应用ICF框架来探索影响肺部手术后患者生活质量的因素
Xinping Li1,2, Yi Chen3, Shuangchun Liu4
1The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Annals of rehabilitation medicine
|April 30, 2024
概括
通过最大氧气消耗 (VO2max) 和无氧值 (AT) 来衡量身体活动,显著影响肺癌幸存者的术后生活质量 (QoL). 改善这些指标对于提高患者参与度和整体幸福感至关重要.
科学领域:
- 肺病学和瘤学 在
- 康复医学 康复医学 康复医学
- 健康科学 卫生科学 卫生科学
背景情况:
- 肺癌切除显著影响患者的功能和生活质量 (QoL).
- 了解肺功能,体力活动和QoL之间的相互作用对于优化术后护理至关重要.
- 国际功能,残疾和健康分类 (ICF) 为评估这些复杂的关系提供了一个框架.
研究的目的:
- 在肺癌切除后的患者中,研究肺功能,身体活动水平和与健康相关的 QoL 之间的关联.
- 应用ICF框架来分析该患者群中的功能障碍,活动限制和参与限制.
主要方法:
- 一项涉及术后肺癌幸存者的定量研究.
- 评估肺功能 (强迫生命能力 - FVC,1秒强迫呼吸量 - FEV1).
- 使用最大氧气消耗 (VO2max),无氧值 (AT) 和6分钟步行距离 (6MWD) 评估活动限制.
- 通过36项简短形式健康调查 (SF-36) 测量参与限制.
- 用多变量分析和SmartPLS进行数据分析.
主要成果:
- 肺功能测量 (FVC,FEV1) 显示与QoL的相关性很弱.
- 身体活动指标 (6MWD,AT,VO2max) 与 QoL 有积极的关联.
- 在ICF模型中,AT和VO2max对SF-36得分产生了显著的直接积极影响.
- 个人因素,如年龄和体重指数,对所感知的QoL有中等到显著的影响.
结论:
- 身体活动是肺癌幸存者参与和生活质量的关键决定因素.
- 提高VO2max和AT对于改善肺切除后患者的QoL至关重要.
- 背景因素显著影响社会参与,需要更多的临床关注.
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