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Chinese Journal of Transplantation(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (05): 299-303. doi: 10.3877/cma.j.issn.1674-3903.2020.05.006

Special Issue:

• Original Article • Previous Articles     Next Articles

The influence of APP-based at-home medication management on compliance and quality of life of lung transplant recipients

Keyao Huang1, Yinghua Cai1,(), Haiqin Zhou1, Xuefen Zhu1, Qunhui Min1   

  1. 1. Transplantation Center, Wuxi People′s Hospital, Wuxi 214023, China
  • Received:2020-03-24 Online:2020-10-20 Published:2020-10-20
  • Contact: Yinghua Cai

Abstract:

Objective

To explore the effects of the application program of " lung disease and transplantation management" App combined with the 1-day medicine box regimen on the self-management, medication compliance and quality of life of lung transplant recipients.

Methods

Seventy-three lung transplant recipients who were followed up from January to June 2019 in the lung transplant center of Wuxi People′s Hospital were selected to conduct a questionnaire survey on self-management, medication compliance and quality of life. A follow-up medication administration group was established to develop a medication administration program at home for lung transplant recipients. The " lung disease and transplantation management" App combined with the 1-day medicine box regimen method was used to conduct at-home medication management intervention for lung transplant recipients for 3 months, and the questionnaire survey was conducted again to compare the differences in self-management, self-efficacy, medication compliance and quality of life of lung transplant recipients before and after the intervention. The paired t-test was used to compare the scores of self-management, self-efficacy, medication compliance and quality of life of lung transplant recipients before and after the intervention of the " lung disease and transplantation management" App combined with the 1-day medicine box regimen. A P<0.05 was considered statistically significant.

Results

After the intervention, the scores of self-management, and cognitive symptoms of management practice, medication adherence, quality of life and physical quality of lung recipients were (37±7), (16±3), (7.0±1.0), (154±26) and (77±14), repectively, all higher than before intervention [(33±9), (13±6), (6.5±1.1), (141±30) and (67±17)], the differences were statistically significant (t=-0.609, -3.383, -12.864, -2.818 and -3.586, all P<0.05). There were no statistically significant differences in self-efficacy, exercise, communication with physicians, symptom management, disease common management and psychological quality of life scores (t=-1.972, -0.609, -1.486, -1.747, -1.746 and -1.487, all P>0.05). There were 16, 41 and 16 cases of good drug compliance, and 27, 40 and 6 cases after intervention, respectively.

Conclusions

The management plan of home medication based on mobile health platform can improve the self-management, medication compliance and physiological quality of life of lung transplant recipients.

Key words: Lung transplantation, Medication management, Compliance, Quality of life

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