Viehoff P B, Potijk F, Damstra R J, Heerkens Y F, van Ravensberg C D, van Berkel D M, Neumann H A M
a Department of Dermatology , Erasmus Medical Centre , Rotterdam , The Netherlands.
Acta Oncol. 2015;54(8):1218-24. doi: 10.3109/0284186X.2014.1001873. Epub 2015 Jan 28.
To describe functioning and health of lymphedema patients and to identify their most common problems using the International Classification of Functioning, Disability and Health (ICF) as part of the preparatory studies for the development of ICF Core Sets for lymphedema.
Cross-sectional study in a population of lymphedema patients (n = 200), undergoing treatment in a Dutch lymphedema-specialized hospital. The second-level categories of the ICF were used to collect information on patients' problems in daily functioning.
The mean age of the study group was 56 years (22-84). In total 78.5% of the patients were female. The most frequent mentioned items were: In the Body Functions component: muscle power and mobility of joints, in the Activities and Participation component: doing housework, and changing and maintaining a body position, in the Environmental Factors: Health professionals, who can act as both facilitators and barriers. Interestingly, patients assessed their health more positively than health professionals do.
By using the ICF, a considerable part of the broad spectrum of problems in functioning of lymphedema patients was reported.
作为制定淋巴水肿ICF核心集的前期研究的一部分，使用国际功能、残疾和健康分类（ICF）来描述淋巴水肿患者的功能和健康状况，并确定他们最常见的问题。
对荷兰一家淋巴水肿专科医院正在接受治疗的200名淋巴水肿患者进行横断面研究。使用ICF的二级分类来收集患者日常功能问题的信息。
研究组的平均年龄为56岁（22 - 84岁）。总共78.5%的患者为女性。最常提到的项目有：在身体功能部分：肌肉力量和关节活动度；在活动与参与部分：做家务、改变和维持身体姿势；在环境因素方面：健康专业人员，他们既可以是促进因素，也可能成为障碍。有趣的是，患者对自身健康的评估比健康专业人员更为积极。
通过使用ICF，报告了淋巴水肿患者功能方面广泛问题中的相当一部分。
