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国际功能、残疾和健康分类在手类风湿关节炎患者结局评估中的特性。

Properties of the International Classification for Functioning, Disability and Health in assessing hand outcomes in patients with rheumatoid arthritis.

机构信息

Department of Surgery, Section of Plastic Surgery, University of Michigan Health System, 1500 E. Medical Center Drive 2130 Taubman Center, Ann Arbor, MI 48109-5340, USA.

出版信息

J Rehabil Med. 2011 Mar;43(4):292-8. doi: 10.2340/16501977-0671.

DOI:10.2340/16501977-0671
PMID:21267527
Abstract

OBJECTIVES

Variables from a study of patients with rheumatoid arthritis were linked to the International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis. The purpose of this analysis was to evaluate the ICF Core Sets for rheumatoid arthritis for assessing the functional outcomes of the rheumatoid hand.

DESIGN

Prospective cohort.

SUBJECTS

A total of 142 subjects with rheumatoid arthritis.

METHODS

Patients who elected to have or not have arthroplasty were linked with the ICF Core Sets. Study variables were assigned into one of the Core Set blocks that compose the ICF model. The blocks were then entered into multiple regression models to determine the contribution of each block in explaining the variation in hand outcome at enrollment, as well as the change in hand outcome after one year.

RESULTS

Seventy percent of the reported hand outcome at enrollment was explained by the ICF Core Set blocks. For change in hand outcome at one year, the ICF Core Set blocks measured at enrollment explained 18% of the variance.

CONCLUSION

The components of the ICF Core Set for rheumatoid arthritis explained much of the variation in hand functioning for patients with rheumatoid arthritis, but were not predictive of the change in hand functioning after one year.

摘要

目的

将类风湿关节炎患者研究中的变量与国际功能、残疾和健康分类(ICF)核心集相联系,以评估类风湿关节炎的 ICF 核心集在评估类风湿关节炎手部功能结果方面的适用性。

设计

前瞻性队列研究。

受试者

共 142 例类风湿关节炎患者。

方法

选择进行或不进行关节置换术的患者与 ICF 核心集相联系。将研究变量分配到 ICF 模型的核心集块之一中。然后,将这些块体纳入多元回归模型,以确定每个块体在解释手部功能结局的变异以及手部功能结局在一年后的变化方面的贡献。

结果

在纳入时,报告的手部结局的 70%可由 ICF 核心集块来解释。对于一年后手结局的变化,在纳入时测量的 ICF 核心集块解释了 18%的方差。

结论

类风湿关节炎的 ICF 核心集的组成部分解释了类风湿关节炎患者手部功能的大部分变化,但不能预测一年后手功能的变化。

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