ICF核心分类联合mMRC用于COPD患者康复效果的研究

摘要

Objective To evaluate the effect of ICF classification combined with m MRC, 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 m MRC 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.%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m MRC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.