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健康相关生活质量测量在心血管与肺部物理治疗实践中的应用:一项探索性研究。

The use of health related quality of life measurement in cardiovascular and pulmonary physical therapy practice: an exploratory study.

作者信息

Lefebvre Kristin, Anderson Terri, Herbertson Kim, Keirsey Aliah, Wnorowski Heather, Palombaro Kerstin M

机构信息

Widener University, Chester, PA.

出版信息

Cardiopulm Phys Ther J. 2010 Dec;21(4):5-13.

PMID:21206673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3004758/
Abstract

BACKGROUND

The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) recommends health related quality of life (HRQL) measurement with all cardiovascular and pulmonary patients. The current pattern of use of HRQL measurement among cardiovascular and pulmonary physical therapists is unknown.

OBJECTIVE

The purpose of this study was to evaluate the pattern of use of HRQL measurement among cardiovascular and pulmonary physical therapists.

DESIGN

The study used a semi-structured interview format within the context of 3 focus groups.

METHODS

Eleven physical therapists participated in this study and all were members of the Cardiovascular and Pulmonary Section of the American Physical Therapy Association (APTA). Participants participated in a conference call and were provided a question tree to guide discussion.

RESULTS

Several primary themes emerged, including decreased knowledge, barriers, and poor indicators of patient status. In addition, several subthemes developed including lack of familiarity, lack of use, administrative and cost limitations, inappropriateness of tool for patient population, correlation between function and quality of life, and suggestions for future outcome measures.

CONCLUSIONS

A lack of familiarity and use of HRQL measurement and barriers to their use were established. In addition, ideas for future research on HRQL measurements with specific patient populations in physical therapy practice were defined.

摘要

背景

美国心血管和肺康复协会(AACVPR)建议对所有心血管和肺部疾病患者进行健康相关生活质量(HRQL)测量。目前心血管和肺部物理治疗师使用HRQL测量的模式尚不清楚。

目的

本研究的目的是评估心血管和肺部物理治疗师使用HRQL测量的模式。

设计

本研究在3个焦点小组的背景下采用半结构化访谈形式。

方法

11名物理治疗师参与了本研究,他们均为美国物理治疗协会(APTA)心血管和肺科分会的成员。参与者参加了电话会议,并收到一个问题树以指导讨论。

结果

出现了几个主要主题,包括知识减少、障碍以及患者状况的不良指标。此外,还形成了几个子主题,包括缺乏熟悉度、缺乏使用、行政和成本限制、工具对患者群体的不适用性、功能与生活质量之间的相关性以及对未来结果测量的建议。

结论

确定了对HRQL测量缺乏熟悉度和使用情况以及使用这些测量的障碍。此外,还明确了在物理治疗实践中针对特定患者群体进行HRQL测量的未来研究思路。

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Effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease: a randomized controlled trial.肺康复对慢性阻塞性肺疾病患者疲劳、功能状态及健康认知的影响:一项随机对照试验
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Logistic feasibility of health related quality of life measurement in clinical practice: results of a prospective study in a large population of chronic liver patients.临床实践中健康相关生活质量测量的逻辑可行性:一项针对大量慢性肝病患者的前瞻性研究结果
Health Qual Life Outcomes. 2008 Nov 10;6:97. doi: 10.1186/1477-7525-6-97.
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Crit Care. 2008;12(4):R92. doi: 10.1186/cc6963. Epub 2008 Jul 18.
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Int J Cardiol. 2008 Oct 30;130(1):36-43. doi: 10.1016/j.ijcard.2007.07.158. Epub 2007 Dec 4.
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