呼吸困难和呼吸模式失调的物理治疗评估:定义术语和评估的共识
Lizzie Jf Grillo1,2, Izzie Easton3, Fiona M Schreuder4
1National Heart and Lung Institute (NHLI), Imperial College London, London, UK.
Chronic respiratory disease
|March 14, 2025
概括
专家们就呼吸模式障碍 (Breathing Pattern Disorder,BrPD) 术语达成共识,该术语是指呼吸异常. 本标准化术语和评估指南旨在提高对这种常见疾病的物理治疗的认知和研究.
科学领域:
- 物理治疗 物理治疗
- 呼吸系统医学 呼吸系统医学
- 临床评估 临床评估
背景情况:
- 异常的呼吸模式,通常被称为慢性喘息综合征或复杂喘息,缺乏明确的病理生理学解释.
- 这些情况经常被物理治疗师评估,一些患者被诊断为呼吸模式障碍 (BrPD) 或功能障碍呼吸 (DB).
- 乳腺癌的患病率是显著的,影响至少10%的总人口,高达40%的伴随性疾病,但不一致的术语和评估阻碍了进展.
研究的目的:
- 建立物理治疗师在异常呼吸模式的标准化术语上达成专家共识.
- 制定指导方针,用于物理治疗评估这种情况.
主要方法:
- 专注组和采访对10名呼吸系统物理治疗师,9名其他临床医生和5名被诊断患有BrPD的患者进行.
- 一个名义小组技术 (NGT) 过程涉及11名专家物理治疗师被用来建立对术语和评估组件的共识.
- 框架分析应用于定性数据,结果将与参与者分享,以建立共识.
主要成果:
- 对于术语呼吸模式障碍 (BrPD) 来描述这种情况,达到了71%的共识.
- 创建了一个基于证据的BrPD物理治疗评估指南.
- 来自焦点小组和采访的定性数据为共识过程提供了信息.
结论:
- 采用标准化术语呼吸模式障碍 (BrPD) 可以提高临床描述和研究的一致性.
- 标准化的评估实践将加强对BrPD的物理治疗服务的认可和发展.
- 提高术语和评估的一致性对于推进呼吸模式障碍物理治疗的临床和研究优先事项至关重要.
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