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基于 ICF-CY 格式在神经儿科医院单元进行康复预估和规划。

Projecting and programming rehabilitation based on ICF-CY format in a neuropediatric hospital unit.

机构信息

E Medea Scientific Institute, Conegliano Pieve di Soligo Research Centre, Conegliano, Italy.

出版信息

Disabil Rehabil. 2009;31 Suppl 1:S55-60. doi: 10.3109/09638280903317864.

DOI:10.3109/09638280903317864
PMID:19968536
Abstract

OBJECTIVE

To follow-up the impact of a format based upon the International Classification of Functioning Disability and Health, version for children and youth (ICF-CY) as a roadmap for in-hospital pediatric neuro-rehabilitation.

DESIGN

Longitudinal study in a single Centre testing with impact assessment.

SUBJECTS/PATIENTS: The team members of a tertiary care pediatric neuro-rehabilitation unit approaching 88 consecutive patients with various physical and/or neurological conditions.

METHODS

A revised version of the protocol ICF-CY based format for rehabilitation projecting and programming was applied for 24 months. Impact on the rehabilitation team was assessed with an ad hoc questionnaire.

RESULTS

Fifteen questionnaires were returned, all of them reporting strongly positive judgements. Time constraint was no longer considered the main problem, probably because of a learning effect. Ongoing utilization reduced the time needed and the problems perceived in completing the task.

CONCLUSION

This application confirmed that ICF contribute to improve the quality of interdisciplinary work and to share the rehabilitation process between team members and family. Indeed ICF-CY works efficiently as a roadmap for in-hospital pediatric neuro-rehabilitation. Its implementation results in perceived improvements in the process, ongoing utilization reduces the time needed and the problems encountered in completing the task.

摘要

目的

跟踪以《国际功能、残疾和健康分类儿童和青少年版》(ICF-CY)为基础的格式作为院内儿科神经康复路线图的影响。

设计

在单中心进行的纵向研究,进行效果评估。

对象/患者:一家三级儿科神经康复中心的团队成员,对 88 名患有各种身体和/或神经疾病的连续患者进行了评估。

方法

应用经过修订的康复规划和编程 ICF-CY 格式协议 24 个月。采用专门的调查问卷评估对康复团队的影响。

结果

共收到 15 份问卷,均报告评价非常积极。时间限制不再被认为是主要问题,这可能是因为学习效果。持续利用减少了完成任务所需的时间和感知到的问题。

结论

该应用证实 ICF 有助于提高跨学科工作的质量,并在团队成员和家庭之间共享康复过程。实际上,ICF-CY 作为院内儿科神经康复的路线图非常有效。其实施可改善流程,持续利用可减少完成任务所需的时间和遇到的问题。

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