Saka Seda, Savcı Sema, Kütükcü Ebru Çalık, Sağlam Melda, Yağlı Naciye Vardar, İnce Deniz İnal, Güçlü Meral Boşnak, Özalp Özge, Arıkan Hülya, Karakaya Gül, Çöplü Lütfi
Department of Physiotherapy and Rehabilitation, Haliç University School of Health Sciences, İstanbul, Turkey.
Department of Physiotherapy and Rehabilitation, Dokuz Eylül University School of Health Sciences, İzmir, Turkey.
Turk Thorac J. 2020 Mar 1;21(2):116-121. doi: 10.5152/TurkThoracJ.2019.18155. Print 2020 Mar.
The London Chest Activity of Daily Living Scale (LCADL) is a simple, useful, and comprehensive measure of dyspnea perception in activities of daily living. This study was conducted to determine the validity and reliability of the Turkish version of the LCADL.
A total of 64 patients with obstructive lung disease (24 chronic obstructive pulmonary disease, 20 asthma, and 20 bronchiectasis patients) were included. The Turkish LCADL was evaluated for interobserver reliability, test-retest reliability, and criterion validity. Two different observers applied the scale with an interval of 10 minutes to assess interobserver reliability. The second observer applied the scale twice at an interval of 10-15 days to assess test-retest reliability. Criterion validity was assessed using the 6-minute walk test (6MWT), Nottingham Health Profile (NHP), and Saint George Respiratory Questionnaire (SGRQ).
The interobserver reliability of the scale was very high (r=0.985, p<0.050). Cronbach's alpha coefficient for total score was 0.976 and intraclass correlation coefficient was 0.953. These results indicate that the Turkish LCADL has high reliability. The correlation between LCADL and 6MWT was moderate 0.503 (p=0.002). The LCADL total score was weakly correlated with NHP total score (r=0.370, p=0.040) and SGRQ total score (r=0.367, p=0.004).
The Turkish version of the LCADL scale is reliable and valid in obstructive lung disease. The LCADL scale will be beneficial in existing pulmonary rehabilitation programs aiming to improve functional status. We believe that using the Turkish LCADL scale as an outcome measure in pulmonary rehabilitation programs will serve as an indicator of rehabilitation efficacy for individual patients.
伦敦胸科日常生活活动量表（LCADL）是一种简单、实用且全面的日常生活中呼吸困难感知测量方法。本研究旨在确定土耳其语版LCADL的有效性和可靠性。
共纳入64例阻塞性肺疾病患者（24例慢性阻塞性肺疾病、20例哮喘和20例支气管扩张患者）。对土耳其语版LCADL进行了观察者间信度、重测信度和效标效度评估。两名不同的观察者间隔10分钟应用该量表以评估观察者间信度。第二名观察者间隔10 - 15天应用该量表两次以评估重测信度。使用6分钟步行试验（6MWT）、诺丁汉健康量表（NHP）和圣乔治呼吸问卷（SGRQ）评估效标效度。
该量表的观察者间信度非常高（r = 0.985，p < 0.050）。总分的克朗巴哈α系数为0.976，组内相关系数为0.953。这些结果表明土耳其语版LCADL具有高信度。LCADL与6MWT之间的相关性为中等0.503（p = 0.002）。LCADL总分与NHP总分（r = 0.370，p = 0.040）和SGRQ总分（r = 0.367，p = 0.004）弱相关。
土耳其语版LCADL量表在阻塞性肺疾病中是可靠且有效的。LCADL量表将有助于现有的旨在改善功能状态的肺康复计划。我们认为在肺康复计划中使用土耳其语版LCADL量表作为结果测量指标将作为个体患者康复疗效的指标。
