Development of a Barthel Index based on dyspnea for patients with respiratory diseases

نویسندگان

  • Michele Vitacca
  • Mara Paneroni
  • Paola Baiardi
  • Vito De Carolis
  • Elisabetta Zampogna
  • Stefano Belli
  • Mauro Carone
  • Antonio Spanevello
  • Bruno Balbi
  • Giorgio Bertolotti
چکیده

BACKGROUND As Barthel Index (BI) quantifies motor impairment but not breathlessness, the use of only this index could underestimate disability in chronic respiratory disease (CRD). To our knowledge, no study evaluates both motor and respiratory disability in CRD during activities of daily living (ADLs) simultaneously and with a unique tool. The objective of this study was to propose for patients with CRD an additional tool for dyspnea assessment during ADLs based on BI items named Barthel Index dyspnea. METHODS Comprehensibility, reliability, internal consistency, validity, responsiveness, and ability to differentiate between disease groups were assessed on 219 subjects through an observational study performed in an in-hospital rehabilitation setting. RESULTS Good comprehensibility, high reliability (interrater intraclass correlation coefficient was 0.93 [95% confidence interval 0.892-0.964] and test-retest intraclass correlation coefficient was 0.99 [95% confidence interval 0.983-0.994]), good internal consistency (Cronbach's alpha 0.89), strong concurrent validity with 6 minute walking distance (Pearson r=-0.538, P<0.001) and Medical Research Council (Spearman r S=0.70, P<0.001), good responsiveness after rehabilitation (P<0.001), and good appropriateness of the index were found evidencing patients with different dyspnea severity. Divergent validity showed weak correlation (Pearson r=-0.38) comparing Barthel Index dyspnea and BI. CONCLUSION The BI based on dyspnea perception proved to be reliable, sensitive, and adequate as a tool for measuring the level of dyspnea perceived in performing basic daily living activities. A unique instrument simultaneously administered may provide a global assessment of disability during ADLs incorporating both motor and respiratory aspects.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Comparing the Effect of Resistive Inspiratory Muscle Training and Incentive Spirometry on Respiratory Pattern of COPD patients

Background: Resistive Inspiratory Muscle Training (RIMT) is a well-known technique for rehabilitation of patients with Chronic Obstructive Pulmonary Disease (COPD). Incentive spirometry is another technique with potential viability for this application, but there is limited evidence in support of its efficacy in the rehabilitation of COPD patients. Aim: The objective of this study was to compar...

متن کامل

Evaluation of the Correlation Between Body Mass Index and the Severity of Asthma in Recently Diagnosed Patients

Introduction: Asthma and obesity are among diseases that cause several problems and impair quality of life.  The concurrence of these diseases, changes in the respiratory physiology, changes associated with obesity and limited activity associated with asthma may cause an interaction between the two conditions. Materials and Methods: We studied the epidemiologic characteristics of all recentl...

متن کامل

Barthel Index and Clinical Outcome in Elderly

Objectives: Among the elderly patients who are admitted in emergency departments, there is a sub-population of frail elderly who needs particular attention. The purpose of this study was to explore relationship between Barthel index and clinical outcome in elderly patients aged over 60 during a week follow up after initial admission. Methods & Materials: The method was a prospective cohort s...

متن کامل

The effects of Pilates and diaphragm exercises on some pulmonary factors in chronic obstructive pulmonary Patients

Introduction and purpose: Chronic obstructive pulmonary disease (COPD) is one of the most important pulmonary diseases. The most important way to minimize the progress of the disease is to rehabilitate the lung. Rehabilitation of the lung improves respiratory pattern. To this end, the effects of two types of Pilates and Diaphragm exercises on some of the pulmonary factors in these patients were...

متن کامل

The Effect of Motivational Abdominal Breathing Device on Breathing Patterns and Shortness of Breath in Patients with Chronic Obstructive Pulmonary Disease

Background and purpose: Despite the high prevalence of chronic obstructive pulmonary disease, There haven,t been definite curative treatment for the disease and focus of treatment has directed towards pulmonary rehabilitation as an effective non-drug treatments. this study were performed to determine the effect of motivational abdominal breathing device on breathing pattern and dyspnea of chron...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 11  شماره 

صفحات  -

تاریخ انتشار 2016