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构建自我报告和面试指导的丹麦版本后COVID-19功能状态尺度的管理方法的有效性
Lotte Sørensen1, Jane Agergaard2,3, Trine Brøns Nielsen4,5
1Department of Physiotherapy and Occupational Therapy, Aarhus University Hospital, Aarhus, Denmark.
Frontiers in rehabilitation sciences
|November 26, 2025
概括
后COVID-19功能状态 (PCFS) 尺度显示,在长期COVID患者中,捕捉工作相关限制的能力有限. 它的构造有效性只得到了部分支持,这表明需要改进功能恢复的评估工具.
科学领域:
- 康复医学 康复医学 康复医学
- 健康 结果 研究 研究 结果
- 心理测量 心理测量 心理测量
背景情况:
- 后COVID-19功能状态 (PCFS) 尺度被广泛用于评估COVID-19后的功能状态.
- 有关其捕捉工作相关限制的能力存在担忧.
- 丹麦版本的PCFS尺度已经通过各种管理方法实施.
研究的目的:
- 评估丹麦PCFS规模的三个管理方法 (问卷,流程图,面试) 的构造有效性.
- 评估尺度在长期COVID患者中捕捉与工作有关的功能限制方面的有效性.
主要方法:
- 一项涉及437名长期COVID患者的横截面研究.
- 患者填写了基于问卷,基于流程图和基于采访的PCFS尺度版本.
- 使用基于共识的健康测量仪器选择标准 (COSMIN) 准则来评估构造有效性,将PCFS得分与病假数据和EuroQoL五维五级 (EQ-5D-5l) 生活质量指标进行比较.
主要成果:
- 在三种PCFS施用方法之间观察到统计学上显著的差异.
- 比假设病假的患者少 (50-54%) 的PCFS等级≥3.3.
- PCFS尺度和EQ-5D-5l之间的相关性低于假设.
结论:
- 在目前的丹麦版本中,PCFS尺度没有有效地捕捉与工作相关的功能限制.
- 该尺度的构造有效性只有部分支持,特别是关于其与生活质量指标的相关性.
- 进一步完善PCFS尺度或替代仪器可能是必要的,以准确评估长期COVID患者的功能恢复,特别是关于工作能力.
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