Brunani Amelia, Raggi Alberto, Sirtori Anna, Berselli Maria Elisa, Villa Valentina, Ceriani Francesca, Corti Stefania, Leonardi Matilde, Capodaglio Paolo
Department of Rehabilitation Medicine, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, Piancavallo, 28921 Verbania, Italy.
Neurology, Public Health and Disability Unit-Scientific Directorate, Neurological Institute C. Besta IRCCS Foundation, Milan, Italy.
Int J Environ Res Public Health. 2015 May 29;12(6):6084-91. doi: 10.3390/ijerph120606084.
INTRODUCTION/OBJECTIVE: In this study, we aimed to design an ICF-based individual rehabilitation project for obese patients with comorbidities (IRPOb) integrated into the Rehab-CYCLE to standardize rehabilitative programs. This might facilitate the different health professionals involved in the continuum of care of obese patients to standardize rehabilitation interventions.
After training on the ICF and based on the relevant studies, ICF categories were identified in a formal consensus process by our multidisciplinary team. Thereafter, we defined an individual rehabilitation project based on a structured multi-disciplinary approach to obesity.
the proposed IRPOb model identified the specific intervention areas (nutritional, physiotherapy, psychology, nursing), the short-term goals, the intervention modalities, the professionals involved and the assessment of the outcomes. Information was shared with the patient who signed informed consent.
The model proposed provides the following advantages: (1) standardizes rehabilitative procedures; (2) facilitates the flow of congruent and updated information from the hospital to outpatient facilities, relatives, and care givers; (3) addresses organizational issues; (4) might serve as a benchmark for professionals who have limited specific expertise in rehabilitation of comorbid obese patients.
引言/目的：在本研究中，我们旨在设计一个基于国际功能、残疾和健康分类（ICF）的针对合并症肥胖患者的个体康复项目（IRPOb），并将其纳入康复循环中，以使康复计划标准化。这可能有助于参与肥胖患者连续护理的不同卫生专业人员使康复干预标准化。
在接受ICF培训后，基于相关研究，我们的多学科团队通过正式的共识过程确定了ICF类别。此后，我们基于结构化的多学科肥胖治疗方法定义了一个个体康复项目。
所提出的IRPOb模型确定了具体的干预领域（营养、物理治疗、心理、护理）、短期目标、干预方式、涉及的专业人员以及结果评估。信息与签署知情同意书的患者共享。
所提出的模型具有以下优点：（1）使康复程序标准化；（2）促进从医院到门诊设施、亲属和护理人员的一致且最新信息的流通；（3）解决组织问题；（4）可能为在合并症肥胖患者康复方面特定专业知识有限的专业人员提供一个基准。
