Rehabilitative Cardiology Department, Istituto Santa Maria Nascente Fondazione Don Gnocchi, Milan, Italy.
Disabil Rehabil. 2010;32 Suppl 1:S42-9. doi: 10.3109/09638288.2010.511691. Epub 2010 Sep 6.
To describe functioning and disability in patients with stable ischaemic heart disease (IHD) according to the model endorsed by the International Classification of Functioning Disability and Health (ICF).
Adult patients with IHD undergoing rehabilitation were consecutively enrolled. The ICF checklist and the WHO Disability Assessment Schedule II (WHO-DAS II) were administered in individual sessions. Patients' clinical status was described following NYAH criteria (New York Heart Association). Descriptive analyses were performed to report on clinical variables and WHO-DAS II scores. ICF categories reported as a problem by more than 20% of patients were described in detail.
One hundred patients (mean age 62.9; 91% males, 71% in NYHA class II) were enrolled. Mean WHO-DAS II score was 23.9, and the most severe limitations are reported in life activities, getting around and in participation to social situations. A total of 30 ICF categories reached the threshold of 20%, 17 Body Functions and Structures, 13 Activities and Participation.
ICF application in patients with IHD enables to enlarge the perspective on their health status, and provide useful information to follow the healthcare process from the acute setting to the outpatient management.
根据《国际功能、残疾和健康分类》（ICF）所认可的模式，描述稳定性缺血性心脏病（IHD）患者的功能和残疾情况。
连续纳入接受康复治疗的成年 IHD 患者。在个别会议中，使用 ICF 检查表和世界卫生组织残疾评定量表 II（WHO-DAS II）进行评估。根据纽约心脏协会（NYHA）标准描述患者的临床状况。对临床变量和 WHO-DAS II 评分进行描述性分析。详细描述了超过 20%的患者报告有问题的 ICF 类别。
共纳入 100 名患者（平均年龄 62.9 岁；91%为男性，71%为 NYHA 心功能 II 级）。平均 WHO-DAS II 评分为 23.9，生活活动、行动和参与社会情境方面的限制最为严重。共有 30 个 ICF 类别达到了 20%的阈值，其中包括 17 个身体功能和结构、13 个活动和参与。
将 ICF 应用于 IHD 患者，可以扩大对其健康状况的认识，并提供有用的信息，以从急性治疗环境到门诊管理跟踪医疗保健过程。
