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创建SAQ-COPD问卷以确定临床实践中慢性阻塞性肺疾病(COPD)患者的身体活动情况。

Creation of the SAQ-COPD Questionnaire to Determine Physical Activity in COPD Patients in Clinical Practice.

作者信息

Soler-Cataluña Juan José, Puente Maestu Luis, Román-Rodríguez Miguel, Esteban Cristóbal, Gea Joaquín, Bernabeu Mora Roberto, Pleguezuelos Cobo Eulogio, Ancochea Julio, Monteagudo Ruiz Gema, Garcia Rio Francisco

机构信息

Hospital Arnau de Vilanova, Valencia, España; CIBERES (ISCIII), Barcelona, España.

Hospital Gregorio Marañón, Facultad de Medicina UCM, Madrid, España.

出版信息

Arch Bronconeumol (Engl Ed). 2018 Sep;54(9):467-475. doi: 10.1016/j.arbres.2018.01.016. Epub 2018 Mar 13.

Abstract

INTRODUCTION

Physical activity (PA) is a significant clinical dimension in COPD, but no useful tools are available to determine this variable in routine clinical practice.

OBJECTIVE

To create a simple, easy-to-use, specific questionnaire to detect PA deficits.

METHOD

A multidisciplinary panel of COPD experts was formed to review PA, its determinants, and measuring methods. The methodology for selecting specific dimensions and items was agreed in rounds, and the aspects to be included in the preliminary version were determined. The questionnaire structure was defined according to applicability of these aspects in clinical practice. Agreements were reached by consensus of the members.

RESULTS

A total of 148 items were reviewed, of which only 3 were directly selected. It was decided that the questionnaire should evaluate the intensity (low, moderate, or intense), amount, and frequency of PA, and inactivity or sedentary lifestyles. It also gathers information on the profile of inactive patients, and includes a measure of impact, defined as the patient's perception of their expectations regarding activity, their personal experience, characteristics of their environment, and their personality. The questionnaire is divided into 2blocks, one aimed at quantifying PA, and the other at collecting data for defining the profile and impact in patients with low PA only.

CONCLUSION

The SAQ-COPD is a simple, short, specific questionnaire, designed to evaluate PA in COPD patients in clinical practice.

摘要

引言

身体活动(PA)是慢性阻塞性肺疾病(COPD)的一个重要临床维度,但在常规临床实践中没有可用的有效工具来确定这一变量。

目的

创建一个简单、易用、特定的问卷以检测PA缺陷。

方法

组建了一个由COPD专家组成的多学科小组,以审查PA、其决定因素和测量方法。选择特定维度和条目的方法经过多轮商定,并确定了初步版本中应包含的方面。根据这些方面在临床实践中的适用性定义了问卷结构。成员们通过共识达成了一致意见。

结果

共审查了148个条目,其中仅直接选取了3个。决定问卷应评估PA的强度(低、中或高强度)、量和频率,以及不活动或久坐的生活方式。它还收集关于不活动患者特征的信息,并包括一个影响度测量指标,定义为患者对其活动期望、个人经历、环境特征和个性的认知。问卷分为两个部分,一个旨在量化PA,另一个仅用于收集数据以定义PA水平低的患者的特征和影响度。

结论

SAQ-COPD是一个简单、简短、特定的问卷,旨在在临床实践中评估COPD患者的PA。

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