ICF核心分类联合mMRC用于COPD患者康复效果的研究(1)
摘要：目的 应用ICF分类联合mMRC，研究对COPD患者进行干预后康复中效果。方法 选取2017年6月～10月佳木斯大学附属第一医院呼吸内科住院的COPD患者76例为研究对象，通过随机数字表法随机分为试验组和对照组，各38例。试验组依据ICF核心组合分类的身体功能及活动与参与部分收集的信息，给予个体化康复干预措施，对照组进行常规宣教;通过mMRC问卷进行呼吸困难症状评估，6个月后观察所有研究对象用药依从性及呼吸困难改善状况。结果 干预后实验组患者的用药依从性为73.68%优于对照组的18.42%，差异具有统计学意义(P<0.05);干预后实验组的呼吸困难症状分级优于对照组，差异具有统计学意义(P<0.05)。结论 对COPD缓解期患者应用ICF核心分类组合联合mMRC的方法，可提高患者的用药依从性，改善呼吸困难症状。
关键词：ICF核心分类组合;MMRC;COPD
中图分类号：R563 文獻标识码：A DOI：10.3969/j.issn.1006-1959.2019.03.060
, 百拇医药
文章编号：1006-1959(2019)03-0175-03
Abstract：Objective To evaluate the effect of ICF classification combined with mMRC， study on the rehabilitation of COPD patients after intervention.Methods A total of 76 patients with COPD admitted to the department of respiratory medicine of the first affiliated hospital of jiamusi university from June 2017 to October 2017 were selected as study subjects.They were randomly divided into the experimental group and the control group by random number table method ， with 38 cases in each group.The experimental group was given individualized rehabilitation intervention measures according to the information collected from the ICF core combination classification of physical function，activity and participation，and the control group was given routine propaganda and education.Dyspnea symptoms were assessed by mMRC questionnaire，and the improvement of dyspnea status and medication compliance of all subjects were observed 6 months later.Results The drug compliance of the experimental group was 73.68%，which was significantly higher than that of the control group 18.42%，the difference was statistically significant (P<0.05).After intervention，the classification of dyspnea symptoms in the experimental group was better than that in the control group，the difference was statistically significant (P<0.05).Conclusion The combination of ICF core classification and mMRC can improve the compliance and improve the dyspnea symptoms in patients with COPD in remission period.
, 百拇医药
Key words：ICF core classification combination;MMRC;COPD
慢性阻塞性肺疾病(chronic obstructive pulmonary disease，COPD)为呼吸系统常见的疾病，急性发作期往往可以接受到专业的指导及治疗，而当患者病情达到缓解出院后，持续治疗及健康干预往往会被忽视，受外界不良因素影响，可导致疾病复发。疾病的反复发作，不但影响患者的生活质量，甚至可能导致不良事件的发生。因此，有必要给予COPD缓解期的患者进行干预，预防疾病的复发甚至避免不良事件的发生[1]。《国际功能、残疾和健康分类》(International Classification of Functioning，Disability and Health ICF)是从生物、心理和社会角度认识损伤所造成的影响提供了一种理论模式。为从身体健康状态、个体活动和个体的社会功能上探索提供了理论框架[2]，而个体的功能状态是身体健康状况以及环境因素相互作用并彼此联系的，干预其中一个项目就可能产生一个或多个项目的改变，通常这种相互作用是双向的，可以用于临床中康复效果评定的评定。本文通过综合ICF核心组合分类收集患者的信息，用于规划COPD患者缓解期的康复干预措施，联合mMRC问卷，评估干预措施的效果，最终研究ICF核心分类组合联合mMRC应用于COPD患者康复中的效果，现汇报如下：, http://www.100md.com(林杨 苏志强 鲍靖 姜晓雪 钟晓丽 鲁艳梅 赵彤 徐敏利)
关键词：ICF核心分类组合;MMRC;COPD
中图分类号：R563 文獻标识码：A DOI：10.3969/j.issn.1006-1959.2019.03.060
, 百拇医药
文章编号：1006-1959(2019)03-0175-03
Abstract：Objective To evaluate the effect of ICF classification combined with mMRC， study on the rehabilitation of COPD patients after intervention.Methods A total of 76 patients with COPD admitted to the department of respiratory medicine of the first affiliated hospital of jiamusi university from June 2017 to October 2017 were selected as study subjects.They were randomly divided into the experimental group and the control group by random number table method ， with 38 cases in each group.The experimental group was given individualized rehabilitation intervention measures according to the information collected from the ICF core combination classification of physical function，activity and participation，and the control group was given routine propaganda and education.Dyspnea symptoms were assessed by mMRC questionnaire，and the improvement of dyspnea status and medication compliance of all subjects were observed 6 months later.Results The drug compliance of the experimental group was 73.68%，which was significantly higher than that of the control group 18.42%，the difference was statistically significant (P<0.05).After intervention，the classification of dyspnea symptoms in the experimental group was better than that in the control group，the difference was statistically significant (P<0.05).Conclusion The combination of ICF core classification and mMRC can improve the compliance and improve the dyspnea symptoms in patients with COPD in remission period.
, 百拇医药
Key words：ICF core classification combination;MMRC;COPD
慢性阻塞性肺疾病(chronic obstructive pulmonary disease，COPD)为呼吸系统常见的疾病，急性发作期往往可以接受到专业的指导及治疗，而当患者病情达到缓解出院后，持续治疗及健康干预往往会被忽视，受外界不良因素影响，可导致疾病复发。疾病的反复发作，不但影响患者的生活质量，甚至可能导致不良事件的发生。因此，有必要给予COPD缓解期的患者进行干预，预防疾病的复发甚至避免不良事件的发生[1]。《国际功能、残疾和健康分类》(International Classification of Functioning，Disability and Health ICF)是从生物、心理和社会角度认识损伤所造成的影响提供了一种理论模式。为从身体健康状态、个体活动和个体的社会功能上探索提供了理论框架[2]，而个体的功能状态是身体健康状况以及环境因素相互作用并彼此联系的，干预其中一个项目就可能产生一个或多个项目的改变，通常这种相互作用是双向的，可以用于临床中康复效果评定的评定。本文通过综合ICF核心组合分类收集患者的信息，用于规划COPD患者缓解期的康复干预措施，联合mMRC问卷，评估干预措施的效果，最终研究ICF核心分类组合联合mMRC应用于COPD患者康复中的效果，现汇报如下：, http://www.100md.com(林杨 苏志强 鲍靖 姜晓雪 钟晓丽 鲁艳梅 赵彤 徐敏利)