Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan.
Department of Orthopedic Surgery, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan.
Int J Environ Res Public Health. 2021 Apr 9;18(8):3970. doi: 10.3390/ijerph18083970.
Burn injuries cause disability and functional limitations in daily living. In a 2015 fire explosion in Taiwan, 499 young people sustained burn injuries. The construction of an effective and comprehensive rehabilitation program that enables patients to regain their previous function is imperative. The International Classification of Functioning, Disability, and Health (ICF) includes multiple dimensions that can contribute to meeting this goal. An ICF core set was developed in this study for Taiwanese patients with burns. A consensus process using three rounds of the Delphi technique was employed. A multidisciplinary team of 30 experts from various institutions was formed. The questionnaire used in this study comprised 162 ICF second-level categories relevant to burn injuries. A 5-point Likert scale was used, and participants assigned a weight to the effect of each category on daily activities after burns. The consensus among ratings was assessed using Spearman's ρ and semi-interquartile range indices. The core set for post-acute SCI was developed from categories that attained a mean score of ≥4.0 in the third round of the Delphi exercise. The core ICF set contained 68 categories. Of these, 19 comprised the component of body functions, 5 comprised body structures, 37 comprised activities and participation, and 7 comprised environmental factors. This preliminary core set offers a comprehensive system for disability assessment and verification following burn injury. The core set provides information for effective rehabilitation strategy setting for patients with burns. Further feasibility and validation studies are required in the future.
烧伤会导致残疾和日常生活功能受限。2015 年在中国台湾发生的一场火灾爆炸中，有 499 名年轻人遭受烧伤。因此，构建一个有效且全面的康复计划，使患者恢复到之前的功能至关重要。《国际功能、残疾和健康分类》（ICF）包含多个维度，有助于实现这一目标。本研究为台湾烧伤患者制定了 ICF 核心组。采用三轮 Delphi 技术进行共识过程。组建了一个由来自不同机构的 30 名专家组成的多学科团队。本研究使用的问卷包含 162 个与烧伤相关的 ICF 二级类别。采用 5 点 Likert 量表，参与者对烧伤后每个类别的日常生活影响进行评分。采用 Spearman ρ 和半四分位范围指数评估评分的一致性。从第三轮 Delphi 练习中得分≥4.0 的类别中开发出急性后期 SCI 的核心组。核心 ICF 集包含 68 个类别。其中 19 个属于身体功能部分，5 个属于身体结构部分，37 个属于活动和参与部分，7 个属于环境因素部分。这个初步的核心组为烧伤后残疾评估和验证提供了一个全面的系统。核心组为烧伤患者的有效康复策略制定提供了信息。未来还需要进行进一步的可行性和验证性研究。
