当前位置: X-MOL 学术npj Prim. Care Respir. Med. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
One-minute sit-to-stand test as a quick functional test for people with COPD in general practice
npj Primary Care Respiratory Medicine ( IF 3.1 ) Pub Date : 2023-03-15 , DOI: 10.1038/s41533-023-00335-w
J G Spence 1, 2, 3 , J Brincks 2 , A Løkke 4, 5 , L Neustrup 6 , E B Østergaard 3
Affiliation  

Assessing changes in functional exercise capacity is highly relevant in the treatment of people with Chronic Obstructive Pulmonary Disease (COPD), as lung function is often static. In Denmark, most people with COPD are followed in general practice where traditional functional tests, like six-minute walk test, require too much time and space. Therefore, there is an urgent need for a quick functional exercise capacity test that can be performed in a limited setting, such as general practice. This study aimed to identify a quick test to measure functional exercise capacity in people with COPD and identify which factors could affect the implementation of such a test in general practice. A mixed method feasibility study composed of a literature review and qualitative interviews was used. Quick functional tests for people with COPD were identified and evaluated through the COSMIN methodology. For the interviews, 64 general practices were included, and 50 staff members and 14 general practitioners (GPs) participated in the interviews. Responses were categorized and thematically analyzed. The 1 min sit-to-stand-test (1 M STST) was found suitable for a general practice setting. The COSMIN methodology rated it “sufficient” in reliability (ICC 0.90–0.99), measurement error (MID 2.5–3), construct validity and responsiveness (AUC 0.72), and found a moderate to strong correlation in criterion validity (r = 0.4–0.75). Several GPs wished for a quick functional test and emphasized evidence, information, and limitations as essential when deciding on implementation. Other factors identified included time, other tests, and economy. 1 M STST is a valid test to assess functional exercise capacity in people with COPD. The test is quick and can easily be performed in a standard consultation, and several GPs wished for such a test.



中文翻译:

一分钟坐立测试作为 COPD 患者在一般实践中的快速功能测试

评估功能性运动能力的变化与慢性阻塞性肺病 (COPD) 患者的治疗高度相关,因为肺功能通常是静止的。在丹麦,大多数患有慢性阻塞性肺病的人都接受了一般实践,其中传统的功能测试,如六分钟步行测试,需要太多的时间和空间。因此,迫切需要一种可以在有限环境(例如全科诊所)中进行的快速功能锻炼能力测试。本研究旨在确定一种快速测试来测量 COPD 患者的功能锻炼能力,并确定哪些因素会影响一般实践中此类测试的实施。使用了由文献综述和定性访谈组成的混合方法可行性研究。通过 COSMIN 方法确定和评估了针对 COPD 患者的快速功能测试。在访谈中,包括 64 名全科医生,50 名工作人员和 14 名全科医生 (GP) 参与了访谈。对答复进行了分类和主题分析。发现 1 分钟坐立测试 (1 M STST) 适用于一般练习设置。COSMIN 方法在可靠性 (ICC 0.90–0.99)、测量误差 (MID 2.5–3)、结构有效性和响应性 (AUC 0.72) 方面将其评为“足够”,并发现标准有效性具有中度至强相关性(发现 1 分钟坐立测试 (1 M STST) 适用于一般练习设置。COSMIN 方法在可靠性 (ICC 0.90–0.99)、测量误差 (MID 2.5–3)、结构有效性和响应性 (AUC 0.72) 方面将其评为“足够”,并发现标准有效性具有中度至强相关性(发现 1 分钟坐立测试 (1 M STST) 适用于一般练习设置。COSMIN 方法在可靠性 (ICC 0.90–0.99)、测量误差 (MID 2.5–3)、结构有效性和响应性 (AUC 0.72) 方面将其评为“足够”,并发现标准有效性具有中度至强相关性(r  = 0.4–0.75)。几位 GP 希望进行快速功能测试,并强调证据、信息和限制在决定实施时至关重要。确定的其他因素包括时间、其他测试和经济性。1 M STST 是评估 COPD 患者功能锻炼能力的有效测试。该测试速度很快,可以通过标准会诊轻松进行,并且有几位全科医生希望进行这样的测试。

更新日期:2023-03-15
down
wechat
bug