E. Medea Scientific Institute, Conegliano-Pieve di Soligo Research Centre, Via Costa Alta 37, IT-31015 Conegliano, Italy.
J Rehabil Med. 2010 Jan;42(1):49-55. doi: 10.2340/16501977-0468.
To test the impact of introducing a format based on the International Classification of Functioning Disability and Health, version for children and youth (ICF-CY) as a road-map for in-hospital paediatric neuro-rehabilitation on target definition, intra-team communication and workload as perceived by involved professionals.
Single-centre pilot testing with impact assessment.
Team members of a tertiary care paediatric neurorehabilitation unit included 15 consecutive patients with severe neurological conditions.
An ICF-CY based format for rehabilitation projection and programming was constructed and tested for 12 months. The format comprises 3 sections: project, programme, and follow-up. Impact on the rehabilitation team was assessed with a questionnaire.
All cases were described according to their specific needs with appropriate ICF-CY codes, and the interventions were linked to needs and targets. ICF-CY was judged an efficient tool in providing a road-map for rehabilitation in this setting, although concern was voiced about timing and workload.
ICF-CY may work as a road-map for in-hospital paediatric neuro-rehabilitation. Its implementation results in perceived improvements in the process. Training requirements and accurate evaluation of timing, workload and organizational context are critical issues that should be addressed before results from the present experience are generalized.
测试在院内儿科神经康复中引入基于《国际功能、残疾和健康分类儿童和青少年版》（ICF-CY）的格式作为路线图对目标定义、团队内沟通和工作负荷的影响，这些影响由相关专业人员感知。
具有影响评估的单中心试点测试。
三级儿科神经康复病房的团队成员包括 15 名连续患有严重神经疾病的患者。
构建并测试了一个基于 ICF-CY 的康复预测和编程格式，为期 12 个月。该格式包括 3 个部分：项目、计划和随访。使用问卷评估对康复团队的影响。
所有病例均根据其特定需求用适当的 ICF-CY 编码进行描述，干预措施与需求和目标相关联。尽管对时间安排和工作负荷表示关注，但 ICF-CY 被认为是在这种情况下为康复提供路线图的有效工具。
ICF-CY 可以作为院内儿科神经康复的路线图。它的实施导致了对过程的感知改进。培训要求以及对时间安排、工作负荷和组织背景的准确评估是在推广本经验结果之前应解决的关键问题。
