Saltychev Mikhail, Tarvonen-Schröder Sinikka, Eskola Merja, Laimi Katri
Department of Physical and Rehabilitation Medicine, Turku University Hospital, Turku, Finland.
Int J Rehabil Res. 2013 Jun;36(2):172-7. doi: 10.1097/MRR.0b013e32835e9c4f.
To evaluate the adequacy of abbreviated versions of International Classification of Functioning, Disability and Health (ICF) (the WHO ICF Checklist and the ICF Comprehensive Core Set for Stroke) with respect to the specific clinical needs of a stroke rehabilitation unit before their implementation at a practical level. Common descriptions of functional limitations were identified from patient records of 10 subsequent subacute stroke patients referred to an inpatient multiprofessional rehabilitation unit of a university hospital. These descriptions were then converted into ICF categories, and the list was compared with the ICF Checklist of the WHO and the ICF Comprehensive and Brief Core Sets for Stroke developed by the ICF Research Branch. From the study population (50% women), 71 different, second-level ICF categories were identified, averaging 36.4 categories/patient (SD 5.8, range 28-46). Except for one category, all of the categories identified were also found in the ICF Comprehensive Core Set for Stroke. Of the categories identified, 49 (69%) were found in the WHO ICF Checklist. All except one category included in the ICF Brief Core Set for Stroke were also in our list. The Comprehensive Core Set for Stroke was found to be a good potential starting point for the practical implementation of the ICF in a stroke rehabilitation unit.
在国际功能、残疾和健康分类（ICF）的简化版本（世界卫生组织ICF清单和中风ICF综合核心集）在实际层面实施之前，评估其是否满足中风康复单元的特定临床需求。从转诊至某大学医院住院多专业康复单元的10例连续亚急性中风患者的病历中确定功能受限的常见描述。然后将这些描述转换为ICF类别，并将该列表与世界卫生组织的ICF清单以及ICF研究分支制定的中风ICF综合核心集和简要核心集进行比较。在研究人群（50%为女性）中，确定了71个不同的二级ICF类别，平均每位患者36.4个类别（标准差5.8，范围28 - 46）。除一个类别外，所有确定的类别在中风ICF综合核心集中也有。在确定的类别中，49个（69%）出现在世界卫生组织ICF清单中。中风ICF简要核心集中包含的所有类别（除一个类别外）也在我们的列表中。发现中风ICF综合核心集是在中风康复单元实际实施ICF的一个良好潜在起点。
