在心血管疾病患者中通过电话管理人类活动概况问卷:方法论研究
Tamara Costabile Sant Anna1, Júlia Isaac Bernardes1, Adriana Marques Alcici Moreira1
1Faculdade de Ciências Médicas de Minas Gerais, Alameda Ezequiel Dias, 275 - Centro, Belo Horizonte/MG, 30130-110, Brazil, +55 3134987275.
JMIR rehabilitation and assistive technologies
|December 31, 2025
概括
人类活动概况 (HAP) 问卷是通过电话评估心血管疾病 (CVD) 患者功能能力的有效工具. 这种远程方法显示出高可靠性和与面对面评估的一致性,提供了可访问的替代方案.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 人类活动概况 (HAP) 问卷评估慢性疾病中的功能能力.
- 通过电话远程管理HAP缺乏对心血管疾病 (CVD) 患者的验证.
- 易于使用的评估方法对于心血管疾病患者具有流动性问题或医疗保健获取有限的患者至关重要.
研究的目的:
- 为了验证心血管康复计划中心血管疾病患者的HAP问卷的电话管理.
主要方法:
- 一项涉及56名心血管疾病患者的方法研究.
- 参与者通过面对面和电话 (3-14天间隔) 完成了HAP.
- 对内部一致性,可靠性 (ICC) 和一致性 (布兰德-阿尔特曼地块) 进行分析的最大活动得分 (MAS) 和调整的活动得分 (AAS).
主要成果:
- 管理方式之间MAS (P=.10) 或AAS (P=.05) 没有显著差异.
- 优异的内部一致性 (Cronbach α=0.919) 和高可靠性 (MAS 的ICC=0.794,AAS 的0.910).
- 通过布兰德-阿尔特曼分析观察到没有系统偏差的可接受协议.
结论:
- 通过电话管理HAP是可靠的,一致的,并与面对面的评估很好地一致.
- 它提供了一种有效,实用和可访问的方法来评估心血管疾病患者的功能能力.
- 这种方法特别有用,当面对面的评估是不可行的.
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