基于《国际功能、残疾和健康分类》制定截肢者核心数据集,以此明确功能状况。
Developing Core Sets for persons following amputation based on the International Classification of Functioning, Disability and Health as a way to specify functioning.
作者信息
Kohler Friedbert, Cieza Alarcos, Stucki Gerold, Geertzen Jan, Burger Helena, Dillon Michael P, Schiappacasse Carolina, Esquenazi Alberto, Kistenberg Robert Steven, Kostanjsek Nenad
机构信息
Department of Rehabilitation Medicine, Braeside Hospital, Wetherill Park, Australia.
出版信息
Prosthet Orthot Int. 2009 Jun;33(2):117-29. doi: 10.1080/03093640802652029.
Amputation is a common late stage sequel of peripheral vascular disease and diabetes or a sequel of accidental trauma, civil unrest and landmines. The functional impairments affect many facets of life including but not limited to: Mobility; activities of daily living; body image and sexuality. Classification, measurement and comparison of the consequences of amputations has been impeded by the limited availability of internationally, multiculturally standardized instruments in the amputee setting. The introduction of the International Classification of Functioning, Disability and Health (ICF) by the World Health Assembly in May 2001 provides a globally accepted framework and classification system to describe, assess and compare function and disability. In order to facilitate the use of the ICF in everyday clinical practice and research, ICF core sets have been developed that focus on specific aspects of function typically associated with a particular disability. The objective of this paper is to outline the development process for the ICF core sets for persons following amputation. The ICF core sets are designed to translate the benefits of the ICF into clinical routine. The ICF core sets will be defined at a Consensus conference which will integrate evidence from preparatory studies, namely: (a) a systematic literature review regarding the outcome measures of clinical trails and observational studies, (b) semi-structured patient interviews, (c) international experts participating in an internet-based survey, and (d) cross-sectional, multi-center studies for clinical applicability. To validate the ICF core sets field-testing will follow. Invitation for participation: The development of ICF Core Sets is an inclusive and open process. Anyone who wishes to actively participate in this process is invited to do so.
截肢是外周血管疾病和糖尿病的常见晚期后遗症,或是意外创伤、内乱和地雷造成的后果。功能障碍会影响生活的许多方面,包括但不限于:行动能力;日常生活活动;身体形象和性功能。由于在截肢患者中缺乏国际通用、跨文化标准化的工具,截肢后果的分类、测量和比较受到了阻碍。2001年5月世界卫生大会引入的《国际功能、残疾和健康分类》(ICF)提供了一个全球公认的框架和分类系统,用于描述、评估和比较功能与残疾情况。为便于在日常临床实践和研究中使用ICF,已开发出ICF核心集,其聚焦于通常与特定残疾相关的功能特定方面。本文的目的是概述截肢患者ICF核心集的开发过程。ICF核心集旨在将ICF的益处转化为临床常规操作。ICF核心集将在一次共识会议上确定,该会议将整合预备研究的证据,即:(a)关于临床试验和观察性研究结果测量的系统文献综述;(b)半结构化患者访谈;(c)参与基于互联网调查的国际专家;以及(d)针对临床适用性的横断面、多中心研究。为验证ICF核心集,随后将进行现场测试。参与邀请:ICF核心集的开发是一个包容且开放的过程。欢迎任何希望积极参与此过程的人参与。