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老年康复机构患者综合国际功能、残疾和健康分类核心集的验证。

Validation of the comprehensive ICF Core Set for patients in geriatric post-acute rehabilitation facilities.

机构信息

Institute for Health and Rehabilitation Sciences (IHRS), Ludwig-Maximilians-Universität München, Munich, Germany.

出版信息

J Rehabil Med. 2011 Jan;43(2):102-12. doi: 10.2340/16501977-0617.

DOI:10.2340/16501977-0617
PMID:21042699
Abstract

OBJECTIVE

To examine the relevance and completeness of the comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for patients in geriatric post-acute rehabilitation facilities.

DESIGN

Multi-centre cohort study.

PATIENTS

A total of 209 patients (67% female, mean age 80.4 years) in geriatric wards of 2 Austrian and 3 German hospitals.

METHODS

Data on functioning were collected using the respective comprehensive ICF Core Set. Data were extracted from patients' medical record sheets and interviews with health professionals and patients.

RESULTS

Most of the categories of the comprehensive ICF Core Set describing impairments, limitations or restrictions occurred in a considerable proportion of the study population. The most outstanding limitations and restrictions of the patients were problems with walking and moving around, and difficulties with self-care. Fourteen aspects of functioning not previously covered by the comprehensive ICF Core Set were reported as relevant.

CONCLUSION

Most categories of the comprehensive ICF Core Set could be confirmed. Limitations in categories of intellectual and seeing functions appeared less frequently than might have been expected for a population of older hospitalized people. Some additional categories not covered by the present version of the comprehensive ICF Core Set emerged from the interviews and should be considered for inclusion in the final version.

摘要

目的

研究老年康复机构患者综合国际功能、残疾和健康分类(ICF)核心分类的相关性和完整性。

设计

多中心队列研究。

患者

2 家奥地利和 3 家德国医院老年病房的 209 名患者(67%为女性,平均年龄 80.4 岁)。

方法

使用综合 ICF 核心分类收集功能数据。数据从患者的病历表和与卫生专业人员和患者的访谈中提取。

结果

描述损伤、限制或障碍的综合 ICF 核心分类的大部分类别在研究人群中相当普遍。患者最突出的限制和障碍是行走和移动困难,以及自理困难。有 14 个以前未被综合 ICF 核心分类涵盖的功能方面被认为是相关的。

结论

综合 ICF 核心分类的大多数类别都得到了证实。智力和视觉功能类别的限制比预期的老年住院患者人群要少。访谈中出现了一些综合 ICF 核心分类目前版本未涵盖的其他类别,应考虑将其纳入最终版本。

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