目的评估慢性疼痛患者恐动症坦帕评分表(Tampa Scale for Kinesiophobia,TSK)的测量学属性及研究的方法学质量,为临床实践和研究提供参考。方法检索PubMed、Web of Science、Cochrane Library、Embase、SinoMed、中国知网、维普、万方...目的评估慢性疼痛患者恐动症坦帕评分表(Tampa Scale for Kinesiophobia,TSK)的测量学属性及研究的方法学质量,为临床实践和研究提供参考。方法检索PubMed、Web of Science、Cochrane Library、Embase、SinoMed、中国知网、维普、万方数据库,获取有关慢性疼痛患者恐动症坦帕评分表测量性能评价的研究,检索时限为建库至2024年5月18日,基于健康测量工具遴选标准(Consensus-based Standards for the Selection of Health Measurement Instruments,COSMIN)对量表的测量学属性及研究方法学进行质量评价,并汇总分析评价结果。结果共纳入27项研究,涉及4个不同版本的恐动症坦帕评分表(TSK-11、TSK-12、TSK-13和TSK-17)。就量表的测量学性能而言,TSK-11的内容效度为“不确定”,结构效度和内部一致性均为“不一致”,信度、假设检验和反应度均为“充分”;TSK-12的结构效度和内部一致性均为“不充分”,假设检验为“不确定”;TSK-13的内容效度和跨文化效度均为“不确定”,结构效度、内部一致性、信度、假设检验和反应度均为“充分”;TSK-17的内容效度和结构效度均为“不确定”,内部一致性、信度和假设检验均为“充分”,反应度为“不充分”。以上4个量表均为B级推荐。结论4种恐动症坦帕评分表中(TSK-11、TSK-12、TSK-13和TSK-17),TSK-17可暂时被用于慢性疼痛患者恐动症评估中,但仍需在规范研究方法学的前提下对其测量性能进一步检验。展开更多
目的:探讨赋能理论指导的自我管理模式在1例恐动症肺癌患者围手术期肺康复中的应用效果。方法:对1例恐动症肺癌术后患者实施赋能理论的自我管理模式;采用监测氧合指数、Borg评分表、恐动症评分表(Tampa Scale for Kinesiophobia, TSK)...目的:探讨赋能理论指导的自我管理模式在1例恐动症肺癌患者围手术期肺康复中的应用效果。方法:对1例恐动症肺癌术后患者实施赋能理论的自我管理模式;采用监测氧合指数、Borg评分表、恐动症评分表(Tampa Scale for Kinesiophobia, TSK)、术后运动量化表及焦虑自评量表(SAS)对患者术前1天、术后的第3天、出院当天及出院后1个月进行测评。结果:经过赋能理论指导的自我管理模式有效介入,有效促进患者肺癌术后快速肺康复。患者对疾病相关知识有所了解,术后活动后气促明显好转、耐力提高,以及焦虑等症状得到明显改善。结论:经过干预后患者的焦虑程度有所下降,身体机能、肺功能、运动功能明显改善,从而提高患者术后生活质量。Objective: To explore the application effect of self-management model guided by empowerment theory in perioperative pulmonary rehabilitation of a lung cancer patient with kinesiophobia. Methods: One postoperative lung cancer patient with kinesiophobia was given the self-management model of empowerment theory. The Oxygenation Index, Borg Score, Tampa Scale for Kinesiophobia (TSK), Postoperative Movement Quantification Scale and Self-Rating Anxiety Scale (SAS) were used to evaluate the patients one day before operation, the third day after operation, the day of discharge and one month after discharge. Results: The self-management model guided by the empowerment theory effectively promoted the rapid lung rehabilitation of patients after lung cancer surgery. The patients had some knowledge about the disease, and the symptoms of shortness of breath, endurance and anxiety were significantly improved after postoperative activities. Conclusions: After the intervention, the anxiety degree of patients is decreased, and the physical function, lung function and motor function are significantly improved, so as to improve the quality of life of patients after operation.展开更多
文摘目的评估慢性疼痛患者恐动症坦帕评分表(Tampa Scale for Kinesiophobia,TSK)的测量学属性及研究的方法学质量,为临床实践和研究提供参考。方法检索PubMed、Web of Science、Cochrane Library、Embase、SinoMed、中国知网、维普、万方数据库,获取有关慢性疼痛患者恐动症坦帕评分表测量性能评价的研究,检索时限为建库至2024年5月18日,基于健康测量工具遴选标准(Consensus-based Standards for the Selection of Health Measurement Instruments,COSMIN)对量表的测量学属性及研究方法学进行质量评价,并汇总分析评价结果。结果共纳入27项研究,涉及4个不同版本的恐动症坦帕评分表(TSK-11、TSK-12、TSK-13和TSK-17)。就量表的测量学性能而言,TSK-11的内容效度为“不确定”,结构效度和内部一致性均为“不一致”,信度、假设检验和反应度均为“充分”;TSK-12的结构效度和内部一致性均为“不充分”,假设检验为“不确定”;TSK-13的内容效度和跨文化效度均为“不确定”,结构效度、内部一致性、信度、假设检验和反应度均为“充分”;TSK-17的内容效度和结构效度均为“不确定”,内部一致性、信度和假设检验均为“充分”,反应度为“不充分”。以上4个量表均为B级推荐。结论4种恐动症坦帕评分表中(TSK-11、TSK-12、TSK-13和TSK-17),TSK-17可暂时被用于慢性疼痛患者恐动症评估中,但仍需在规范研究方法学的前提下对其测量性能进一步检验。
文摘目的:探讨赋能理论指导的自我管理模式在1例恐动症肺癌患者围手术期肺康复中的应用效果。方法:对1例恐动症肺癌术后患者实施赋能理论的自我管理模式;采用监测氧合指数、Borg评分表、恐动症评分表(Tampa Scale for Kinesiophobia, TSK)、术后运动量化表及焦虑自评量表(SAS)对患者术前1天、术后的第3天、出院当天及出院后1个月进行测评。结果:经过赋能理论指导的自我管理模式有效介入,有效促进患者肺癌术后快速肺康复。患者对疾病相关知识有所了解,术后活动后气促明显好转、耐力提高,以及焦虑等症状得到明显改善。结论:经过干预后患者的焦虑程度有所下降,身体机能、肺功能、运动功能明显改善,从而提高患者术后生活质量。Objective: To explore the application effect of self-management model guided by empowerment theory in perioperative pulmonary rehabilitation of a lung cancer patient with kinesiophobia. Methods: One postoperative lung cancer patient with kinesiophobia was given the self-management model of empowerment theory. The Oxygenation Index, Borg Score, Tampa Scale for Kinesiophobia (TSK), Postoperative Movement Quantification Scale and Self-Rating Anxiety Scale (SAS) were used to evaluate the patients one day before operation, the third day after operation, the day of discharge and one month after discharge. Results: The self-management model guided by the empowerment theory effectively promoted the rapid lung rehabilitation of patients after lung cancer surgery. The patients had some knowledge about the disease, and the symptoms of shortness of breath, endurance and anxiety were significantly improved after postoperative activities. Conclusions: After the intervention, the anxiety degree of patients is decreased, and the physical function, lung function and motor function are significantly improved, so as to improve the quality of life of patients after operation.
