Rauch Agnes, Kirchberger Inge, Boldt Christine, Cieza Alarcos, Stucki Gerold
ICF Research Branch of the WHO CC FIC (DIMDI), Institute for Health and Rehabilitation Sciences, Ludwig-Maximilian University, Munich, Germany.
Int J Nurs Stud. 2009 Oct;46(10):1320-34. doi: 10.1016/j.ijnurstu.2009.04.006. Epub 2009 May 19.
The "Comprehensive ICF Core Set for Rheumatoid Arthritis (RA)" is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in functioning of patients with RA.
The objective of this study was to validate this ICF Core Set from the perspective of nurses.
Nurses experienced in RA treatment were asked about the patients' problems, patients' resources and aspects of environment that nurses take care of in a three-round survey using the Delphi technique. Responses were linked to the ICF.
57 nurses in 15 countries named 1170 concepts that covered all ICF components. 20 concepts were linked to the as yet undeveloped ICF component Personal Factors. 19 ICF categories are not represented in the Comprehensive ICF Core Set for RA.
The validity of the Comprehensive ICF Core Set for RA was largely supported by the nurses. However, a number of body functions which address side effects of drug therapies were not included in the Comprehensive ICF Core Set for RA. Furthermore, several issues arose which were not precisely covered by the ICF like "dry mucous", "risk for decubitus ulcers" and "height" and need to be investigated further.
“类风湿关节炎（RA）综合ICF核心集”是国际功能、残疾和健康分类（ICF）的一种应用，代表了RA患者功能问题的典型范围。
本研究的目的是从护士的角度验证这个ICF核心集。
采用德尔菲技术，在三轮调查中询问有RA治疗经验的护士关于患者的问题、患者的资源以及护士所护理的环境方面。回答与ICF相关联。
15个国家的57名护士列出了1170个涵盖所有ICF组成部分的概念。20个概念与尚未开发的ICF组成部分个人因素相关联。19个ICF类别未在RA综合ICF核心集中体现。
护士们在很大程度上支持RA综合ICF核心集的有效性。然而，一些涉及药物治疗副作用的身体功能未被纳入RA综合ICF核心集。此外，出现了一些ICF未精确涵盖的问题，如“黏膜干燥”“压疮风险”和“身高”，需要进一步研究。
