Sato Atsushi, Kamimura Mitsuhiro, Yorimoto Keisuke, Kato Taro, Yamashita Shohei, Mouri Atsuto, Tanigawa Motoaki, Arimoto Yoshihito, Fujitani Junko, Yogi Karbir Nath, Karki Khem Bahadur, Hayashi Shigeki
Department of Rehabilitation, National Hospital Organization Disaster Medical Center: 3256 Midoricho, Tachikawa, Tokyo 190-0014, Japan.
Department of Pulmonology, National Hospital Organization Disaster Medical Center, Japan.
J Phys Ther Sci. 2020 Dec;32(12):795-799. doi: 10.1589/jpts.32.795. Epub 2020 Dec 11.
[Purpose] The incidence of chronic obstructive pulmonary disease is rapidly increasing worldwide. In Nepal, it has the highest mortality rate among all noninfectious diseases. Since 2015, we have been involved in a project that aims to facilitate chest rehabilitation for patients with chronic obstructive pulmonary disease in Nepal. We compared the Nepali version of the St. George's Respiratory Questionnaire with the Chronic Obstructive Pulmonary Disease Assessment Test, the latter of which was translated into Nepali for this project. We also evaluated the extent to which patient quality of life improved after the rehabilitation program. [Participants and Methods] The Nepali St. George's Respiratory Questionnaire and Chronic Obstructive Pulmonary Disease Assessment Test were used to assess the health status of patients both before the intervention's initiation and one year after it. Between May and September of 2016, 122 patients with chronic obstructive pulmonary disease participated in this program. [Results] We collected valid responses from 57 patients both before and after the intervention. The scores of both screening tools were significantly lower after the intervention than before and showed a significant correlation with one another. [Conclusion] These results suggest that the Nepali version of the Chronic Obstructive Pulmonary Disease Assessment Test is a reliable tool for the evaluation of chronic obstructive pulmonary disease and that the intervention used in the project might be effective for patients afflicted with the disease. However, there are limitations to the research design, such as the limited number of participants used in the study.
[目的]慢性阻塞性肺疾病的发病率在全球范围内迅速上升。在尼泊尔，它在所有非传染性疾病中死亡率最高。自2015年以来，我们参与了一个旨在促进尼泊尔慢性阻塞性肺疾病患者胸部康复的项目。我们将尼泊尔语版的圣乔治呼吸问卷与慢性阻塞性肺疾病评估测试进行了比较，后者为此项目被翻译成尼泊尔语。我们还评估了康复项目实施后患者生活质量改善的程度。[参与者与方法]使用尼泊尔语版的圣乔治呼吸问卷和慢性阻塞性肺疾病评估测试在干预开始前和干预一年后评估患者的健康状况。2016年5月至9月期间，122名慢性阻塞性肺疾病患者参与了该项目。[结果]我们在干预前后收集了57名患者的有效回复。两种筛查工具的得分在干预后均显著低于干预前，且彼此之间存在显著相关性。[结论]这些结果表明，尼泊尔语版的慢性阻塞性肺疾病评估测试是评估慢性阻塞性肺疾病的可靠工具，且该项目中使用的干预措施可能对患有该疾病的患者有效。然而，研究设计存在局限性，例如研究中使用的参与者数量有限。
