The Effectiveness of COPD Management Program via Smartphone Applications on Clinical Status in Patients with Chronic Obstructive Pulmonary Disease
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Abstract
Purpose: To study the effectiveness of COPD management program via smartphone applications on clinical status in patients with chronic obstructive pulmonary disease.
Design: A randomized controlled trial.
Methods: The participants were 60 patients with chronic obstructive pulmonary disease aged 40 years or over who visited the clinic at a tertiary level hospital in Kanchanaburi, Thailand. The participants were randomized into either the experimental group (n = 30) or the control group (n = 30) by a computer-generated random scheme. The control group received usual care, while the experimental group received both usual care and the 6-week COPD management program via LINE and calendar applications developed from the researchers based on the Information–Motivation–Behavioral Skills model. Clinical status was measured by the Clinical COPD questionnaire. Data was analyzed with descriptive statistics, independent sample t-test, and paired sample t-test.
Main findings: The result revealed that the majority of the experimental group and the control group were male, 93.3% and 83.3%, respectively. The experimental group had the mean age of 64.63 years (SD = 10.28), and the control group had the mean age of 62.70 years (SD = 10.79). There were no significant differences in the mean scores of clinical status between both groups at baseline (p > .05). After receiving the program, the experimental group had significantly better clinical status than before receiving the program (p < .001), and better than that of the control group (p < .05).
Conclusion and recommendations: The finding suggested that COPD management program can be used to improve patient’s clinical status. Nurses should use this program to provide health education, enhance motivation, improve inhaler skills, and promote medication adherence in patients with COPD.
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