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