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ICF 概念框架在骨质疏松症中的应用。

Application of ICF conceptual framework in Osteoporosis.

机构信息

Faculty of Health Science, Rehabilitation Sciences, Western University , London, Ontario, Canada.

School of Communication Science and Disorders, Western University , London, Ontario, Canada.

出版信息

Physiother Theory Pract. 2020 Oct;36(10):1077-1087. doi: 10.1080/09593985.2018.1563932. Epub 2019 Jan 10.

Abstract

Osteoporosis (OP) is a metabolic bone disease defined by low bone strength and deterioration of bone tissue, which has wide clinical presentations. The World Health Organization's International Classification of Functioning Disability and Health (ICF) provides a common language, classification system, and conceptual framework to describe the consequences of health conditions in terms of body function and structure, activities and participation, environmental and personal factors. : The ICF conceptual framework was used, in this paper, to integrate OP research-based knowledge into clinical application using clinical vignettes. : Body functions and structures, activities and participation, environmental factors and personal factors are described, and the inter-connection among these factors is explored. The vignettes highlight the importance of different components of the ICF framework and to demonstrate how the ICF framework can capture individual differences in how disability can be experienced in OP. : The ICF conceptual framework provides a holistic representation of disability by facilitating a critical appraisal of the health status of people with OP. The framework creates an awareness of the broad and multidimensional nature of OP on the health of individual patients, integrates dimensions of functioning, and highlights the complexity of the evaluation and management of OP.

摘要

骨质疏松症(OP)是一种代谢性骨病,其特征为骨量低、骨组织恶化,临床表现广泛。世界卫生组织的《国际功能、残疾和健康分类》(ICF)提供了一种通用语言、分类系统和概念框架,用于根据身体功能和结构、活动和参与、环境和个人因素来描述健康状况的后果。本文使用 ICF 概念框架,通过临床病例来整合基于 OP 研究的知识,以应用于临床。描述了身体功能和结构、活动和参与、环境因素和个人因素,并探讨了这些因素之间的相互联系。这些病例强调了 ICF 框架不同组成部分的重要性,并展示了 ICF 框架如何能够捕捉到个体在 OP 中经历残疾的差异。ICF 概念框架通过促进对 OP 患者健康状况的批判性评估,提供了对残疾的整体描述。该框架使人们意识到 OP 对个体患者健康的广泛和多维性质,整合了功能维度,并强调了 OP 的评估和管理的复杂性。

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