การตรวจสมรรถภาพปอดด้วยการทดสอบการเดิน 6 นาที (6MWT) ในสถานะการณ์การระบาดของโรคติดเชื้อไวรัสโคโรนา 2019 (COVID-19)
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ม.ค. 4, 2021
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การทดสอบการเดิน 6 นาที โรคติดเชื้อไวรัสโคโรนา 2019 อุปกรณ์ป้องกันส่วนบุคคล 6-Minute Walk Test 6MWT COVID-19
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บทคัดย่อ
การทดสอบการเดิน 6 นาที (6-Minute Walk Test, 6MWT) เป็นวิธีการตรวจสมรรถภาพปอดที่ง่ายและเป็นที่นิยม สามารถใช้เปรียบเทียบก่อนและหลังการรักษาโรคที่เกี่ยวเนื่องกับระบบการหายใจ หัวใจและระบบไหลเวียนของเลือด อีกทั้งยังสามารถใช้ในการทดสอบสมรรถภาพของผู้ป่วยสูงอายุได้ และในสถานการณ์การแพร่ระบาดของโรคติดเชื้อไวรัสโคโรนา 2019 (COVID-19) ซึ่งเป็นโรคอุบัติใหม่ที่สามารถแพร่เชื้อผ่านฝอยละอองทางจมูกหรือปากของผู้ติดเชื้อและได้แพร่ระบาดไปยังทั่วโลก โดยลักษณะทางกายภาพของผู้รับการทดสอบที่มีความเสี่ยงสูงต่อการแพร่และรับเชื้อดังกล่าวในระหว่างการทดสอบเนื่องจากไม่สามารถสวมใส่อุปกรณ์ป้องกันส่วนบุคคล (Personal Protective Equipment, PPE) ในระหว่างการทดสอบได้เพราะอาจมีผลต่อประสิทธิภาพของการทดสอบ ผู้รับการทดสอบและเจ้าหน้าที่ตรวจสมรรถภาพปอด จึงควรปฏิบัติตามแนวทางการป้องกันโรคและแนวทางของการทดสอบดังกล่าวเป็นไปโดยเคร่งครัด ทั้งในกระบวนการก่อนการทดสอบ ระหว่างการทดสอบ และหลังจากทำการทดสอบ เพื่อป้องกันการแพร่และรับเชื้อดังกล่าว อีกทั้งยังคงคุณภาพของข้อมูลผลการทดสอบเพื่อนำไปใช้ในกระบวนการรักษาต่อไป
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References
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11. Rhame FS. Endemic Nosocomial Filamentous Fungal Disease: A Proposed Structure for Conceptualizing and Studying the Environmental Hazard. Infect Control 1986;7S:124–125.
12. G. Kampf, D. Todt, S. Pfaender, E. Steinmann. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. Journal of Hospital Infection 2020;104.246-251
13. The CHEST Foundation. 6-Minute Walk Test. [Internet]. 2020.[cited July 3, 2020]; Available from: https://foundation.chestnet.org/lung-health-a-z/6-minute-walk-test/
14. The Infectious Disease Association of Thailand. Tips for using Personal Protective Equipment (PPE). [Internet]. 2020. [cited June 13, 2020]; Available from: https://www.idthai.org/Contents/Views/?d=389R!67!1!!657!0baQvIns
15. Central ChestI nstitute of Thailand. Physical therapy guidelines for patients with chronic obstructive pulmonary disease..[Internet]. 2016. [cited June 30, 2020]; Available from: https://www.ccit.go.th/lung/document/COPD+Home.pdf
16. Stephen J. Halliday, Li Wang, Chang Yu,et al..Six-minute walk distance in healthy young adults.Respiratory Medicine.2020;165:105933.DOI:10.1016/j.rmed.2020.105933.
17. Raymond C.C. Tsang.Reference Values for 6-Minute Walk Test and Hand-Grip Strength in Healthy Hong Kong Chinese Adults.Hong Kong Physiotherapy.2005;23:6-12.DOI:10.1016/S1013-7025(09)70053-3
18. Poh H, Eastwood PR, Cecins NM, Ho KT, Jenkins SC. Sixminute walk distance in healthy Singaporean adults cannot be predicted using reference equations derived from Caucasian populations. Respirology. 2006;11:211-6.
19. Enright PL, Sherrill DL. Reference equations for the sixminute walk in healthy adults. Am J Respir Crit Care Med. 1998;158:1384-1387.
20. Lusardi MM, Pellecchia GL, Schulman M. Functional Performance in Community Living Older Adults. Journal of Geriatric Physical Therapy. 2003;26:14-22.
21. Oliveira MJ, Marçôa R, Moutinho J, et al. Reference equations for the 6-minute walk distance in healthy Portuguese subjects 18-70 years old. Pulmonology. 2019;25(2):83-89. doi:10.1016/j.pulmoe.2018.04.003
22. Olufunke A. Ajiboye, Chikodi N. Anigbogu, Jane N. Ajuluchukwu,et al..Prediction equations for 6-minute walk distance in apparently healthy Nigerians.Hong Kong Physiotherapy Journal.2014;32:65-72.DOI:10.1016/j.hkpj.2014.04.003
23. Balsamo S, Nascimento Dda C, Tibana RA, de Santana FS, da Mota LM, Dos Santos-Neto LL. The quality of life of patients with lupus erythematosus influences cardiovascular capacity in 6-minute walk test. Rev Bras Reumatol. 2013 Feb;53:75-87.
24. Breda CA, Rodacki AL, Leite N, Homann D, Goes SM, Stefanello JM. Physical activity level and physical performance in the 6-minute walk test in women with fibromyalgia. Rev Bras Reumatol. 2013;53:276-281.
25. Beekman E, Mesters I, Hendriks EJ, Klaassen MP, Gosselink R, van Schayck OC, et al. Course length of 30 metres versus 10 metres has a significant influence on sixminute walk distance in patients with COPD: an experimental crossover study. J Physiother. 2013;59:169-76.
26. Sciurba F, Criner GJ, Lee SM, Mohsenifar Z, Shade D, Slivka W, et al. Six-minute walk distance in chronic obstructive pulmonary disease: reproducibility and effect of walking course layout and length. Am J Respir Crit Care Med. 2003; 167:1522-1527
2. The Royal College of Physicians of Thailand. Medical practice guidelines for medical procedures in COVID-19 outbreak.[Internet].[cited June 30, 2020]; Available from: http://www.rcpt.org/images/2020/covid19/handout_medical_covid-19.pdf
3. ATS Statement:Guidelines for the Six-Minute Walk Test.American Journal of Respiratory and Critical Care Medicine.;166:111-117.
4. Association for Respiratory Technology & Physiology. Covid19 Infection Control Issues for Lung Function. [Internet]. 2020. [cited June 13, 2020]; Available from: https://www.artp.org.uk/write/MediaUploads/Standards/COVID19/ARTP_COVID19_Infection_Control_Issues_for_Lung_Function.pdf
5. Jeffrey G Demain. Spirometry During Covid-19. [Internet]. 2020. [cited June 13, 2020]; Available from: https://www.aaaai.org/ask-the-expert/spirometry
6. Meredith C. McCormack. Pulmonary Function Laboratories: Advice Regarding COVID-19. The American Thoracic Society. [Internet]. 2020. [cited June 13, 2020]; Available from: https://www.thoracic.org/professionals/clinical-resources/disease-related-resources/pulmonary-function-laboratories.php
7. Thoracic Society of Thailand under Royal Patronage. Summary of recommendations for care of patients with respiratory Diseases in COVID-19 outbreak. [Internet]. 2020. [cited June 13, 2020]; Available from: https://www.thoracicsocietythai.org/wp-content/uploads/2020/05/TST-assembly-recommendations.pdf
8. Bamrasnaradura Infectious Diseases. Guideline to improving air quality in hospitals. [Internet]. 2019. [cited June 17, 2020]; Available from:http://bamras.ddc.moph.go.th/userfiles/23_compressed.pdf
9. Centers for Disease Control and Prevention (CDC). Guidelines for Environmental Infection Control in Health-Care Facilities. [Internet]. 2019. [cited June 17, 2020]; Available from: https://www.cdc.gov/infectioncontrol/pdf/guidelines/environmental-guidelines-P.pdf
10. Centers for Disease Control and Prevention (CDC). Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health-Care Facilities. MMWR 1994;43(No. RR-13):1–132.
11. Rhame FS. Endemic Nosocomial Filamentous Fungal Disease: A Proposed Structure for Conceptualizing and Studying the Environmental Hazard. Infect Control 1986;7S:124–125.
12. G. Kampf, D. Todt, S. Pfaender, E. Steinmann. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. Journal of Hospital Infection 2020;104.246-251
13. The CHEST Foundation. 6-Minute Walk Test. [Internet]. 2020.[cited July 3, 2020]; Available from: https://foundation.chestnet.org/lung-health-a-z/6-minute-walk-test/
14. The Infectious Disease Association of Thailand. Tips for using Personal Protective Equipment (PPE). [Internet]. 2020. [cited June 13, 2020]; Available from: https://www.idthai.org/Contents/Views/?d=389R!67!1!!657!0baQvIns
15. Central ChestI nstitute of Thailand. Physical therapy guidelines for patients with chronic obstructive pulmonary disease..[Internet]. 2016. [cited June 30, 2020]; Available from: https://www.ccit.go.th/lung/document/COPD+Home.pdf
16. Stephen J. Halliday, Li Wang, Chang Yu,et al..Six-minute walk distance in healthy young adults.Respiratory Medicine.2020;165:105933.DOI:10.1016/j.rmed.2020.105933.
17. Raymond C.C. Tsang.Reference Values for 6-Minute Walk Test and Hand-Grip Strength in Healthy Hong Kong Chinese Adults.Hong Kong Physiotherapy.2005;23:6-12.DOI:10.1016/S1013-7025(09)70053-3
18. Poh H, Eastwood PR, Cecins NM, Ho KT, Jenkins SC. Sixminute walk distance in healthy Singaporean adults cannot be predicted using reference equations derived from Caucasian populations. Respirology. 2006;11:211-6.
19. Enright PL, Sherrill DL. Reference equations for the sixminute walk in healthy adults. Am J Respir Crit Care Med. 1998;158:1384-1387.
20. Lusardi MM, Pellecchia GL, Schulman M. Functional Performance in Community Living Older Adults. Journal of Geriatric Physical Therapy. 2003;26:14-22.
21. Oliveira MJ, Marçôa R, Moutinho J, et al. Reference equations for the 6-minute walk distance in healthy Portuguese subjects 18-70 years old. Pulmonology. 2019;25(2):83-89. doi:10.1016/j.pulmoe.2018.04.003
22. Olufunke A. Ajiboye, Chikodi N. Anigbogu, Jane N. Ajuluchukwu,et al..Prediction equations for 6-minute walk distance in apparently healthy Nigerians.Hong Kong Physiotherapy Journal.2014;32:65-72.DOI:10.1016/j.hkpj.2014.04.003
23. Balsamo S, Nascimento Dda C, Tibana RA, de Santana FS, da Mota LM, Dos Santos-Neto LL. The quality of life of patients with lupus erythematosus influences cardiovascular capacity in 6-minute walk test. Rev Bras Reumatol. 2013 Feb;53:75-87.
24. Breda CA, Rodacki AL, Leite N, Homann D, Goes SM, Stefanello JM. Physical activity level and physical performance in the 6-minute walk test in women with fibromyalgia. Rev Bras Reumatol. 2013;53:276-281.
25. Beekman E, Mesters I, Hendriks EJ, Klaassen MP, Gosselink R, van Schayck OC, et al. Course length of 30 metres versus 10 metres has a significant influence on sixminute walk distance in patients with COPD: an experimental crossover study. J Physiother. 2013;59:169-76.
26. Sciurba F, Criner GJ, Lee SM, Mohsenifar Z, Shade D, Slivka W, et al. Six-minute walk distance in chronic obstructive pulmonary disease: reproducibility and effect of walking course layout and length. Am J Respir Crit Care Med. 2003; 167:1522-1527