Assessing and responding to stress related to pulmonary function testing in cystic fibrosis through quality improvement.
Assessing and responding to stress related to pulmonary function testing in cystic fibrosis through quality improvement.
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DOI：
10.1002/ppul.24673
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发表时间：
2020-05
影响因子：
3.1
通讯作者：
Siracusa C
中科院分区：
文献类型：
--
作者：
Nusbaum K;Filigno SS;Feldstein J;Hente E;Koch E;Mullen L;Weiland J;Boat T;Siracusa C
Pulmonary Function Tests (PFTs) are performed routinely to evaluate lung function in patients with cystic fibrosis (CF). Staff at the Cincinnati Children’s Hospital Medical Center CF Center observed stress in patients prior to PFTs. An interdisciplinary quality improvement (QI) team was assembled to address this clinical issue. The Plan-Do-Study-Act (PDSA) method of QI was used to investigate feasibility of assessing stress and offering brief interventions to reduce stress before PFTs. Interventions included listening to music, covering the PFT screen, or doing breathing meditation prior to PFTs. Patients rated stress levels on a 1–5 Likert scale before and after testing. Of 75 patient encounters, interventions were trialed in 20. Fifteen patients who tried an intervention reported wanting to use the intervention again (5 encounters had missing data); patients reported that the intervention benefited performance on PFTs in 8 encounters (40%). The average pre PFT stress rating for encounters that trialed an intervention was 2.1 and post PFT rating was 2.0. Average stress pre and post PFT ratings were 1.7 and 1.6 respectively, for encounters that did not trial an intervention. Median length of PFT encounter was 15 minutes regardless of whether intervention was trialed. Some patients with CF utilized interventions, while many opted out. This QI effort identified feasible outpatient clinic interventions that did not negatively impact clinic flow. Finding ways to reduce stress associated with PFTs could have a meaningful impact on patient performance and emotional well-being for a subset of patients.
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影响因子：
1.7
作者：
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通讯作者：
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DOI：
10.1164/rccm.200812-1845pp
发表时间：
2009-11-01
影响因子：
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作者：
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