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一项针对神经疾病患者的研究方案:将康复目标与《国际功能、残疾和健康分类》相联系,重点关注认知辅助技术及其效果。

A Study Protocol for Persons With Neurological Diseases: Linking Rehabilitation Goals to the International Classification of Functioning, Disability and Health With a Focus on Assistive Technology for Cognition and Its Effects.

作者信息

Lindner Helen, Buer Nina

机构信息

School of Health Sciences, Örebro University, Örebro, Sweden.

Center for Adult Rehabilitation, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

出版信息

Front Rehabil Sci. 2022 May 10;3:864804. doi: 10.3389/fresc.2022.864804. eCollection 2022.

Abstract

Persons with neurological diseases often have some degree of cognitive impairment. They are in need of assistive technology for cognition (ATC) to compensate for cognitive impairments that affect their daily functioning. Goal setting in relation to cognitive deficits using ATC are common in clinical practice, and therapists often set several rehabilitation goals together with a patient. However, these rehabilitation goals are usually phrased differently, which limit the comparison of ATC and rehabilitation goals. It is thus valuable to link the goals to some standardized terminologies, such as the International Classification of Functioning, Disability and Health (ICF). Furthermore, goal achievement is seldom used to evaluate long-term effects of ATC in persons with neurological diseases and limited attention has been paid to the factors that predict goal achievement in using the ATC as cognitive support in persons with neurological diseases. The aim of the project is 3-fold. Firstly, we will use the ICF to link rehabilitation goals regarding the use of ATC in adults with neurological diseases. Secondly, we will evaluate effects of the ATC using goal achievement over a 5-year period. Thirdly, we will explore the variables that predict goal achievement in relation to the effects of ATC.

摘要

患有神经疾病的人通常存在一定程度的认知障碍。他们需要认知辅助技术(ATC)来弥补影响其日常功能的认知障碍。在临床实践中,使用ATC针对认知缺陷设定目标很常见,治疗师通常会与患者共同设定多个康复目标。然而,这些康复目标的表述通常各不相同,这限制了对ATC和康复目标的比较。因此,将这些目标与一些标准化术语(如《国际功能、残疾和健康分类》(ICF))相联系是很有价值的。此外,很少使用目标达成情况来评估ATC对神经疾病患者的长期影响,而且在将ATC用作神经疾病患者认知支持时,对预测目标达成的因素关注有限。该项目的目标有三个方面。首先,我们将使用ICF将针对患有神经疾病的成年人使用ATC的康复目标联系起来。其次,我们将通过5年期间的目标达成情况来评估ATC的效果。第三,我们将探索与ATC效果相关的预测目标达成的变量。

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