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慢性阻塞性肺疾病之自我評估工具與護理應用

The Application of Self-assessment Tool and Self-care for Patients with Chronic Obstructive Pulmonary Disease

摘要


慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease, COPD)是一種長期、慢性發炎、不可逆的呼吸道疾病,合併生理與心理的症狀,病患常因疾病反覆發作、呼吸困難及活動耐力減退等症狀,而引發不確定感,進而導致焦慮或憂鬱等問題行為,嚴重會導致身體機能下降,甚至影響生活品質,造成家庭及社會負擔。故本文針對整合文獻資料後,介紹慢性阻塞性肺疾病評估測試(COPD Assessment Tool, CAT)及修訂版醫學研究委員會呼吸困難量表(Modified Medical Research Council, mMRC)兩種評估工具,正確教導病患及家屬確實執行自我評估、持續執行肺復原運動,評估病患日常生活相關照護與疾病進展,適時的給予醫療治療與照護,預防疾病惡化,將有助於慢性阻塞性肺疾病患者疾病的預防與健康管理。

並列摘要


Chronic Obstructive Pulmonary Disease (COPD) is a long-term irreversible, chronic inflammatory respiratory diseases. As it often combines with physical and psychological symptoms, patients with COPD may develop senses of undetermined and thus lead to anxiety or depression caused by repetitive onsets, dyspnea and reduced endurance. Those with more severe conditions may result in decreased physical performance, sometimes even compromise the quality of life and eventually increase the burden of the family and the society. After an extensive literature search, the study introduced two assessment tools (i.e. COPD Assessment Tool (CAT) and Modified Medical Research Council (mMRC)) to provide accurate patient and family instructions about self-assessment and continuous pulmonary rehabilitation exercise. The goal is to evaluate the standard care in daily living and to monitor disease progression, in order to provide adequate medical treatment and care in time, prevent COPD from progression, and eventually achieve disease prevention and health management for patients with COPD.

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