Department of Physical Therapy, Karolinska University Hospital, Stockholm 14186, Sweden.
Disabil Rehabil. 2011;33(15-16):1399-408. doi: 10.3109/09638288.2010.533240. Epub 2010 Nov 17.
PURPOSE: To describe within the context of the International Classification of Functioning, Disability and Health (ICF), patient's experiences post-lumber fusion regarding back problems, recovery and expectations of rehabilitation and to contrast with the content of outcome measures and the ICF low back pain (LBP) core sets. METHODS: The study has a cross-sectional and retrospective design and involves 20 lumbar fusion patients. Using the ICF, qualitative content analysis of semi-structured interviews 3-6 months post-surgery was performed. This was compared with the ICF related content of the Oswestry Disability Index (ODI), Medical Outcome Study Short Form 36 (SF-36), European Quality of Life Questionnaire (EQ5D) and the ICF LBP core sets. RESULTS: Patient's experiences were most frequently linked to psychological, sensory, neuromusculoskeletal and movement related body function chapters of the ICF. The most frequently linked categories of activity and participation were mobility, domestic activities, family relationships, work, recreation and leisure. Environmental factors frequently linked were the use of analgesics, walking aids, family support, social security systems, health care systems and labour market employment services. CONCLUSIONS: This study highlights important ICF related aspects of patient's experiences post-lumber fusion. The use of the comprehensive ICF core sets is recommended in conjunction with ODI, SF-36 and the EQ5D for a broader analysis of patient outcomes post-lumbar fusion.
目的:在国际功能、残疾和健康分类(ICF)的背景下,描述腰椎融合术后患者的背部问题、康复恢复情况和对康复的期望,并与结局测量指标和 ICF 下腰痛(LBP)核心组的内容进行对比。
方法:本研究为横断面和回顾性设计,涉及 20 名腰椎融合患者。术后 3-6 个月,采用 ICF 对患者进行半结构式访谈的定性内容分析。将其与 Oswestry 功能障碍指数(ODI)、医疗结局研究 36 项简短健康调查量表(SF-36)、欧洲生活质量量表 5 维(EQ5D)和 ICF LBP 核心组的 ICF 相关内容进行对比。
结果:患者的体验最常与 ICF 的心理、感觉、神经肌肉骨骼和运动相关身体功能章节相关联。活动和参与最常关联的类别是移动性、家务活动、家庭关系、工作、娱乐和休闲。经常关联的环境因素是使用止痛药、助行器、家庭支持、社会保障体系、医疗保健系统和劳动力市场就业服务。
结论:本研究强调了腰椎融合术后患者体验的重要 ICF 相关方面。建议与 ODI、SF-36 和 EQ5D 一起使用全面的 ICF 核心组,对腰椎融合术后患者的结局进行更广泛的分析。
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