Wallace Melissa Anne, Kendall Melissa Bianca
Transitional Rehabilitation Program, Princess Alexandra Hospital , Ipswich Road, Woolloongabba, QLD , Australia and.
Disabil Rehabil. 2014;36(8):642-50. doi: 10.3109/09638288.2013.805259. Epub 2013 Jun 26.
This study aimed to identify, describe and classify the transitional rehabilitation goals of people with spinal cord injury (SCI) and map these goals to the International Classification of Functioning, Disability and Health (ICF).
The five most important rehabilitation goals as rated by clients were extracted from records for 220 clients of a transitional rehabilitation service for people with SCI in Australia over a 5-year period. These goals were thematically classified into domains and then mapped to the ICF framework. Goals were compared across age, gender, length of hospital stay, compensation status, level and completeness of injury.
A total of 1100 goals were classified into 18 different goal domains, representing most aspects of the ICF framework. Age was negatively related to vocational goals. Length of hospital stay was positively related to personal care goals but negatively related to community access and vocational goals. Goals did not differ across gender or compensation status but did differ across level and completeness of injury.
People with SCI have a range of transitional rehabilitation goals that represent most aspects of the ICF framework. Client-centred community rehabilitation during this transition period offers continuity of care to support the realisation of these rehabilitation goals. Implications for Rehabilitation Transitional rehabilitation is a relatively new community service model in the rehabilitation literature, especially for people with spinal cord injury. Client-centred goal setting is integral to these types of community rehabilitation models. Rehabilitation goals in transitional rehabilitation are varied and map well to the International Classification of Functioning, Disability and Health (ICF) with a focus on environmental goals. A typology of rehabilitation goals in this setting will assist in service planning and evaluation of hospital and community rehabilitation services.
本研究旨在识别、描述和分类脊髓损伤（SCI）患者的过渡性康复目标，并将这些目标映射到《国际功能、残疾和健康分类》（ICF）。
从澳大利亚一项针对SCI患者的过渡性康复服务的220名患者的记录中，提取患者评定的五个最重要的康复目标。这些目标按主题分类到各个领域，然后映射到ICF框架。对不同年龄、性别、住院时间、补偿状况、损伤水平和损伤完整性的患者的目标进行比较。
总共1100个目标被分类到18个不同的目标领域，涵盖了ICF框架的大部分方面。年龄与职业目标呈负相关。住院时间与个人护理目标呈正相关，但与社区融入和职业目标呈负相关。目标在性别或补偿状况方面没有差异，但在损伤水平和损伤完整性方面存在差异。
SCI患者有一系列过渡性康复目标，涵盖了ICF框架的大部分方面。在这个过渡时期以患者为中心的社区康复提供了持续的护理，以支持这些康复目标的实现。对康复的启示过渡性康复在康复文献中是一种相对较新的社区服务模式，特别是对于脊髓损伤患者。以患者为中心的目标设定是这类社区康复模式不可或缺的一部分。过渡性康复中的康复目标多种多样，并且与《国际功能、残疾和健康分类》（ICF）很好地对应，重点是环境目标。这种情况下康复目标的类型学将有助于医院和社区康复服务的规划和评估。
