Institute for Health and Rehabilitation Sciences (IHRS), Ludwig-Maximilians-Universität München, Munich, Germany.
J Rehabil Med. 2011 Jan;43(2):145-50. doi: 10.2340/16501977-0652.
To identify goals of patients with rehabilitation needs in the acute hospital setting using the International Classification of Functioning, Disability and Health (ICF), to examine association of goal achievement with improvement in overall functioning, and to examine whether ICF Core Sets for the acute hospital cover patients goals.
Multi-centre cohort study.
A total of 397 patients (50% female, mean age 63 years) from 5 hospitals in Austria, Switzerland and Germany.
A semi-structured questionnaire was used to assess patient goals and goal achievement. Overall functioning from the patients' and health professionals' perspective was assessed on a numerical rating scale. Improvement in functioning was calculated using a residualized gain score. Association between goal achievement and improvement in overall functioning was assessed with logistic regression.
A total of 397 patients reported achievement of at least 1 goal. Eighty-eight percent of the goals were translated into categories of the ICF. Logistic regression analyses revealed significant association between goal achievement and overall functioning.
The ICF might be useful to identify and structure patient's goals in acute hospital care. The association between goal achievement and improved functioning underlines that it is essential to involve the patient in the process of planning rehabilitation interventions in acute hospitals.
使用国际功能、残疾和健康分类（ICF）来确定有康复需求的患者在急性医院环境中的目标，检验目标实现与整体功能改善的关联，并检验急性医院的 ICF 核心集是否涵盖患者的目标。
多中心队列研究。
来自奥地利、瑞士和德国 5 家医院的 397 名患者（50%为女性，平均年龄 63 岁）。
采用半结构式问卷评估患者的目标和目标实现情况。从患者和卫生专业人员的角度评估整体功能，使用残差增益评分计算功能改善情况。使用逻辑回归评估目标实现与整体功能改善之间的关联。
共有 397 名患者报告实现了至少 1 个目标。88%的目标被转化为 ICF 的类别。逻辑回归分析显示，目标实现与整体功能之间存在显著关联。
ICF 可能有助于识别和构建急性医院护理中患者的目标。目标实现与功能改善之间的关联强调，在急性医院中规划康复干预措施时，让患者参与这一过程至关重要。
Zotero 插件