呼吸器依賴患者的生活功能及生活品質

Translated title of the contribution: Functional Status and Quality of Life in Ventilator-Dependent Patients

江 玲玲(Ling-Ling Chiang), Chin Pyng Wu, Li Ying Wang, Ying Tai Wu

Research output: Contribution to journalArticle

Abstract

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.
Original languageTraditional Chinese
Pages (from-to)40-47
Number of pages8
Journal物理治療
Volume29
Issue number1
Publication statusPublished - 2004

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Mechanical Ventilators
Quality of Life
Reproducibility of Results
Respiratory Center
Patients' Rooms
Health Surveys
Consciousness
Taiwan
Chronic Obstructive Pulmonary Disease
Age Groups
Interviews

Keywords

  • Barthelindex
  • Functional independence Measure
  • Short-Form 36 Health Survey Questionnaire
  • Ventilator-dependent patients

Cite this

江玲玲(Ling-Ling C, Wu, C. P., Wang, L. Y., & Wu, Y. T. (2004). 呼吸器依賴患者的生活功能及生活品質. 物理治療, 29(1), 40-47.

呼吸器依賴患者的生活功能及生活品質. / 江玲玲(Ling-Ling Chiang); Wu, Chin Pyng; Wang, Li Ying; Wu, Ying Tai.

In: 物理治療, Vol. 29, No. 1, 2004, p. 40-47.

Research output: Contribution to journalArticle

江玲玲(Ling-LingC, Wu, CP, Wang, LY & Wu, YT 2004, '呼吸器依賴患者的生活功能及生活品質', 物理治療, vol. 29, no. 1, pp. 40-47.
江玲玲(Ling-Ling Chiang) ; Wu, Chin Pyng ; Wang, Li Ying ; Wu, Ying Tai. / 呼吸器依賴患者的生活功能及生活品質. In: 物理治療. 2004 ; Vol. 29, No. 1. pp. 40-47.
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title = "呼吸器依賴患者的生活功能及生活品質",
abstract = "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.",
keywords = "巴氏量表, 功能獨立自主量表, 生活品質量表, 呼吸器依賴患者, Barthelindex, Functional independence Measure, Short-Form 36 Health Survey Questionnaire , Ventilator-dependent patients",
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T1 - 呼吸器依賴患者的生活功能及生活品質

AU - 江, 玲玲(Ling-Ling Chiang)

AU - Wu, Chin Pyng

AU - Wang, Li Ying

AU - Wu, Ying Tai

PY - 2004

Y1 - 2004

N2 - 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.

AB - 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.

KW - 巴氏量表

KW - 功能獨立自主量表

KW - 生活品質量表

KW - 呼吸器依賴患者

KW - Barthelindex

KW - Functional independence Measure

KW - Short-Form 36 Health Survey Questionnaire

KW - Ventilator-dependent patients

M3 - 文章

VL - 29

SP - 40

EP - 47

JO - 物理治療

JF - 物理治療

SN - 1563-2555

IS - 1

ER -