Chronic Obstructive Pulmonary Disease (COPD) can be fatal and is challenging to live with due to its severe symptoms. Pulmonary rehabilitation (PR) is one of the managements means to maintain COPD in a stable status. However, implementation of PR in the UK has been challenging due to the environmental and personal barriers faced by patients, which hinder their uptake, adherence, and completion of the programmes. Moreover, increased exercise capacity following PR does not always translate into physical activity (PA) and unfortunately, can lead back to exercise capacity seen prior to PR. Current alternative solutions using telerehabilitation methods have limitations on addressing these accessibility problems, and no clear conclusion can be drawn on the efficacy of telerehabilitation in enhancing the sustainability of PR outcomes via promoting PA in patients' everyday life. In this work, the authors propose a novel design of sensor-based assistive product with the aim of facilitating PR and promoting PA maintenance in a home-based setting. Prototypes of different levels of fidelity are presented, followed by an evaluation plan for future research directions.
翻译:慢性阻塞性肺疾病(COPD)具有致命性,且因症状严重而难以共存。肺康复(PR)是维持COPD稳定状态的管理手段之一。然而,在英国实施PR面临挑战,原因在于患者面临的环境和个人障碍阻碍了其参与、坚持及完成康复计划。此外,PR后运动能力的提升并不总能转化为体力活动(PA),且不幸的是,可能退回至PR前的运动能力水平。现有采用远程康复方法的替代方案在解决上述可及性问题方面存在局限性,且关于远程康复能否通过促进患者日常生活中的PA来增强PR效果的可持续性,目前尚无明确结论。本研究提出一种基于传感器的辅助产品创新设计,旨在促进居家环境下的PR并维持PA水平。文章展示了不同保真度的原型,并提出了未来研究方向的评估计划。