Clinical standards for the assessment, management and rehabilitation of post-TB lung disease
Clinical standards for the assessment, management and rehabilitation of post-TB lung disease
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DOI：
10.5588/ijtld.21.0425
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发表时间：
2021-10-01
影响因子：
4
通讯作者：
Visca, D.
中科院分区：
文献类型：
--
作者：
Migliori, G. B.;Marx, F. M.;Visca, D.
背景：越来越多的证据表明，肺结核后肺部疾病(PTLD)会导致显著的发病率和死亡率。这些临床标准的目的是为PTLD的评估和管理以及肺康复(PR)的实施提供指导。方法：确定了一个由结核病护理和公共关系领域的全球专家组成的小组；62人参加了德尔菲程序。使用5分的Likert量表对标准的初始想法进行评分，经过几轮修订后，文件获得批准(100%同意)。结果：确定了5个临床标准：标准1，在结核病治疗结束时对PTLD患者进行评估(适应儿童和特定环境/情况)；标准2，确定PTLD患者进行PR；标准3，根据患者的需要和当地情况制定PR计划；标准4，评估PR的效果；标准5，进行教育和咨询。标准6涉及PTLD的公共卫生问题和因PR而产生的结果。结论：这是第一套基于共识的PTLD临床标准。我们的目标是通过指导临床医生、项目经理和公共卫生官员规划和实施适当的措施来评估和管理PTLD，以改善患者护理和生活质量。
BACKGROUND: Increasing evidence suggests that post TB lung disease (PTLD) causes significant morbidity and mortality. The aim of these clinical standards is to provide guidance on the assessment and management of PTLD and the implementation of pulmonary rehabilitation (PR). METHODS: A panel of global experts in the field of TB care and PR was identified; 62 participated in a Delphi process. A 5-point Likert scale was used to score the initial ideas for standards and after several rounds of revision the document was approved (with 100% agreement). RESULTS: Five clinical standards were defined: Standard 1, to assess patients at the end of TB treatment for PTLD (with adaptation for children and specific settings/situa tions); Standard 2, to identify patients with PTLD for PR; Standard 3, tailoring the PR programme to patient needs and the local setting; Standard 4, to evaluate the effectiveness of PR; and Standard 5, to conduct education and counselling. Standard 6 addresses public health aspects of PTLD and outcomes due to PR. CONCLUSION: This is the first consensus-based set of Clinical Standards for PTLD. Our aim is to improve patient care and quality of life by guiding clinicians, programme managers and public health officers in planning and implementing adequate measures to assess and manage PTLD.