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Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with ...

Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with ...

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<strong>Nurs<strong>in</strong>g</strong> Best Practice Guidel<strong>in</strong>eDescription <strong>of</strong> ToolSelf, face to face or telephone<strong>in</strong>terview guide <strong>with</strong> 76 items <strong>in</strong> 3doma<strong>in</strong>s <strong>of</strong> symptoms, activity andimpacts. Takes 10 m<strong>in</strong>utes to complete.Present <strong>Dyspnea</strong> Scales<strong>The</strong> St. George’sRespiratoryQuestionnairePulmonary FunctionStatus Scale (PFSS)University <strong>of</strong> C<strong>in</strong>c<strong>in</strong>nati<strong>Dyspnea</strong>QuestionnaireSourceHajiro et al., 1998Weaver, Narsavage& Guilfoyle, 1998Lee, Friesen,Lambert &Loudon, 1998Reliability and ValidityInternal consistency high, significantcorrelation between SGRQ and CRQ.<strong>Sign</strong>ificant correlation <strong>with</strong> Sickness ImpactPr<strong>of</strong>ile and 12 m<strong>in</strong>. walk test, and significanttest-retest correlation coefficient.High <strong>in</strong>ternal consistency. Sections highlycorrelated but provide separate and dist<strong>in</strong>ct<strong>in</strong>formation.CommentsHas been used for research. Cl<strong>in</strong>ical use not reported.Concludes that the PFSS has solid psychometricproperties that make it acceptable for use <strong>in</strong> cl<strong>in</strong>icalpractice as well as research.Concludes that questionnaire may be particularlyuseful for assess<strong>in</strong>g patients who rely extensively onspeak<strong>in</strong>g ability for their livelihood.53-item self-adm<strong>in</strong>istered questionnaire<strong>with</strong> 3 doma<strong>in</strong>s <strong>of</strong> daily activities/socialfunction<strong>in</strong>g, psychological function<strong>in</strong>g,and sexual function<strong>in</strong>g. Reported totake 15-20 m<strong>in</strong>utes to complete.30-item questionnaire <strong>with</strong> questions<strong>in</strong> 3 sections: breathlessness <strong>with</strong>physical activity, breathlessness <strong>with</strong>speak<strong>in</strong>g activity, and breathlessnesswhen speak<strong>in</strong>g dur<strong>in</strong>g a physical activity.May be self or <strong>in</strong>terviewer adm<strong>in</strong>istered.99

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