多维呼吸困难评估与肺康复的相关性。

IF 3.5 3区 医学 Q2 RESPIRATORY SYSTEM
Virginie Molinier, Espérance Moine, Pauline Caille, Nathalie Fernandes, François Alexandre, Nelly Heraud
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引用次数: 0

摘要

目的:呼吸困难是慢性阻塞性肺病(COPD)的主要症状:虽然呼吸困难是慢性阻塞性肺病(COPD)的主要症状,但在肺康复(PR)中往往对其评估不足,因为通常只使用影响维度(ID)进行测量。然而,呼吸困难是一种多维结构,包括感知(PD)和情绪(ED)两个维度。我们的工作旨在研究呼吸困难维度的互补性,以及它们各自识别康复过程中不同演变的能力。方法:145 名慢性阻塞性肺病患者参加了此次回顾性研究。研究人员从现有数据库/医疗档案中收集了改良医学研究委员会量表(ID)和多维呼吸困难档案问卷(PD/ED)中的呼吸困难评分、运动能力以及 PR 开始(T1)和结束(T2)时的生活质量。使用 T2-T1 间的 delta 分数评估每个呼吸困难维度的变化情况。PR 反应采用最小临床重要差异进行定义。结果我们的研究结果表明,每个呼吸困难维度都与不同的健康结果相关。基线时的 PD-ED 与 T2-T1 delta 评分之间呈正相关(ρ = 0.51;ρ = 0.41,p < .01),但 ID-PD 或 -ED 之间无显著相关性(p > .05)。51% 的患者对 ID 没有反应,但其中 85% 的患者对 PD 或 ED 有反应。最后,92% 的患者在 PR 后至少在一个维度上有反应。讨论:我们的研究强调了对呼吸困难的各个维度进行独立和互补评估的重要性,因为各个维度与不同的因素相关,在 PR 的作用下也会发生不同的变化。这种方法对于找出薄弱环节至关重要,可让专业人员将重点放在最有效地解决造成问题的特定维度的计划要素上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relevance of multidimensional dyspnea assessment in the context of pulmonary rehabilitation.

Objectives: While dyspnea is the main symptom in chronic obstructive pulmonary disease (COPD), it is often inadequately evaluated in pulmonary rehabilitation (PR), as it is typically measured using only the impact dimension (ID). However, dyspnea is a multidimensional construct including perception (PD) and emotional (ED) domains. Our work aimed to study the complementarity of dyspnea dimensions and their respective ability to identify different evolutions during PR. Methods: 145 people with COPD attending PR were included in this retrospective study. Dyspnea scores from the modified Medical Research Council scale (ID) and the Multidimensional Dyspnea Profile questionnaire (PD/ED), exercise capacity, quality of life at the start (T1) and the end of PR (T2) were collected from existing databases/medical files. The evolution of each dyspnea dimension was evaluated using the delta score between T2-T1. PR response was defined using the minimal clinically important difference. Results: Our results show that each dyspnea dimension was associated with different health-outcomes. Positive correlations were found between PD-ED at baseline and between their T2-T1 delta score (ρ = 0.51; ρ = 0.41 respectively, p < .01), but there was no significant correlation between ID-PD or -ED (p > .05). 51% of the patients did not respond on ID, but 85% of them nonetheless responded on either PD or ED. Finally, 92% of patients responded on at least one dimension after PR. Discussion: Our study emphasizes the significance of assessing each dimension of dyspnea independently and complementary, as dimensions are associated with different elements and evolve differently under PR effects. This approach is crucial to identifying weak points and allows professionals to focus on program elements that most effectively address the specific dimension causing problems.

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来源期刊
Chronic Respiratory Disease
Chronic Respiratory Disease RESPIRATORY SYSTEM-
CiteScore
5.90
自引率
7.30%
发文量
47
审稿时长
11 weeks
期刊介绍: Chronic Respiratory Disease is a peer-reviewed, open access, scholarly journal, created in response to the rising incidence of chronic respiratory diseases worldwide. It publishes high quality research papers and original articles that have immediate relevance to clinical practice and its multi-disciplinary perspective reflects the nature of modern treatment. The journal provides a high quality, multi-disciplinary focus for the publication of original papers, reviews and commentary in the broad area of chronic respiratory disease, particularly its treatment and management.
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