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评估功能障碍呼吸的结果措施的有效性和可靠性:系统性审查
Vikram Mohan1, Chandrasekar Rathinam2,3, Derick Yates3
1Department of Rehabilitation and Sports Sciences, Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
BMJ open respiratory research
|April 16, 2024
概括
尼姆根问卷 (NQ) 证明了在评估成年人功能障碍呼吸 (DB) 的高有效性和可靠性. 其他措施在临床使用前需要进一步评估.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 临床测量 临床测量
- 心理测量 心理测量 心理测量
背景情况:
- 功能障碍呼吸 (DB) 是一种影响呼吸功能的疾病.
- 对DB的准确评估依赖于经过验证的结果措施.
- 系统审查对于评估这些措施的心理特征至关重要.
研究的目的:
- 系统地审查评估成年人功能障碍呼吸的结果指标的心理测量特性.
- 确定DB评估中最可靠和有效的工具.
- 为了指导临床实践和未来的研究在DB测量.
主要方法:
- 在多个数据库 (1990-2023) 中进行了系统的文献搜索.
- 包括专注于开发或评估用于DB评估的测量属性的研究.
- 使用COSMIN偏差风险检查清单评估方法质量,根据COSMIN方法进行数据综合.
主要成果:
- 十六项研究确定了DB的10个结果指标.
- 尼姆根问卷 (NQ) 是唯一一个在内容有效性,内部一致性,可靠性和构造有效性方面获得足够评级的指标.
- 其他结果指标在患者组中缺乏报告的内容有效性.
结论:
- 尼米根问卷 (NQ) 是一种高质量,有效和可靠的工具,用于评估功能障碍呼吸.
- 建议在患有支气管喘和高通风综合征的患者中使用NQ来评估DB.
- 在临床采用之前,对其他DB结果措施需要进行进一步的心理测量评估.
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