The Role of the Six-minute Walk Test, Pulmonary Function Test, and Asthma Control Test in Asthmatic Patients-a Preliminary Report

以肺功能測試、六分鐘行走測試及氣喘控制問卷評估氣喘病患－初步報告

陳曉宜(Shiau-Yee Chen) ； 許翰琳(Han-Lin Hsu) ； 林居正(Jiu-Jenq Lin) ； 余明治(Ming-Chi Yu) ； 江玲玲(Ling-Ling Chiang) ； 李俊年(Chun-Nie Lee)

《呼吸治療》 9卷1期 (2010/01) Pp. 1-12

https://doi.org/10.6269/JRT.2010.9.1.01

摘要

目的：對於氣喘病患而言，氣喘控制的狀況是相關醫療人員所關注的。本研究是在探討三種評估工具解釋病患氣喘控制的狀況。
方法：本研究由門診病患選出二十六位經診斷爲氣喘的病患。這些病患接受肺功能測試及六分鐘行走測試，同時在治療師協助下填寫氣喘控制問卷。三種評估工具使用相關性統計分析（spearman rank相關及皮爾森）來瞭解肺功能測試及六分鐘行走測試和氣喘控制問卷分數的相關性，並將相關參數放進迴歸統計解釋病患氣喘控制的狀況。
結果：結果顯示氣喘控制問卷的分數和用力吐氣容積的預測值百分比、第一秒用力吐氣容積的預測值百分比、休息時的喘息指數及休息時的血氧呈現正相關。在多重線性回歸分析顯示僅第一秒用力吐氣容積的預測值百分比可以解釋18.2%氣喘控制問卷的分數的變異性。
結論：我們評估氣喘病患的疾病控制情形，包括肺功能測試、六分鐘行走測試及氣喘控制問卷。測試結果及之間相關性可以提供相關醫療人員照顧氣喘病患依據。

關鍵字

氣喘控制問卷 ； 六分鐘行走測試 ； 肺功能測試

並列摘要

Purpose: Asthma control is the main concern for related professionals when approaching asthmatic patients. In this study, we selected three different tools to understand asthma control status in patients with asthma.
Methods: Twenty-six patients with asthma were recruited in the study. These patients underwent pulmonary function testing with spirometry and the six-minute walk test, and completed an asthma control questionnaire (Asthma Control Test, ACT). In statistical analysis, the Spearman rank correlation and Pearson correlation coefficient were used for correlation between measured variables. For explanation, potential prediction variables were entered into a stepwise regression.
Results: Our results showed that ACT score was significantly correlated with forced vital capacity (FVC) % of the predicted value (r=0.273, p=0.177); forced expiratory volume at one second (FEV1) % of the predicted value (r=0.209, p=0.017); resting Borg score (Rborg; r=-0.281, p=0.156); and resting oxygen saturation (RSpO2; r=0.390, p=0.049). The result of multiple linear regression with the ACT score as the dependent variable revealed only FEV1% of the predicted value was left in these patients (p=0.017, adjusted r square=0.182).
Conclusion: We applied multiple measures in evaluating asthmatic patients with more objective tools. This information should be useful for clinical professionals.

並列關鍵字

asthma control test ； six-minute walk test ； and pulmonary function test