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肺部復健個案成效評估:症狀評估、功能性評估

在臨床上,最常使用的評估為「喘的程度」......

本週會介紹的內容是肺部復健個案成效評估,包含:症狀評估、功能性評估、運動耐力評估、疾病嚴重度評估、生活品質評估、體位狀況評估、自我效能評估。

首先是症狀評估介紹。在臨床上,最常使用在肺部病患問題是呼吸「喘」及疲憊程度。會使用評估表來做評分,醫護先念一遍各評分標準給病人聽,避免產生引導病人回答的可能性。同時評估應包含前、後測,才能實際瞭解各治療後的成效。喘、咳嗽,常影響夜間睡眠,因此在症狀評估時,往往需加入睡眠量表做評估。

接下來是功能性評估,評估病人的咳嗽能力時,應同時考慮痰的特性、肌肉的力量、肺容積及吐氣流速。氧氣消耗量的評估,可了解病人的日常生活活動能力。目前在長照領域中最常使用的為巴氏量表,共計十個項目,分類較全面且仔細,常用作評估居家型、機構型病人的依賴程度。

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肺部復健系列: Part3

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