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Ⅱ章 背景知識 4 呼吸困難の評価

4 .. COPD .. patient based measure- ment .. multidimensional scale . Bausewein Dorman .. Bausewein scales to measure the severity of breathlessness . scales to describe the quality of breathlessness . scales to mea- sure functional impairment caused by breathlessness .. Hugh Jones MRC Medical Research Council dyspnea scale P32 5 . 1 1 P28 . 1 .. Numerical Rating scale NRS Visual Analogue scale VAS . modified borg scale mBS 1 .. 1 Numerical Rating scale NRS . 0 10 VAS .. VAS COPD .. 24. 4 . 2 Visual Analogue scale VAS .. 100 mm .. COPD .. 3 modified borg scale mBS .. borg 1982 .. modified borg scale 1 . 1 . 0 10 1 12 . modi- EORTC QLQ C30 .. fied borg scale 1 . 4 2 4 .. 8 4 . modified borg scale .. COPD . 2 test retest .. 3 .. 2 responsive- ness .. 1 .. modified borg scale mBS . sensitivity . Numerical Rating scale NRS .. 3 test retest test . 0 1 2 3 4 5 6 7 8 9 10 retest reliability .. Visual Analogue scale VAS 100mm.

3)modified Borg Scale(mBS) Borg(1982)は医学の領域あるいは社会生活の見地から,人間の身体活動性を評 価する必要性を論じ,カテゴリー尺度による身体活動能力の評価を提唱した。現在, 呼吸困難の評価に使用されているmodified Borg Scaleでは,垂直に引かれ ...

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  Scale, Modified, Borg, Modified borg scale

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Transcription of Ⅱ章 背景知識 4 呼吸困難の評価

1 4 .. COPD .. patient based measure- ment .. multidimensional scale . Bausewein Dorman .. Bausewein scales to measure the severity of breathlessness . scales to describe the quality of breathlessness . scales to mea- sure functional impairment caused by breathlessness .. Hugh Jones MRC Medical Research Council dyspnea scale P32 5 . 1 1 P28 . 1 .. Numerical Rating scale NRS Visual Analogue scale VAS . modified borg scale mBS 1 .. 1 Numerical Rating scale NRS . 0 10 VAS .. VAS COPD .. 24. 4 . 2 Visual Analogue scale VAS .. 100 mm .. COPD .. 3 modified borg scale mBS .. borg 1982 .. modified borg scale 1 . 1 . 0 10 1 12 . modi- EORTC QLQ C30 .. fied borg scale 1 . 4 2 4 .. 8 4 . modified borg scale .. COPD . 2 test retest .. 3 .. 2 responsive- ness .. 1 .. modified borg scale mBS . sensitivity . Numerical Rating scale NRS .. 3 test retest test . 0 1 2 3 4 5 6 7 8 9 10 retest reliability .. Visual Analogue scale VAS 100mm.

2 Test retest .. 0 .. 25.. 2 .. Dyspnea Descriptor Questionnaires DDQ Cancer Dyspnea scale CDS . 1 Dyspnea Descriptor Questionnaires DDQ . Simon 16 .. Parshall Dyspnea Descriptor Questionnaires DDQ DDQ COPD .. 2 Cancer Dyspnea scale CDS . Tanaka . 2 .. test retest CDS 5 . 3 4 12 . 1 5 5 1 2 . 3 4 5 . 2 .. CDS .. CDS . CDS . 3 .. COPD .. 26. 4 . 2 Cancer Dyspnea scale CDS .. 1 1 2 3 4 5. 2 1 2 3 4 5.. 3 1 2 3 4 5. 4 1 2 3 4 5. 5 1 2 3 4 5.. 6 1 2 3 4 5. 7 1 2 3 4 5.. 8 1 2 3 4 5. 9 1 2 3 4 5.. 10 1 2 3 4 5.. 11 1 2 3 4 5. 12 1 2 3 4 5.. 1 Chronic Respiratory Questionnaire Dyspnea subscale CRQ D . COPD quality of life QOL . Guyatt 1987 . 4 .. 26 . 5 7. CRQ D COPD . 7 .. 15 25 .. COPD .. 27.. 2 Motor Neurone disease Dyspnea Rating scale MDRS . Dougan . CRQ D 13 . 5 . 5 .. CRQ D MDRS .. CRQ D . MDRS . 1 .. Visual Analogue COPD . scale VAS .. Numerical Rating COPD .. scale NRS . modified borg scale COPD . mBS.

3 Dyspnea Descriptor COPD CDS . Questionnaires . DDQ .. Cancer Dyspnea .. scale CDS . Chronic Respiratory COPD . Questionnaire . Dyspnea subscale CRQ D . CRQ D .. Motor Neurone . disease Dyspnea Rating scale MDRS . 2 .. Support Team Assessment Schedule STAS . 1 .. 28. 4 . 9 5 .. STAS J . STAS J 2 .. 3 20 21 . STAS J .. 4 .. 3 STAS J 2 . 0 . 1 .. 2 .. 3 .. 4 . 3 . Bausewein Dorman .. 29.. 4 . ID.. 0 1 2 3 4 5 6 7 8 9 10.. 0 1 2 3 4 .. 1. 2.. 1.. 2.. 3.. 1. 2. 4.. 5. L/ SpO2 %.. 1.. 2.. 1. 1. 3.. 2. 2. 1. 2.. 3. 3. 1. 2.. 4. 4. 1.. 2.. 5. 5. 3.. 6. 6.. 1.. 2.. 1. 1.. 2.. 2. 3.. 3. 4.. 5 . 1.. 2. 1.. 2.. 3. 3.. 30. 4 .. 1 Bausewein C, Farquhar M, Booth S, et al. Measurement of breathlessness in advanced dis- ease a systematic review. Respir Med 2007 101 399 410. 2 Dorman S, Byrne A, Edwards A. Which measurement scales should we use to measure breathlessness in palliative care? A systematic review. Palliat Med 2007 21 177 91.

4 3 Wilson RC, Jones PW. A comparison of the visual analogue scale and modified borg scale for the measurement of dyspnoea during exercise. Clin Sci Lond 1989 76 277 82. 4 Gift AG. Validation of a vertical visual analogue scale as a measure of clinical dyspnea. Rehabil . Nurs 1989 14 323 5. 5 Wilcock A, Crosby V, Clarke D, Tattersfield A. Repeatability of breathlessness measurements in cancer patients. Thorax 1999 54 375.. 6 borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc 1982 14 377 . 81. 7 borg G ed. borg 's Perceived Exertion and Pain Scales. Champaign, Human Kinetics Publish- ers, 1998. 8 Simon PM, Schwartzstein RM, Weiss JW, et al. Distinguishable types of dyspnea in patients with shortness of breath. Am Rev Respir Dis 1990 142 1009 14. 9 Parshall MB, Welsh JD, Brockopp DY, et al. Reliability and validity of dyspnea sensory quality descriptors in heart failure patients treated in an emergency department.

5 Heart Lung 2001 . 30 57 65. 10 Parshall MB. Psychometric characteristics of dyspnea descriptor ratings in emergency department patients with exacerbated chronic obstructive pulmonary disease. Res Nurs Health 2002 25 331 44. 11 Tanaka K, Akechi T, Okuyama T, et al. Development and validation of the Cancer Dyspnoea scale a multidimensional, brief, self rating scale . Br J Cancer 2000 82 800 5. 12 Guyatt GH, Berman LB, Townsend M, et al. A measure of quality of life for clinical trials in chronic lung disease. Thorax 1987 42 773 8. 13 Guyatt GH, Townsend M, Keller J, et al. Measuring functional status in chronic lung disease . conclusions from a randomized control trial. Respir Med 1989 83 293 7. 14 Jaeschke R, Singer J, Guyatt GH. Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials 1989 10 407 15. 15 Hajiro T, Nishimura K, Tsukino M, et al. Comparison of discriminative properties among dis- ease specific questionnaires for measuring health related quality of life in patients with chronic obstructive pulmonary disease.

6 Am J Respir Crit Care Med 1998 157 785 90. 16 Dougan CF, Connell CO, Thornton E, Young CA. Development of a patient specific dyspnoea questionnaire in motor neurone disease MND the MND dyspnoea rating scale MDRS . J. Neurol Sci 2000 180 86 93. 17 Higginson IJ, McCarthy M. Validity of the support team assessment schedule do staffs' rat- ings reflect those made by patients or their families? Palliat Med 1993 7 219 28. 18 Miyashita M, Matoba K, Sasahara T, et al. Reliability and Validity of the Japanese version of the Support Team Assessment Schedule STAS J .Palliat Support Care 2004 2 379 84. 31.


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