在慢性阻塞性肺病中个性化功能评估:对患者特异性功能尺度的验证研究
Asma Alonazi1, Monira I Aldhahi2, Rakan Nazer3
1Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al-Majmaah 11952, Saudi Arabia.
Journal of clinical medicine
|January 10, 2026
概括
患者特异性功能尺度 (PSFS) 显示出在慢性阻塞性肺病 (COPD) 中评估功能表现的卓越可靠性和有效性. 这种以患者为中心的工具有助于对COPD患者进行个性化评估.
科学领域:
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
- 心理测量 心理测量 心理测量
背景情况:
- 慢性阻塞性肺病 (COPD) 管理需要以患者为中心的工具来评估功能表现.
- 患者特异性功能尺度 (PSFS) 是一个潜在的工具,但其在COPD中的心理特征尚未得到充分证实.
研究的目的:
- 评估测试重复测试的可靠性和构建PSFS在COPD患者中的有效性.
- 在这个群体中确定PSFS的测量误差 (SEM,MDC95%).
主要方法:
- 对70名已确认患有COPD的成年人进行了长度心理测量评估.
- 为了可靠性评估,PSFS被两次 (4-7天间隔) 给药.
- 与杜克活动状态指数 (DASI) 和圣乔治呼吸道问卷 (SGRQ) 相关联,以构建有效性.
主要成果:
- 在PSFS的测试中,测试可靠性很好 (ICC=0.94) 和测量误差很低 (SEM=0.16,MDC95%=0.44).
- 中等的相关性支持构造有效性 (DASI:r=0.51;SGRQ:r=-0.41).
- 没有观察到地板或天花板的影响.
结论:
- 该PSFS表现出强大的心理测量特性,用于评估COPD患者的功能限制.
- 它的个性化性质和易用性支持其用于个性化功能评估的临床和研究实用性.
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