Stamm Tanja, Machold Klaus
Division of Rheumatology, Department of Internal Medicine III, Vienna Medical University, Vienna, Austria.
Curr Opin Rheumatol. 2007 Mar;19(2):184-9. doi: 10.1097/BOR.0b013e3280148e64.
The aim of this article is to review the recent literature on the use of the International Classification of Functioning, Disability and Health (ICF) in practice in rheumatological care and research. The specific aims were to explore how the ICF has been used as a frame of reference for identifying functional problems of patients using qualitative and quantitative research methods; determining typical problem areas of functioning; and measuring functioning of people with rheumatic diseases.
The ICF was used as a frame of reference for formulating interview questions and for analysing data in qualitative research. The majority of experiences of patients could be linked to the ICF. In quantitative surveys and by reviewing medical records, the ICF could be used as a model to identify problem areas of patients from the perspective of experts. The ICF served as a frame of reference for performing content comparisons of several health-status instruments.
In rheumatological care and research, the translation of aspects of functioning important to patients and of the content of health-status instruments to ICF terms enables researchers and clinicians to condense and compare the meaning of patients' experiences and the content of the instruments.
本文旨在回顾近期关于国际功能、残疾和健康分类(ICF)在风湿病护理与研究实践中应用的文献。具体目标包括探讨如何将ICF用作参考框架,运用定性和定量研究方法识别患者的功能问题;确定功能方面的典型问题领域;以及测量风湿病患者的功能状况。
在定性研究中,ICF被用作制定访谈问题和分析数据的参考框架。患者的大多数经历都能与ICF联系起来。在定量调查和病历审查中,ICF可作为从专家角度识别患者问题领域的模型。ICF还作为对几种健康状况评估工具进行内容比较的参考框架。
在风湿病护理与研究中,将对患者重要的功能方面以及健康状况评估工具的内容转化为ICF术语,使研究人员和临床医生能够提炼并比较患者经历的意义和评估工具的内容。