摘要
目的构建基于国际功能、残疾和健康分类(ICF)框架的慢性阻塞性肺疾病(COPD)患者肺康复评估工具。方法2021年12月至2022年2月根据研究目的遴选21名COPD诊治和康复相关专家。项目组根据ICF框架中指标的含义,结合临床实践和相关文献自行编制问卷,通过电子问卷(问卷星)以在线电脑端填写的方式进行专家函询问卷的发放和回收,进行两轮专家函询,第一轮进行指标筛选和修订,第二轮专家根据各指标的测量工具、测量结果与评分构建基于ICF框架的COPD患者肺康复评估工具。结果两轮专家函询的专家积极系数均为100.0%(21/21),专家权威系数(Cr)分别为0.874、0.865;两轮专家函询的Kendall协调系数分别为0.527、0.771。第一轮专家函询结果:各指标的合理性评分为(3.41±0.31)分、变异系数为(0.16±0.04)、满分频率为53.97%。最终形成身体功能(B)、身体结构(S)、活动与参与(D)、社会环境与个人健康行为(E)4个维度26个二级指标组成的指标体系,二级指标组合权重为3.49~4.27。结论本研究基于ICF框架的COPD患者肺康复评估工具构建过程科学合理,该评估工具量化、可操作,能够进行全面评估,帮助临床医生更精准地进行肺康复干预措施的制定。
Objective To construct a pulmonary rehabilitation assessment tool for patients with chronic obstructive pulmonary disease(COPD)based on the International Classification of Function,Disability and Health(ICF)framework.Methods From December 2021 to February 2022,21 experts related to diagnosis,treatment and rehabilitation of COPD were selected according to the research purpose.The project team prepared the expert consultation questionnaire by itself according to the meaning of the ICF framework,combined with the actual clinical practice and relevant literature.The expert correspondence questionnaire was distributed and retrieved through electronic questionnaires(questionnaire stars)and filling in online computer terminals.Two rounds of expert correspondence were conducted,and the first round was screen and revise the indicators,in the second round,built the pulmonary rehabilitation evaluation tool for COPD patients based on ICF framework according to experts the measurement tool,measurement results and scores of each indicator.Results The positive coefficient of experts in both rounds expert consultation was 100.0%(21/21),and the expert authority coefficient(Cr)was 0.874 and 0.865,respectively;the Kendall coordination coefficients of the two rounds of expert consultation were 0.527 and 0.771,respectively.The results of the first round of expert correspondence:the rationality score of each index was(3.41±0.31),the coefficient of variation was(0.16±0.04),and the full score frequency was 53.97%.Finally,an indicator system consisting of 26 secondary indicators in 4 dimensions of body function(B),body structure(S),activity and participation(D),social environment and personal health behavior(E)was formed,and the combined weight of secondary indicators was 3.49-4.27.Conclusion The construction process of pulmonary rehabilitation assessment tool for COPD patients based on ICF framework in this study is scientific and reasonable.The evaluation tool is quantitative and operable,and can comprehensively assess the status of
作者
张云凤
曲玲
朱峥
李骥耀
朱怡莹
韩梦迪
邹盈
周奇兴
ZHANG Yunfeng;QU Ling;ZHU Zheng;LI Jiyao;ZHU Yiying;HAN Mengdi;ZOU Ying;ZHOU Qixing(Department of Respiratory and Critical Care Medicine,Shanghai Putuo District Liqun Hospital,Shanghai 200233,China)
出处
《实用心脑肺血管病杂志》
2023年第3期30-35,共6页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
上海市卫生健康委员会科研项目(202140197)
上海市中西医结合学会科研基金(2021-79)
上海市普陀区临床特色专病项目——慢性阻塞性肺疾病(2020tszb05)。
关键词
肺疾病
慢性阻塞性
肺康复
国际功能、残疾和健康分类框架
Pulmonary disease,chronic obstructive
Pulmonary rehabilitation
International Classification of Function,Disability and Health framework
