评估肺栓塞患者的身体能力的基于绩效的结果措施:一个范围审查
Christina Krogner Caspersen1, Stian Ingemann-Molden2, Erik Lerkevang Grove3
1Department of Physiotherapy and Occupational Therapy, Aarhus University Hospital, Denmark.
Thrombosis research
|February 1, 2024
概括
肺栓塞的幸存者通常会经历持久的症状. 这次审查发现了许多体力能力测试,但没有报告PE患者的有效性或可靠性,突出了关键的研究缺口.
科学领域:
- 肺部医学 肺部医学
- 心脏呼吸系统康复 康复
- 临床测量 临床测量
背景情况:
- 肺栓塞 (PE) 幸存者经常经历持续的呼吸短促,减少身体能力和心理困扰.
- 由于PE群体的异质性,需要对身体能力评估进行特定的结果测量,因为传统的心脏测量可能无法普遍适用.
- 关于PE患者体力能力的现有研究正在增长,但对测量工具性能缺乏明确的理解.
研究的目的:
- 系统地绘制用于评估肺栓塞 (PE) 患者身体能力的研究中的基于绩效的结果指标 (PBOM).
- 评估和报告特定在PE患者队列中的PBOMs的心理测量属性 (有效性,可靠性,响应性).
主要方法:
- 根据Joanna Briggs Institute (JBI) 的框架进行了全面的范围审查.
- 该审查遵循了PRISMA-扩展范围审查 (PRISMA-ScR) 报告准则.
- 在五个数据库中进行系统搜索,确定了需要纳入的相关研究.
主要成果:
- 在最初识别的4585个记录中,搜索产生了243个符合条件的研究.
- 确定了十种不同的PBOM,其中6分钟步行测试 (6MWT) 和心肺运动测试 (CPET) 是最常见的.
- 值得注意的是,没有包括在内的研究报告了PE群体中任何PBOMs的心理特征,尽管有185项研究专注于慢性血栓栓塞性肺高血压.
结论:
- 尽管在过去5-10年里,评估PE患者身体能力的研究增加了,但关于常用的PBOM的有效性,可靠性和响应性仍然缺乏证据.
- 这种缺乏心理测量验证的情况代表了目前PE研究领域的关键差距.
- 优先研究以确定PE群体中PBOMs的心理特征,对于准确的患者评估和有效的康复至关重要.
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