Osborne Candice L, Meyer Walter J, Ottenbacher Kenneth J, Arcari Christine M
Department of Physical Medicine and Rehabilitation, University of Texas Southwest Medical Center, Dallas, TX 75390, USA; Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX 77555, USA.
Shriners Hospital for Children, Shriners Burn Hospital, Galveston, TX 77555, USA; Department of Surgery, School of Medicine, University of Texas Medical Branch, Galveston, TX 77555, USA; Department of Psychiatry and Behavioral Science, School of Medicine, University of Texas Medical Branch, Galveston, TX 77555, USA.
Burns. 2017 Jun;43(4):700-714. doi: 10.1016/j.burns.2016.10.013. Epub 2016 Dec 29.
The World Health Organization's International Classification of Functioning, Disability and Health (ICF) is a universal classification system of health and health-related domains. The ICF has been successfully applied to a wide range of health conditions and diseases; however, its application in the field of burn recovery has been minimal. This systematic review uses the domains of the ICF component 'activities and participation' to explore: (1) the extent to which return to daily activities and community participation after burn has been examined in the pediatric population, (2) the most common assessments used to determine activity and participation outcomes, and (3) what activity and participation areas are most affected in the pediatric burn population after discharge from acute care. Results determined that it is difficult to draw overarching conclusions in the area of return to 'activities and participation' for children with burn based on the paucity of current evidence. Of the studies conducted, few examined the same subtopics or used similar measurements. This suggests a need for more robust studies in this area in order to inform and improve burn rehabilitation practices to meet the potential needs of burn patients beyond an acute care setting.
世界卫生组织的《国际功能、残疾和健康分类》（ICF）是一个关于健康及与健康相关领域的通用分类系统。ICF已成功应用于广泛的健康状况和疾病；然而，其在烧伤康复领域的应用却很少。本系统评价利用ICF组件“活动与参与”的领域来探究：（1）儿科人群中烧伤后恢复日常活动和社区参与的研究程度；（2）用于确定活动和参与结果的最常见评估方法；（3）急性护理出院后儿科烧伤人群中受影响最大的活动和参与领域。结果表明，基于目前证据的匮乏，很难就烧伤儿童“活动与参与”恢复领域得出总体结论。在所开展的研究中，很少有研究考察相同的子主题或使用类似的测量方法。这表明该领域需要开展更有力的研究，以便为烧伤康复实践提供信息并加以改进，以满足急性护理环境之外烧伤患者的潜在需求。
