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验证骨关节炎综合国际功能、残疾和健康分类核心组合:物理治疗师的观点。

Validation of the comprehensive ICF core set for osteoarthritis: the perspective of physical therapists.

机构信息

ICF Research Branch of the WHO CC FIC (DIMDI), Institute for Health and Rehabilitation Sciences, Ludwig-Maximilian University, Munich, Germany.

出版信息

Physiotherapy. 2011 Mar;97(1):3-16. doi: 10.1016/j.physio.2009.11.011. Epub 2010 Mar 27.

DOI:10.1016/j.physio.2009.11.011
PMID:21295233
Abstract

BACKGROUND AND PURPOSE

Osteoarthritis is a common chronic disease associated with functional impairments and activity limitations, as well as participation restrictions. The Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Osteoarthritis is an application of the ICF and represents the typical spectrum of problems in functioning of patients with osteoarthritis.

OBJECTIVE

To validate the Comprehensive ICF Core Set for Osteoarthritis from the perspective of physical therapists.

METHODS

Physical therapists experienced in the treatment of patients with osteoarthritis were asked about patients' problems, resources and aspects of the environmental factors treated by physical therapists in patients with osteoarthritis in a three-round, electronic-mail survey using the Delphi technique. Responses were linked to the ICF.

RESULTS

Seventy-two experts from 22 countries named 744 meaningful concepts that covered all ICF components. One hundred and fifty-two ICF categories were linked to these answers, 32 concepts were linked to the not-yet-developed personal factors component, and 14 issues were not covered by a single ICF category. Twelve ICF categories were not represented in the Comprehensive ICF Core Set for Osteoarthritis, although at least 75% of the participants rated them as important.

DISCUSSION AND CONCLUSION

The content validity of the ICF was widely supported by the physical therapists. However, several issues were raised that were not covered and need to be investigated further.

摘要

背景与目的

骨关节炎是一种常见的慢性疾病,与功能障碍和活动受限以及参与受限有关。骨关节炎综合国际功能、残疾和健康分类(ICF)核心集是 ICF 的应用,代表了骨关节炎患者功能障碍的典型问题范围。

目的

从物理治疗师的角度验证骨关节炎综合 ICF 核心集。

方法

使用德尔菲技术,通过三轮电子邮件调查,向有治疗骨关节炎患者经验的物理治疗师询问患者的问题、资源以及物理治疗师治疗骨关节炎患者的环境因素方面。反应与 ICF 相关联。

结果

来自 22 个国家的 72 名专家共提出了 744 个有意义的概念,涵盖了 ICF 的所有组成部分。152 个 ICF 类别与这些答案相关联,32 个概念与尚未开发的个人因素类别相关联,14 个问题没有一个 ICF 类别涵盖。12 个 ICF 类别未包含在骨关节炎综合 ICF 核心集中,尽管至少 75%的参与者认为它们很重要。

讨论与结论

物理治疗师广泛支持 ICF 的内容效度。然而,提出了一些未涵盖的问题,需要进一步调查。

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