Institute for Health and Rehabilitation Sciences (IHRS), Ludwig-Maximilians-Universität München, Munich, Germany.
J Rehabil Med. 2011 Jan;43(2):151-5. doi: 10.2340/16501977-0657.
Timely goal setting in close collaboration with the patient is essential to successful rehabilitation. We therefore sought to identify goals of patients in early post-acute rehabilitation as predictors of improved functioning.
We conducted a prospective multi-centre cohort study in 5 early post-acute rehabilitation facilities.
Patients with musculoskeletal, cardiopulmonary and neurological conditions were recruited between May 2005 and August 2008.
A semi-structured questionnaire was used to identify patient goals and to assess improvement in overall functioning. Patients' goals were coded according to the International Classification of Functioning, Disability and Health (ICF). By means of a mixed effects model we examined the association between goal attainment and improved functioning.
A total of 116 patients gave 546 statements, of which 426 were linked to 74 ICF categories, which were assigned to the existing comprehensive post-acute ICF Core Sets. Improvements in walking, recreation and leisure, pain, and transfer were the most frequently reported goals. In multivariable analysis patients' goal attainment was not a predictor for improved overall functioning.
The ICF can be used to identify and structure patients' goals. Patients' perspective should be considered in the rehabilitation process.
与患者密切合作，及时制定目标对康复的成功至关重要。因此，我们试图确定早期急性后康复患者的目标，将其作为功能改善的预测因素。
我们在 5 家早期急性后康复机构进行了一项前瞻性多中心队列研究。
2005 年 5 月至 2008 年 8 月期间，我们招募了患有肌肉骨骼、心肺和神经系统疾病的患者。
使用半结构化问卷确定患者的目标，并评估整体功能的改善。根据国际功能、残疾和健康分类（ICF）对患者的目标进行编码。通过混合效应模型，我们研究了目标实现与功能改善之间的关联。
共有 116 名患者提出了 546 项陈述，其中 426 项与 74 个 ICF 类别相关联，并被分配到现有的全面急性后 ICF 核心集。行走、娱乐休闲、疼痛和转移的改善是最常报告的目标。在多变量分析中，患者目标的实现不是整体功能改善的预测因素。
ICF 可用于识别和构建患者的目标。患者的观点应在康复过程中得到考虑。
