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肺部復健個案成效評估:疾病嚴重度評估、生活品質評估

在六分鐘走路及折返走測試前後,皆會加入肺功能測試。

接續上節影片中提到的功能性評估和運動耐力評估,何老師會繼續說明會加上肺功能檢查。肺功能測試會在運動前後,配合六分鐘運動前後,肺功能的差異。這是重要的評估。透過數值來判斷是哪一型肺功能疾病,並評估疾病嚴重程度。接者,透過X光片、電腦斷層或通氣灌流掃描,從影像學上得知疾病具體階段及受損部位。

瞭解疾病嚴重程度之後,肺部疾病常會延續至慢性期,影響生活品質,所以接下來是生活品質評估。會使用量表SF-36、或濃縮後的SF-12對日常生活狀況做評估;針對呼吸疾病造成的困擾則是用「聖喬治呼吸道問卷」。此量表被廣泛用於觀察COPD、氣喘、肺癌及限制型肺疾病病人的復健成效。CAT量表則是較簡短,試圖取代聖喬治呼吸道量表。兩者相關性確實高達80%以上,可互相替換做使用。

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肺部復健系列: Part3

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