在患有慢性呼吸道疾病的患者中,对一分钟的坐立测试进行远程评估和亲自评估之间的一致性和可靠性
Santiago Larrateguy1,2, Matías Otto-Yáñez3, Juan Bogado2
1Facultad de Ciencias de la Salud, Universidad Adventista del Plata, Libertador San Martin 3103, Argentina.
Journal of clinical medicine
|July 29, 2025
概括
在慢性呼吸道疾病患者中,对一分钟的坐立测试 (1分钟STST) 的远程评估是可靠的. 这种远程方法与人体检测有很好的一致性,支持其在康复中使用.
科学领域:
- 康复医学 康复医学 康复医学
- 数字健康数字健康
- 肺部康复治疗 肺部康复治疗
背景情况:
- 远程医疗为医疗保健进入障碍提供了解决方案,特别是在康复方面.
- 远程物理能力评估的可靠性和有效性需要进一步调查.
- 慢性呼吸道疾病 (CRD) 需要有效的功能能力监测.
研究的目的:
- 评估在CRD患者的1分钟STST的面对面和远程评估之间的一致性.
- 为了确定1分钟STST在远程管理时的intra-rater可靠性.
- 确定远程医疗在CRD中的功能能力评估的有效性.
主要方法:
- 这是一项涉及40名被诊断为CRD的成年人的横截面研究.
- 参与者在面对面和远程评估条件下完成了1分钟的STST.
- 类内相关系数 (ICC) 和布兰德-阿尔特曼分析被用于可靠性和协议评估.
主要成果:
- 在面对面 (24.4 ± 8.0) 和远程评估 (24.3 ± 8.1) (p = 0.78) 之间的1分钟STST重复的平均数量没有显著差异.
- 证明了优异的在评价者内部可靠性 (ICC = 0.978,p < 0.001).
- 布兰德-阿尔特曼分析证实了方法之间的良好一致性 (平均差异为0.08±1.7).
结论:
- 1分钟STST的远程评估是CRD患者的可靠和有效方法.
- 远程评估为评估肺部康复中的功能能力提供了一个切实可行的替代方案.
- 建议对家庭或控制较少的环境进行进一步的研究.
相关概念视频
01:23Assessment of Respiration
1.3K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.3K
01:20Assessment of Ventilation I: Respiratory Rate
1.3K
Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
1.3K
01:19Respiratory Assessment: Purpose and Indications
1.2K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.2K
01:29Assessment of Ventilation II: Respiratory Depth and Rhythm
1.8K
Respiratory Depth
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:
1.8K
01:27Physical Assessment of the Respiratory Tract II: Inspection
407
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
407
01:28Physical Assessment of the Respiratory Tract I: Health History
398
Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
398