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使用巴氏指数和卡茨指数评估心脏重症监护病房患者的日常生活活动能力:一项横断面研究。

Assessment of Activities of Daily Living in Post-cardiac Care Unit Using Barthel and Katz Indexes: A Cross-sectional Study.

作者信息

Khalandi Farzane, Yoldashkhan Mehryar, Bana Derakhshan Homayoon, Nasiri Malihe

机构信息

Student Research Committee, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Caring Sci. 2022 Jan 10;11(1):36-39. doi: 10.34172/jcs.2022.05. eCollection 2022 Mar.

Abstract

Activities of daily living (ADL) refer to the ability to perform the essential self-care activities that are necessary to have a life without dependency. Development of chronic diseases such as heart disease, as age progresses, can affect ADL. Facilitating the return of patients to the ADL and determining the level of care is one of the responsibilities of nurses. Therefore, using Barthel and Katz indexes, this study aimed to assess ADL dependency after discharge from cardiac care unit (CCU). In this descriptive cross-sectional study, 180 patients were selected by the available sampling method. Data were analyzed before and after admission to the CCU using SPSS software version 13. The mean score of the Barthel and Katz indexes, before admission to the CCU, was 92.96 and 5.37, respectively, which changed to 82.85 and 4.57 post-cardiac care unit (P-CCU). Accordingly, ADL dependency increased after discharge from CCU. After discharge from the CCU (in P-CCU), patients do not return to the same level of activities before hospitalization, and the functional status and ability of patients to perform daily activities decrease.

摘要

日常生活活动(ADL)是指进行基本自我护理活动的能力,这些活动是独立生活所必需的。随着年龄的增长,诸如心脏病等慢性疾病的发展会影响日常生活活动。促进患者恢复日常生活活动能力并确定护理水平是护士的职责之一。因此,本研究旨在通过巴氏指数和卡茨指数评估心脏监护病房(CCU)出院后的日常生活活动依赖程度。在这项描述性横断面研究中,采用便利抽样法选取了180例患者。使用SPSS 13.0软件对入CCU前后的数据进行分析。入CCU前,巴氏指数和卡茨指数的平均分分别为92.96和5.37,心脏监护病房治疗后(P-CCU)变为82.85和4.57。因此,CCU出院后日常生活活动依赖程度增加。CCU出院后(P-CCU阶段),患者无法恢复到住院前的活动水平,患者进行日常活动的功能状态和能力下降。

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