澳大利亚和新西兰囊性纤维化中心的运动测试和运动训练：什么是重要的，什么是当前的实践？

Exercise testing and exercise training within cystic fibrosis centres across Australia and New Zealand: what is considered important and what is current practice?

机构信息

Faculty of Health Sciences, Curtin University, School of Physiotherapy and Exercise Science, Perth, Western Australia, Australia.

Physiotherapy Department, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.

出版信息

Intern Med J. 2020 Sep;50(9):1091-1099. doi: 10.1111/imj.14443.

DOI:10.1111/imj.14443

PMID:31389138

Abstract

BACKGROUND

Within Australian and New Zealand cystic fibrosis (CF) centres, exercise testing and exercise training are common components of clinical care, but current practices regarding these components have not been reported.

AIM

To determine the extent, scope and importance placed on exercise testing and exercise training within CF centres across Australia and New Zealand.

METHODS

Information pertaining to exercise testing and training practices was sought by administering a survey to health professionals working in CF centres across Australia and New Zealand. The survey comprised five sections (46 questions) and was sent via an online link (Qualtrics). Response rate was optimised using the Dillman approach. Approval for this study was granted from the Human Research Ethics Committee at Curtin University (HRE2018-074). Completion of the survey was taken as informed consent.

RESULTS

A response rate of 80% (n = 32/40) was achieved. Each state/territory in Australia, except the Northern Territory was represented in the survey responses. Eight of the 12 major regions in New Zealand were also represented. Regarding tests of exercise capacity, field-based tests were performed more commonly than laboratory-based tests (n = 28/32; 88% vs n = 11/32 centres; 34%; difference: 54%; 95% confidence interval 31-70%). Most (89%) respondents perceived field tests to be at least 'somewhat' important, whereas 91% of respondents perceived laboratory tests to be 'a little' to 'somewhat' important. Physical activity and/or exercise were discussed by at least one health professional in the CF team at every clinic appointment and/or annual review. Most centred offered outpatient exercise training each year to their patients (n = 24/32; 75%).

CONCLUSION

This survey captures the current practices of exercise testing and training in CF centres across Australia and New Zealand.

摘要

背景

在澳大利亚和新西兰的囊性纤维化 (CF) 中心，运动测试和运动训练是临床护理的常见组成部分，但目前还没有报告这些组成部分的实践情况。

目的

确定澳大利亚和新西兰 CF 中心内运动测试和训练的范围、程度和重要性。

方法

通过向澳大利亚和新西兰 CF 中心的卫生专业人员发送调查，寻求有关运动测试和训练实践的信息。该调查包括五个部分（46 个问题），并通过在线链接（Qualtrics）发送。使用 Dillman 方法优化了响应率。这项研究得到了科廷大学人类研究伦理委员会的批准（HRE2018-074）。完成调查被视为知情同意。

结果

实现了 80%（n = 32/40）的响应率。澳大利亚除了北领地以外的每个州/地区都在调查回复中有所代表。新西兰的 12 个主要地区中有 8 个也有代表。关于运动能力测试，现场测试比实验室测试更常见（n = 28/32；88%比 n = 11/32 中心；34%；差异：54%；95%置信区间 31-70%）。大多数（89%）受访者认为现场测试至少“有些”重要，而 91%的受访者认为实验室测试“有点”到“有些”重要。在每次诊所预约和/或年度审查中，CF 团队中的至少一名卫生专业人员都会讨论体力活动和/或运动。大多数中心每年为他们的患者提供门诊运动训练（n = 24/32；75%）。