Diretoria de Saúde e Qualidade de Vida do Servidor Federal, Universidade Federal do Acre, Rio Branco, AC, Brasil.
Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
Rev Saude Publica. 2020;54:45. doi: 10.11606/s1518-8787.2020054001463. Epub 2020 May 20.
OBJECTIVE To review the main instruments of functional assessment and health status cited in the literature to evaluate Brazilian workers and verify the compatibility of their items with the core set for professional rehabilitation. METHODS A review of the literature was conducted in the main databases in search of articles that used assessment instruments in populations of workers between 2007 and 2017. Subsequently, the contents of the identified instruments were retrieved, and two evaluators analyzed their items to verify the compatibility with the categories of the core set of the International Classification of Functioning for professional rehabilitation. Cohen's kappa coefficient was used to evaluate the agreement between the evaluators. RESULTS Five specific and eight generic instruments were selected to evaluate the functioning of workers. The analysis of the items of the total instruments allowed the definition of 58 categories (64.5%) of the core set with minimal overlap: 13 (76.5%) of the body functions component, 29 (72.5%) of the activities and participation component and 16 (49%) environmental factors. CONCLUSIONS The association of several instruments requires time and makes it difficult to use the classification. The development of instruments with direct association with its categories is essential to operationalize it.
回顾文献中用于评估巴西劳动者的主要功能评估和健康状况工具,并验证其项目与专业康复核心组的兼容性。
在主要数据库中进行文献回顾,以搜索 2007 年至 2017 年间使用评估工具的劳动者人群的文章。随后,检索确定工具的内容,并由两名评估员分析其项目,以验证与专业康复国际功能分类核心组的类别是否兼容。使用 Cohen's kappa 系数评估评估员之间的一致性。
选择了 5 种特定工具和 8 种通用工具来评估劳动者的功能。对总工具项目的分析确定了核心组的 58 个类别(64.5%),最小重叠:身体功能组件 13 个(76.5%)、活动和参与组件 29 个(72.5%)和环境因素 16 个(49%)。
多种工具的联合使用需要时间,并且难以使用分类。开发与分类直接相关的工具对于使其操作化至关重要。