成年人呼吸功能障碍的最佳治疗方法:国际德尔菲研究
Janet Bondarenko1,2, Jean Bremner1, Brenda Button2,3
1Respiratory Research@Alfred, Monash University, Melbourne, Australia.
概括
专家和患有呼吸功能障碍 (DB) 的患者就必要的非药物干预措施达成共识. 关键组成部分包括评估,呼吸再培训,教育,手动和心理治疗,以及改善生活质量的家庭实践.
科学领域:
- 呼吸系统药物 呼吸系统药物
- 康复疗法 康复疗法
- 患者为中心的护理
背景情况:
- 功能障碍呼吸 (DB) 是普遍存在的,并显著影响生活质量.
- 现有的非药物干预缺乏关于基本组件和交付的共识.
- 需要定义有效的DB处理的核心元素.
研究的目的:
- 为了实现专家和患者的共识,对非药物干预的关键组成部分的DB.
- 确定这些干预措施的最佳格式和交付方法.
- 为制定标准化DB治疗方案提供信息.
主要方法:
- 一个双轮的德尔菲进程,涉及国际专家和消费者重点小组.
- 通过Qualtrics进行的在线调查,以收集组件评级.
- 由特定的中位数得分和四分位数间范围在利克特级别上定义的共识.
主要成果:
- 确定了基本组成部分:综合性评估,呼吸再培训 (有/没有生物反),教育,手动治疗,心理治疗和家庭实践.
- 理想的组成部分包括个性化的家庭计划,信息材料和重新评估.
- 可选组件包括个性化的治疗方式和运动疗法.
结论:
- 确定了治疗DB的五种基本干预措施,强调评估和家庭实践.
- 建议对干预措施和治疗格式进行个性化.
- 这些发现为开发基于证据的非药物DB治疗提供了基础.
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