a Rehabilitation Medicine , Institute for Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg , Gothenburg , Sweden.
b Department of Rehabilitation , Riga Stradiņš University , Riga , Latvia.
Disabil Rehabil. 2019 Mar;41(5):508-513. doi: 10.1080/09638288.2017.1396368. Epub 2018 Mar 5.
To examine if the International Classification of Functioning (ICF) core set for stoke contains problems that are relevant for the persons living with stroke as expressed in the Stroke Impact Scale (SIS).
Cross-sectional study of 242 persons with previous stroke. The agreement between the perceived problems in the SIS items and problems in the categories of Comprehensive ICF Core Set for stroke were analyzed using percent of agreement and Kappa statistic.
The analyses between 57 items of the SIS and 31 second-level categories of the ICF were conducted. The problems in domains of "Mobility", "Activities of daily living", "Hand function", "Strength" in the SIS had moderate agreement when compared to ICF categories. The SIS domains of "Emotion" and "Communication", as well as some aspects of the "Memory" had slight or fair agreement with corresponding ICF categories. The results of the study suggest that there is acceptable agreement between persons after stroke and health professionals in the physical aspects, but rather poor agreement in the cognitive and emotional aspects of functioning.
Health professionals do not fully capture the magnitude of emotional or social problems experienced by persons after stroke when using the ICF Core Set as a framework for evaluation. Implications for Rehabilitation The ICF Core Set for Stroke provides comprehensive list of possible health and health related outcomes for persons after stroke. Problems reported in condition-specific patient-reported outcome scales can be important in decision making in rehabilitation. Patients and health professionals tend to agree more on physical than cognitive problems. Examination of the relevance of the ICF cores set for stroke by comparing with the Stroke Impact Scale.
考察国际功能、残疾和健康分类（ICF）脑卒中核心组是否存在与脑卒中患者在脑卒中影响量表（SIS）中所表达的相关问题。
对 242 例既往脑卒中患者进行横断面研究。使用一致性百分比和 Kappa 统计分析 SIS 项目中感知到的问题与综合脑卒中 ICF 核心组分类之间的一致性。
对 SIS 的 57 个项目和 ICF 的 31 个二级分类进行了分析。与 ICF 分类相比，SIS 中“移动”、“日常生活活动”、“手功能”和“力量”领域的问题具有中度一致性。SIS 的“情绪”和“沟通”领域以及“记忆”的某些方面与相应的 ICF 分类具有轻微或适度的一致性。研究结果表明，脑卒中患者和健康专业人员在身体方面具有可接受的一致性，但在认知和情感功能方面的一致性较差。
当使用 ICF 核心组作为评估框架时，健康专业人员并没有完全捕捉到脑卒中患者在情感或社会问题方面的严重程度。对康复的影响 ICF 脑卒中核心组为脑卒中患者提供了全面的可能健康和健康相关结果清单。在康复决策中，特定于疾病的患者报告结局量表中报告的问题可能很重要。患者和健康专业人员在身体问题上的一致性往往高于认知问题。通过将 ICF 核心组与脑卒中影响量表进行比较，来检查脑卒中 ICF 核心组的相关性。
