FOCUS-PDCA模式在老年肌少症患者生活质量和日常生活能力提升中的作用  

Effect of FOCUS-PDCA model on quality of life and activity of daily living for elder patients with sarcopenia

作　　者：邢季伟 武燕燕[1] 柴源[1] 靳宝莲 曹岩 吴雪娟 崔玮[1] 牛晓晨 XING Jiwei;WU Yanyan;CHAI Yuan;JIN Baolian;CAO Yan;WU Xuejuan;CUI Wei;NIU Xiaochen(Department of Medical Insurance Center,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院医保中心,北京100050

出　　处：《中国医药导报》2018年第25期160-163,177,共5页China Medical Herald

基　　金：北京市保健科研课题项目(京15-13号)

摘　　要：目的观察FOCUS-PDCA模式对老年肌少症患者生活质量和日常活动能力的影响。方法选取2015年7月~2017年3月于北京友谊医院住院治疗的老年肌少症患者169例,采用随机数字表法分为对照组(85例)和观察组(84例)。对照组给予常规肌少症营养和运动宣教,观察组在对照组基础上,采用FOCUS-PDCA模式。采用Spitzer生活质量指数和改良Barthel量表评价干预前和干预3个月后两组的生活质量和日常生活能力并比较。结果对照组干预前后生活质量日常生活状况、活动能力、生活感受、健康感受和家庭支持5个维度评分及总分比较,差异无统计学意义(P>0.05);观察组干预后生活质量各维度评分和总分均较干预前提高,且均高于对照组,差异有统计学意义(P<0.05)。对照组干预前后ADL中10个项目(个人卫生,洗澡,进食,穿衣,大、小便控制,如厕,上下楼梯,床/椅转移,平地行走)评分及总分比较,差异无统计学意义(P>0.05);观察组干预后ADL中10个项目评分和总分均较干预前提高,且均高于对照组,差异有统计学意义(P<0.05)。结论采用FOCUS-PDCA模式可以提高老年肌少症患者的生活质量和日常活动能力。Objective To observe the influence of FOCUS-PDCA model on quality of life and activity of daily living for elder patients with sarcopenia. Methods From July 2015 to March 2017, in Beijing Friendship Hospital, Capital Medical University, 169 elder patients with sarcopenia were selected, they were divided into control group（85 cases） and observation group（84 cases） according to the random number table. The control group was given nutrition and exercise education, the observation group was given the FOCUS-PDCA model based on the control group. The quality of life and activity of daily living in two groups were evaluated and compared before and after the intervention for 3 months by Spitzer quality of index and Modified Barthel Idex. Results There was no statistically significant difference on 5 dimension score of living condition, mobility, life feeling, general health, family support, and total scores about quality of life in control group before and after intervention（P 〉 0.05）; the each dimension score and total scores of quality of life in observation group were higher after intervention than before intervention, and these were higher than those in control group, the differences were statistically significant（P 〈 0.05）. There was no statistically significant differences in 10 item scores（personal hygiene, bathing, eating, dressing, large, urine control, toilet, up and down stairs, bed/chair transfer, ground walking） and total scores of ADL in control groups before and after intervention（P 〉 0.05）; and the 10 item score and total scores of ADL in observation group after intervention were higher than before intervention, and these were higher than control group, the differences were statistically significant（P 〈 0.05）. Conclusion FOCUS-PDCA model can improve quality of life and activity of daily living for elder patients with sarcopenia.

关 键 词：FOCUS-FDCA模式 老年 肌少症 生活质量 生活能力 

分 类 号：R473.5[医药卫生—护理学]