Closed-loop Management Based on the Prevention and Treatment Platform for Chronic Obstructive Pulmonary Disease [J]. Chinese General Practice, 2025, 28(16): 2059-2064.
[8]	CHEN Dian, LONG Huanyu, ZHANG Congxi, CHU Lanhe, LI Shurun, CHEN Yahong. Interpretation of Global Strategy for the Diagnosis, Treatment, Management and Prevention of Chronic Obstructive Pulmonary Disease 2025 Report [J]. Chinese General Practice, 2025, 28(16): 1937-1949.
[9]	TAN Huihui, MAO Wei, YANG Zihan. Research Progress of Annexin A1 in Respiratory Diseases [J]. Chinese General Practice, 2025, 28(13): 1668-1673.
[10]	LI Wanyu, FU Qiangqiang, JIN Hua, YU Dehua. Analysis of Health Literacy Levels and Influencing Factors of Chronic Disease Patients under Active Health Perspective [J]. Chinese General Practice, 2025, 28(11): 1315-1319.
[11]	SONG Rongwei, WU Chunxiang, YU Jie, LU Yuqing, ZHANG Fengying. Associated Factors and Characteristics of PRISm: a Study Based on Community Residents [J]. Chinese General Practice, 2025, 28(10): 1185-1192.
[12]	PENG Hongye, JING Yanan, WANG Ying, LU Chunli. The Current State of Development and the Challenges of Localization in Lifestyle Medicine both Domestically and Internationally [J]. Chinese General Practice, 2025, 28(07): 797-806.
[13]	WU Jun, ZHANG Ling, GU Dongwei, ZHENG Lei, ZHAO Zhuxiang, ZHAO Ziwen. Comparative Study of Pathogenic Bacteria in Patients of Bronchiectasis with and without Chronic Obstructive Pulmonary Disease [J]. Chinese General Practice, 2025, 28(06): 729-736.
[14]	CHU Hongling, LI Shurun, LI Xinlin, CHEN Yahong. Current Status of Implementation of Patient Involvement in Health Care to Improve Quality of Care among Chronic Obstructive Pulmonary Disease: a Scoping Review [J]. Chinese General Practice, 2025, 28(02): 228-233.
[15]	YAN Wenxin, HU Jian, ZENG Huatang, LIU Min, LIANG Wannian. The Application of Large Language Models in Primary Healthcare Services and the Challenges [J]. Chinese General Practice, 2025, 28(01): 1-6.