School of Health Sciences, University of Aveiro (ESSUA), Aveiro, Portugal.
Disabil Rehabil. 2013 Aug;35(18):1534-45. doi: 10.3109/09638288.2012.745625. Epub 2013 Jan 7.
This study aimed to describe the functioning of patients with Chronic Obstructive Pulmonary Disease (COPD) according to the International Classification of Functioning, Disability and Health (ICF) framework to inform future rehabilitation interventions.
A cross-sectional study with a convenience sample of outpatients with COPD was conducted. Data were collected using the Comprehensive ICF Core Set for Obstructive Pulmonary Diseases. Descriptive and inferential statistics were applied.
In total, 119 participants (71.43% male) with a mean age of 68.71 ± 11.61 years old were included. The frequency and extent of the majority of the impairments assessed were similar among participants at different COPD grades. The most relevant (frequency >70%) Body functions and structures impairments were related to exercise tolerance functions, sensations associated with cardiovascular and respiratory functions and respiratory system structure. Mobility and domestic life restrictions were the most frequently reported in the activities and participation component. Products for personal consumption, immediate family, health professionals and their attitudes were most frequently understood as facilitators whilst climate and air quality were perceived as barriers.
Recommendations were drawn from this study in order to improve comprehensive rehabilitation interventions for patients with COPD based on ICF framework.
Functioning of patients with Chronic Obstructive Pulmonary Disease can be comprehensively assessed in a worldwide common language - the International Classification of Functioning, Disability and Health. Rehabilitation interventions for patients with Chronic Obstructive Pulmonary Disease should be designed according to the International Classification of Functioning, Disability and Health framework, i.e. assessing and monitoring Body functions, Body structures, Activities and participation and Environmental factors.
本研究旨在根据《国际功能、残疾和健康分类》（ICF）框架描述慢性阻塞性肺疾病（COPD）患者的功能，为未来的康复干预提供信息。
采用横断面研究，对 COPD 门诊患者进行方便抽样。使用《阻塞性肺疾病综合 ICF 核心集》收集数据。应用描述性和推断性统计。
共纳入 119 名参与者（71.43%为男性），平均年龄 68.71±11.61 岁。不同 COPD 分级的患者评估的大多数损伤的频率和程度相似。与运动耐量功能、心血管和呼吸系统功能相关的感觉以及呼吸系统结构相关的身体功能和结构损伤最为常见（频率>70%）。活动和参与部分中最常报告的是移动性和日常生活受限。个人消费品、直系亲属、卫生专业人员及其态度最常被理解为促进因素，而气候和空气质量则被视为障碍。
本研究提出了一些建议，以便根据 ICF 框架改进 COPD 患者的综合康复干预。
患有慢性阻塞性肺疾病的患者的功能可以用一种全球通用的语言-《国际功能、残疾和健康分类》进行全面评估。慢性阻塞性肺疾病患者的康复干预措施应根据《国际功能、残疾和健康分类》框架设计，即评估和监测身体功能、身体结构、活动和参与以及环境因素。
