Marques Alda, Martins Anabela, Jácome Cristina, Figueiredo Daniela
School of Health Sciences, University of Aveiro (ESSUA) , Aveiro , Portugal .
Disabil Rehabil. 2014;36(7):593-9. doi: 10.3109/09638288.2013.804598. Epub 2013 Jun 20.
This study aimed to document the content of the EASY-Care Standard questionnaire to the International Classification of Functioning, Disability and Health (ICF) and present its ICF Core Set.
The EASY-Care was linked to the ICF by two trained health professionals according to the established linking rules. The agreement between the health professionals was determined using the Cohen's kappa.
The agreement between the two health professionals was almost perfect for each level of the ICF (Cohen's kappas between 0.91 and 0.97). The 65 items of the EASY-Care were linked to 61 different ICF categories, 16 (26%) from the Body functions component, 3 from the Body structures (5%), 30 from the Activities and participation (49%) and 12 from the Environmental factors (20%). Twelve concepts could not be linked to the ICF at all: 6 were classified as Personal factors, 1 as not defined-general health and 5 were not classified.
The integration of the universal language of the ICF in the EASY-Care illustrates the potential of use this instrument in primary care settings at community level.
The integration of the universal language of the ICF in the EASY-Care potentiates the use of this comprehensive instrument in assessing older people needs at primary care settings. The information obtained with the EASY-Care Standard can be worldwide understood and can be used to plan rehabilitation interventions at community settings for older adults.
本研究旨在记录简易护理标准问卷与《国际功能、残疾和健康分类》（ICF）的内容关联，并呈现其ICF核心集。
两名经过培训的健康专业人员根据既定的关联规则将简易护理与ICF进行关联。使用科恩kappa系数确定健康专业人员之间的一致性。
对于ICF的每个级别，两名健康专业人员之间的一致性几乎完美（科恩kappa系数在0.91至0.97之间）。简易护理的65个项目与61个不同的ICF类别相关联，其中16个（26%）来自身体功能组件，3个来自身体结构（5%），30个来自活动与参与（49%），12个来自环境因素（20%）。有12个概念根本无法与ICF相关联：6个被归类为个人因素，1个被归类为未定义的一般健康，5个未被归类。
在简易护理中融入ICF这一通用语言，说明了该工具在社区基层医疗环境中的应用潜力。
在简易护理中融入ICF这一通用语言，增强了该综合工具在基层医疗环境中评估老年人需求的作用。通过简易护理标准获得的信息能够在全球范围内被理解，并可用于规划针对老年人的社区康复干预措施。
