Rehabilitation of Chronic Diseases and Smart Health Management System Service

Rehabilitation of Chronic Diseases and Smart Health Management System Service Provided by Hospital and Community Association

In Republic of Korea, it is not easy to practice standard pulmonary rehabilitation (PR) or cardiac rehabilitation (CR). In this study, the investigators will provide newly developed smartphone application to patients with chronic respiratory, cardiac, or geriatric diseases. The investigators want to confirm whether participants, who perform smartphone application based 12-week PR or CR program, present improved exercise capacity, dyspnea symptom, muscle strength, or quality of life.

Inclusion Criteria:

• Dyspnea symptom >= mMRC 1 or NYHA I
• adults between 20 years and 80 or years

Chronic respiratory disease

• FEV1/FVC < 0.7 in pulmonary function test
• bronchiectasis in more than one lobe on chest computed tomography
• FVC of DLCO < 0.8 of predicted value in pulmonary function test

Chronic cardiac disease

• Reperfusion Therapy for angina pectoris or myocardial infarction
• Heart failure with reduced ejection fraction (LVEF < 50%)

Chronic geriatric disease

• Ages between 60 and 80 years
• Clinical frailty scale between 1 and 4

Exclusion Criteria:

• history of acute exacerbation within 4 weeks
• unable to comply rehabilitation program
• not suitable for study on decision by duty physician
• no consent