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呼吸器依賴患者的生活功能及生活品質

Functional Status and Quality of Life in Ventilator-Dependent Patients

摘要


Purposes: In the present study, we evaluated the functional status and quality of life(QOL) in ventilator-dependent patients using standardized measurement tools. The reliability of these tools and relationships between them were also examined. Methods: Twenty-nine ventilator-dependent patients with clear consciousness at three respiratory care settings(respiratory care center, general wards of a medical center and a regional hospital, and respiratory care ward of a local hospital) were interviewed. Measurement tools employed in the interview process included the Barthel Index (BI) and Functional Independence Measure (FIM) for functional status measurement, and Short-Form 36 Items Health Survey (SF-36) for generic QOL assessments. Eighteen patients were interviewed twice in one-week period to measure the test-retest reliability. Results: The average age of the subjects was 73.5±11.5 years. Seventy percent of the patients were over 70 years old,45% of them had been using ventilator for more than half a year, and 52% of them had a chronic obstructive pulmonary disease (COPD).The results were as follows: The mean BI score was 2.1±3.9.The mean scores on the motor and cognitive domains of the FIM were 20.4±14.6 and 18.6±6.3,respectively.The mean scores on the physical and mental domains of the SF-36 were 21.5±7.6 and 42.0±10.3,respectively.Scores on FIM and SF-36were not significantly different across groups categorized by age, diagnosis, or duration on mechanical ventilator. The intra-class correlation coefficient(ICC)was 0.995 for BI,0.926 to 1.000 for FIM, and 0.874 to 1.000 for SF-36.The BI scores correlated significantly (p<0.001) with FIM scores in motor domain(r=0.877)and total scores (r=0.729). No correlation was found between functional status measurements and QOL scores. Conclusion: This study was the first attempt to measure the functional status and QOL of ventilator-dependent patients in Taiwan. Their average scores of the functional status and QOL were relatively low, and were not associated with age, diagnosis, or duration on ventilator. Good test-retest reliability for BI, FIM, and SF-36 instruments was found. There appears no significant relationship between measurements of functional status and QOL in these patients.

並列摘要


Purposes: In the present study, we evaluated the functional status and quality of life(QOL) in ventilator-dependent patients using standardized measurement tools. The reliability of these tools and relationships between them were also examined. Methods: Twenty-nine ventilator-dependent patients with clear consciousness at three respiratory care settings(respiratory care center, general wards of a medical center and a regional hospital, and respiratory care ward of a local hospital) were interviewed. Measurement tools employed in the interview process included the Barthel Index (BI) and Functional Independence Measure (FIM) for functional status measurement, and Short-Form 36 Items Health Survey (SF-36) for generic QOL assessments. Eighteen patients were interviewed twice in one-week period to measure the test-retest reliability. Results: The average age of the subjects was 73.5±11.5 years. Seventy percent of the patients were over 70 years old,45% of them had been using ventilator for more than half a year, and 52% of them had a chronic obstructive pulmonary disease (COPD).The results were as follows: The mean BI score was 2.1±3.9.The mean scores on the motor and cognitive domains of the FIM were 20.4±14.6 and 18.6±6.3,respectively.The mean scores on the physical and mental domains of the SF-36 were 21.5±7.6 and 42.0±10.3,respectively.Scores on FIM and SF-36were not significantly different across groups categorized by age, diagnosis, or duration on mechanical ventilator. The intra-class correlation coefficient(ICC)was 0.995 for BI,0.926 to 1.000 for FIM, and 0.874 to 1.000 for SF-36.The BI scores correlated significantly (p<0.001) with FIM scores in motor domain(r=0.877)and total scores (r=0.729). No correlation was found between functional status measurements and QOL scores. Conclusion: This study was the first attempt to measure the functional status and QOL of ventilator-dependent patients in Taiwan. Their average scores of the functional status and QOL were relatively low, and were not associated with age, diagnosis, or duration on ventilator. Good test-retest reliability for BI, FIM, and SF-36 instruments was found. There appears no significant relationship between measurements of functional status and QOL in these patients.

被引用紀錄


黃斯聖(2008)。老年失智症之照顧者的負荷及憂鬱的相關因素探討〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834%2fCSMU.2008.00025
吳英旬(2006)。呼吸器居家照護病人家屬照顧者之照護經驗〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834%2fCSMU.2006.00087
張雅玲(2012)。應用SF-36情境量表分析腦中風住院患者接受園藝療法之成效〔碩士論文,中臺科技大學〕。華藝線上圖書館。https://doi.org/10.6822%2fCTUST.2012.00033
林鳳卿(2009)。影響呼吸器依賴患者家屬對居家照護服務 滿意度之相關因素〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-2207200921090100
梁瑞琪(2012)。音樂治療對失智老人改善基本日常生活功能成效之研究〔碩士論文,國立中正大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0033-2110201613493742

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