Institute for Health and Rehabilitation Sciences (IHRS), Ludwig-Maximilians-Universität, München, Germany.
J Rehabil Med. 2011 Jan;43(2):156-61. doi: 10.2340/16501977-0636.
To identify goals of older patients in geriatric rehabilitation and to measure their improvement in overall functioning.
A prospective multi-centre cohort study.
A semi-structured questionnaire was used to identify patient goals and to assess improvement in overall functioning from patients' and health professionals' perspectives. Patients' goals were linked to the International Classification of Functioning, Disability and Health (ICF). Using a residualized change score, we identified patients who improved more than statistically expected.
A total of 209 patients gave 476 statements. Of these, 346 (72.7%) statements were linked to 58 different ICF categories. More than 90% of the ICF categories were part of the comprehensive geriatric ICF Core Set. "Walking", "getting rid of pain", "autonomy" and "returning home" were the most frequently reported goals. Multivariable analysis identified shorter length of inpatient stay and goal attainment to be significant predictors for an improvement in overall functioning from the patients' perspective.
The ICF can be used to identify and structure patients' goals in geriatric rehabilitation. The association between goal attainment and improved overall functioning underlines the necessity of considering the patients' perspective in the rehabilitation process.
确定老年康复患者的目标，并衡量其整体功能的改善情况。
前瞻性多中心队列研究。
使用半结构化问卷确定患者的目标，并从患者和卫生专业人员的角度评估整体功能的改善情况。患者的目标与国际功能、残疾和健康分类（ICF）相关联。使用残差变化分数，我们确定了那些改善程度超过统计预期的患者。
共有 209 名患者提出了 476 项陈述。其中，346 项（72.7%）陈述与 58 个不同的 ICF 类别相关联。超过 90%的 ICF 类别是综合老年 ICF 核心集的一部分。“行走”、“消除疼痛”、“自主”和“返回家中”是最常报告的目标。多变量分析确定较短的住院时间和目标实现是患者视角下整体功能改善的显著预测因素。
ICF 可用于确定和构建老年康复患者的目标。目标实现与整体功能改善之间的关联强调了在康复过程中考虑患者视角的必要性。
