Magalhães Francesca de Brito, de Lima Mônica Angelim Gomes, Neves Robson da Fonseca, Costa-Black Katia, de Araújo Tânia Maria, Porto Lauro Antonio
Graduate Program in Health, Environment and Work, School of Medicine, Universidade Federal da Bahia - Salvador (BA), Brazil. Universidade Federal da Bahia Graduate Program in Health, Environment and Work School of Medicine Universidade Federal da Bahia Brazil.
Graduate Program in Physical Therapy, Universidade Federal da Paraíba - João Pessoa (PB), Brazil. Universidade Federal da Paraíba Graduate Program in Physical Therapy Universidade Federal da Paraíba Brazil.
Rev Bras Med Trab. 2019 Dec 1;17(4):545-556. doi: 10.5327/Z1679443520190443. eCollection 2019.
Comprehensive approaches using the International Classification of Functioning, Disability and Health (ICF) Checklist have been adopted to give more visibility to demands related to specific health situations.
To analyze the incapacity and functioning associated with activity/participation and environmental factors of female workers with repetitive strain injury/work-related musculoskeletal disorders (RSI/WRMSDs) using workers' narratives, ICF codes and the RSI/WRMSDs Checklist developed as a part of the present research project.
A qualitative analysis of in-depth interviews with 15 female workers diagnosed with RSI/WRMSDs was completed. Functioning and disability were assessed by linking ICF codes identified in the participants' narratives to those included in the RSI/WRMSDs Checklist.
Fifty-three of 60 ICF codes included in the RSI/WRMSDs Checklist were detected in the participants' narratives. Related to activity/participation, 26 codes were identified and 27 related to environmental factors.
These results highlight the significance of the RSI/WMSDs Checklist to detect clinical and social problems experienced by workers during the rehabilitation and return-to-work process. They also reinforce the relevance of expanding the application of the checklist to male and female workers with RSI/WRMSDs undergoing rehabilitation to attain other levels of validation.
已采用使用《国际功能、残疾和健康分类》（ICF）清单的综合方法，以使与特定健康状况相关的需求得到更多关注。
利用工人的叙述、ICF编码以及作为本研究项目一部分制定的重复性劳损/工作相关肌肉骨骼疾病（RSI/WRMSDs）清单，分析患有RSI/WRMSDs的女性工人在活动/参与和环境因素方面的失能情况及功能状况。
完成了对15名被诊断患有RSI/WRMSDs的女性工人的深入访谈的定性分析。通过将参与者叙述中确定的ICF编码与RSI/WRMSDs清单中包含的编码相联系，评估功能和残疾情况。
在参与者的叙述中检测到了RSI/WRMSDs清单中包含的60个ICF编码中的53个。与活动/参与相关的有26个编码，与环境因素相关的有27个编码。
这些结果凸显了RSI/WMSDs清单对于检测工人在康复和重返工作过程中所经历的临床和社会问题的重要性。它们还强化了将该清单的应用扩展到正在接受康复治疗的患有RSI/WRMSDs的男性和女性工人以获得其他验证水平的相关性。
