Kinoshita Shoji, Abo Masahiro, Okamoto Takatsugu
Department of Rehabilitation Medicine, The Jikei University School of Medicine, Minato-Ku, Tokyo.
Department of Rehabilitation Medicine, Aomori Shintoshi Hospital, Aomori, Aomori.
Int J Rehabil Res. 2020 Sep;43(3):255-260. doi: 10.1097/MRR.0000000000000421.
This study was aimed to determine the effectiveness of the International Classification of Functioning, Disability and Health (ICF)-based multidisciplinary rehabilitation approach with serial assessment and discussion with the ICF rehabilitation set. This prospective cohort study included consecutive patients admitted to the convalescent rehabilitation ward during the period between 1 August 2017 and 30 September 2018. Serial assessment and discussion with the ICF rehabilitation set every 2 weeks in each patient commenced from 1 April 2018. We analyzed the difference in the Extension Index of the ICF rehabilitation set between the periods before the assessment of the ICF rehabilitation set (prior period) and after that (post-period). The change of the Extension Index of the ICF rehabilitation set was higher in patients of the post-period group (n = 59) compared with those of the prior period group (n = 45) (mean 31.6, SD 18.5 vs. mean 17.3, SD 18.4, respectively; 95% confidence interval for the difference 7.0-21.5). Multiple regression analysis showed that serial assessment by the ICF rehabilitation set was independently associated with the improvement of the Extension Index. Multidisciplinary rehabilitation approach combined with serial assessment and discussion using the ICF rehabilitation set was associated with favorable recovery. Our study highlighted the effectiveness of ICF-based multidisciplinary rehabilitation in a clinical setting.
本研究旨在确定基于国际功能、残疾和健康分类（ICF）的多学科康复方法的有效性，该方法包括采用ICF康复套件进行系列评估和讨论。这项前瞻性队列研究纳入了2017年8月1日至2018年9月30日期间入住康复疗养病房的连续患者。从2018年4月1日起，对每位患者每2周使用ICF康复套件进行系列评估和讨论。我们分析了ICF康复套件评估前（前期）和评估后（后期）两个阶段之间ICF康复套件扩展指数的差异。后期组（n = 59）患者的ICF康复套件扩展指数变化高于前期组（n = 45）患者（分别为均值31.6，标准差18.5与均值17.3，标准差18.4；差异的95%置信区间为7.0 - 21.5）。多元回归分析表明，使用ICF康复套件进行系列评估与扩展指数的改善独立相关。多学科康复方法结合使用ICF康复套件进行系列评估和讨论与良好的恢复相关。我们的研究突出了基于ICF的多学科康复在临床环境中的有效性。
