School of Health Sciences, University of Aveiro (ESSUA) , Aveiro , Portugal , and.
Disabil Rehabil. 2013 Sep;35(20):1686-91. doi: 10.3109/09638288.2012.750691. Epub 2013 Jan 24.
This study aimed to validate the Activities and Participation component of the Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Obstructive Pulmonary Diseases (OPD) from the patient's perspective.
A cross-sectional qualitative study was conducted with a convenience sample of outpatients with Chronic Obstructive Pulmonary Disease (COPD). Individual interviews were performed and analysed according to the meaning condensation procedure.
Fifty-one participants (70.6% male) with a mean age of 69.5 ± 10.8 years old were included. Twenty-one of the 24 categories contained in the Activities and Participation component of the Comprehensive ICF Core Set for OPD were identified by the participants. Additionally, seven second-level categories that are not covered by the Core Set were reported: complex interpersonal interactions, informal social relationships, family relationships, conversation, maintaining a body position, eating and preparing meals.
The activities and participation component of the ICF Core Set for OPD was largely supported by the patient's perspective. The categories included in the ICF Core Set that were not confirmed by the participants and the additional categories that were raised need to be further investigated in order to develop an instrument according to the patient's perspective. This will promote a more patient-centred assessments and rehabilitation interventions. Implications for Rehabilitation The Activities and Participation component of the Comprehensive ICF Core Set for OPD is largely supported by the perspective of patients with COPD and therefore could be used in the assessment of patients' individual and social life. The information collected through the Activities and Participation component of the Comprehensive ICF Core Set for OPD could be used to plan and assess rehabilitation interventions for patients with COPD.
本研究旨在从患者角度验证《国际功能、残疾和健康分类》（ICF）慢性阻塞性肺疾病（COPD）核心组合活动和参与部分的有效性。
采用便利抽样法对慢性阻塞性肺疾病门诊患者进行了一项横断面定性研究。对个体访谈进行了分析，并根据意义浓缩程序进行了分析。
共纳入 51 名参与者（70.6%为男性），平均年龄为 69.5±10.8 岁。24 个类别中有 21 个类别被参与者识别，综合 ICF 核心组合活动和参与部分中未涵盖的七个二级类别也被报道：复杂人际互动、非正式社会关系、家庭关系、对话、保持身体姿势、进食和准备饭菜。
综合 ICF 核心组合活动和参与部分得到了患者的广泛支持。未得到参与者确认的核心组合中包含的类别和提出的其他类别需要进一步研究，以便根据患者的角度开发一种工具。这将促进更以患者为中心的评估和康复干预。
COPD 综合 ICF 核心组合活动和参与部分在很大程度上得到了 COPD 患者的认可，因此可用于评估患者的个人和社会生活。通过综合 ICF 核心组合活动和参与部分收集的信息可用于为 COPD 患者计划和评估康复干预措施。
