Department of Public Health, Aarhus University, Aarhus, Denmark.
Specialized Hospital for Polio and Accident Victims, Roedovre, Denmark.
Disabil Rehabil. 2021 Jun;43(12):1669-1674. doi: 10.1080/09638288.2019.1672108. Epub 2019 Oct 7.
To classify short-term and long-term rehabilitation goals and analyse how they capture functioning in a biopsychosocial International Classification of Functioning, Disability and Health (ICF) perspective.
A retrospective study was conducted at two specialised outpatient multidisciplinary rehabilitation centres for polio survivors and accident victims. Rehabilitation goals extracted from patient journals were linked to the ICF according to linking rules.
One hundred patients were included. Four hundred and eighty-seven short-term and long-term rehabilitation goals were linked to the ICF. Fifty-seven per cent were linked to Activity and Participation, 22% to Body Functions, 1% to Body Structure, 4% to Environmental Factors, 4% to Personal Factors, whereas 11% were not defined and 1% was not covered. The identified categories covered all ICF domains. The most frequent categories for short-term goals were "Walking" and "Looking after one's health." For long-term goals, "Remunerative Employment" and "Recreation and Leisure" were the most frequent.
The study showed challenges in capturing all aspects of biopsychosocial functioning in rehabilitation goals, particularly Contextual Factors. This study indicates that rehabilitation goals capture rather than . Further research could highlight if functioning is captured in the rehabilitation plan, and in this way include both and .Implications for rehabilitationHealth professionals in a post-acute or long-term rehabilitation setting should pay attention to when rehabilitation goals are set.The rehabilitation plan should contain goals and a description of patient's contextual factors and both should be equally valued and combined in a description of functioning.In a post-acute or long-term rehabilitation setting short-term and long-term goals are affected by the context. A longer rehabilitation intervention lead to goals linked to activity and participation.
对短期和长期康复目标进行分类，并分析它们如何从生物-心理-社会角度捕捉国际功能、残疾和健康分类（ICF）中的功能。
在两家专门的门诊多学科脊髓灰质炎幸存者和事故受害者康复中心进行了一项回顾性研究。根据链接规则，将从患者日记中提取的康复目标与 ICF 进行链接。
共纳入 100 名患者。将 487 个短期和长期康复目标与 ICF 进行了链接。57%与活动和参与有关，22%与身体功能有关，1%与身体结构有关，4%与环境因素有关，4%与个人因素有关，而 11%未定义，1%未涵盖。所确定的类别涵盖了 ICF 的所有领域。短期目标中最常见的类别是“行走”和“照顾自己的健康”。对于长期目标，“有酬就业”和“娱乐休闲”是最常见的。
该研究表明，在康复目标中捕捉生物-心理-社会功能的所有方面，特别是环境因素，存在挑战。本研究表明，康复目标是对功能的“捕捉”而不是“描述”。进一步的研究可以强调功能是否在康复计划中被捕捉到，从而包括“描述”和“捕捉”。
处于康复后期或长期康复环境中的健康专业人员在设定康复目标时应注意环境因素。康复计划应包含目标和患者环境因素的描述，两者应同等重视，并结合在一起描述功能。在康复后期或长期康复环境中，短期和长期目标受到环境的影响。更长的康复干预会导致与活动和参与相关的目标。
