School of Medicine and Surgery, University of Milano Bicocca, 20126 Milano, Italy.
Casa di cura Beato Palazzolo, 24122 Bergamo, Italy.
Int J Environ Res Public Health. 2020 Jun 16;17(12):4291. doi: 10.3390/ijerph17124291.
: Successful rehabilitation is associated with physical, psychological, environmental, social, and personal factors based on the International Classification of Functioning, Disability and Health (ICF) framework. The influence of age has been suggested as crucial personal factors that may affect rehabilitation needs in post-stroke survivors. The aim of this study was to investigate the qualifiers of the ICF core set for stroke to detect differences in rehabilitation needs and goals between older (O, >65 years old) and younger (Y, ≤65 years old,) post-stroke individuals. : In this observational study, the comprehensive core set for stroke was filled during the rehabilitation period. Patient information was obtained using disability scales was translated into certain ICF categories using linking rules. Frequency, similarity, and linear regression analyses were performed for ICF qualifier profiles among Y and O patients. : Forty-eight ICF variables were significantly different between Y ( = 35, 46.17 ± 11.27 years old) and O ( = 35, 76.43 ± 6.77 years old) patients. Frequency analysis showed that activity of daily living and basic needs were more prevalent in O patients, whereas regaining of social role and social life were more prevalent in Y patients. The average Jaccard Index result (similarity analysis) was more homogeneous in O than in Y patients. ICF qualifiers are useful to design patient-centered care. Y patients have more heterogeneous needs and require more personalized program than O patients.
成功的康复与身体、心理、环境、社会和个人因素有关,这些因素基于国际功能、残疾和健康分类(ICF)框架。年龄的影响被认为是关键的个人因素,可能会影响中风后幸存者的康复需求。本研究旨在调查中风 ICF 核心组的限定词,以检测年龄较大(O,>65 岁)和年龄较小(Y,≤65 岁)中风患者之间康复需求和目标的差异。
在这项观察性研究中,在康复期间填写了全面的中风核心组。使用残疾量表获取患者信息,并使用链接规则将其翻译为特定的 ICF 类别。对 Y 和 O 患者的 ICF 限定词特征进行频率、相似性和线性回归分析。
Y(n=35,46.17±11.27 岁)和 O(n=35,76.43±6.77 岁)患者之间有 48 个 ICF 变量存在显著差异。频率分析显示,日常生活活动和基本需求在 O 患者中更为普遍,而社会角色和社会生活的恢复在 Y 患者中更为普遍。相似性分析的平均 Jaccard 指数结果(相似性分析)在 O 患者中比 Y 患者更一致。ICF 限定词有助于设计以患者为中心的护理。Y 患者的需求更加多样化,比 O 患者需要更个性化的方案。