Standardized measurement of breathlessness during exercise.
Standardized measurement of breathlessness during exercise.
复制标题
运动期间呼吸困难的标准化测量。
DOI：
10.1097/spc.0000000000000443
复制
发表时间：
2019
影响因子：
2.1
通讯作者：
D. Jensen
中科院分区：
文献类型：
--
作者：
H. Lewthwaite;E. Koch;Lauren Tracey;D. Jensen
综述目的
呼吸困难在各种慢性病人群中很常见和普遍。为了准确评估对干预的反应并优化临床（症状）管理，必须对劳力性呼吸困难进行详细评估。本文综述了目前评估劳力性呼吸困难的最新方法，并提出了对劳力性呼吸困难进行标准化个体化评估的必要性。
最近的调查结果
呼吸困难评估工具通常邀请人们在休息时参考日常生活活动回忆他们的呼吸困难。然而，为了直接量化呼吸困难，需要评估呼吸困难的维度（例如，感觉强度、质量和不愉快）。不同的运动刺激（例如，自定步、递增和恒定工作速率运动测试）已经被用于引起呼吸急促反应。自定进度（例如，6-最小步行试验）和递增运动试验评估运动耐量或耐力，不推荐用于评估劳力性呼吸困难。然而，恒定工作速率测试，包括最近验证的3分钟恒定速率楼梯踏步和步行测试，标准化运动刺激，使呼吸急促反应能够随着时间的推移直接量化和监测。
总结
为了充分指导症状管理和评估干预效果，临床医生和研究人员应使用多维评估工具评估呼吸困难，以应对标准化和个性化的运动刺激。
PURPOSE OF REVIEW
Exertional breathlessness is common and pervasive across various chronic disease populations. To accurately assess response to intervention and optimize clinical (symptom) management, detailed assessment of exertional breathlessness is imperative. This review provides an update on current approaches to assess exertional breathlessness and presents the need for individualized assessment of breathlessness standardized for the level of exertion.
RECENT FINDINGS
Breathlessness assessment tools commonly invite people to recall their breathlessness while at rest with reference to activities of daily living. To directly quantify breathlessness, however, requires assessment of the dimensions of breathlessness (e.g., sensory intensity, quality, and unpleasantness) in response to a standardized exercise stimulus. Different exercise stimuli (e.g., self-paced, incremental, and constant work rate exercise tests) have been used to elicit a breathlessness response. Self-paced (e.g., 6-min walk test) and incremental exercise tests assess exercise tolerance or endurance, and are not recommended for assessment of exertional breathlessness. Constant work rate tests, however, including recently validated 3-min constant-rate stair stepping and walking tests, standardize the exercise stimulus to enable the breathlessness response to be directly quantified and monitored over time.
SUMMARY
To adequately guide symptom management and assess intervention efficacy, clinicians and researchers should assess breathlessness with multidimensional assessment tools in response to a standardized and individualized exercise stimulus.
数字评定量表作为呼吸困难衡量标准的有效性。
DOI：
--
发表时间：
1998
期刊：
American journal of critical care : an official publication, American Association of Critical-Care Nurses.
影响因子：
--
作者：
Gift,AG;Narsavage,G
通讯作者：
Narsavage,G