Park Chan Hyuk, Pyun Sung-Bom, Don Yoo Seung, Lim Seong Hoon, Jung Han Young
Department of Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea.
Department of Physical Medicine and Rehabilitation, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
Brain Neurorehabil. 2021 Mar 23;14(1):e8. doi: 10.12786/bn.2021.14.e8. eCollection 2021 Mar.
This study aimed to develop a short version of the International Classification of Functioning, Disability, and Health (ICF) core set and verify functioning levels of patients for stroke rehabilitation in Korea. Using the Delphi technique, a 3-round consensus process was conducted. Thirty multidisciplinary rehabilitation experts from different hospitals completed the consensus study. The questionnaire for this study adopted the comprehensive ICF core set for stroke developed by the Geyh group. A 7-point Likert-type scale was used by participants to weigh the impact of each category on activities of daily living or rehabilitation after a stroke. The consensus of ratings was assessed with Spearman's rho and inter-quartile range indices. A core set to assess functioning levels of patients with stroke was developed from those categories. A short version of ICF core set to assess and verify functioning levels of patients with stroke was developed for 12 categories, including 3 categories (consciousness, muscle power, and attention) from body functions, 1 (structure of brain) from body structures, 5 (eating, walking, moving around, changing basic body position, and carrying out daily routine) from activities and participation, and 3 (individual attitudes of immediate family members, immediate family, and personal care providers/personal assistants) from environmental factors. This preliminary study developed a Delphi consensus process, gathering statistical evidence and expert commands based on the short version of ICF core set for rehabilitation of stroke patients in Korea.
本研究旨在开发国际功能、残疾和健康分类（ICF）核心集的简短版本，并验证韩国中风康复患者的功能水平。采用德尔菲技术进行了三轮共识达成过程。来自不同医院的30名多学科康复专家完成了共识研究。本研究问卷采用了盖伊小组制定的中风综合ICF核心集。参与者使用7点李克特量表来衡量每个类别对中风后日常生活活动或康复的影响。使用斯皮尔曼等级相关系数和四分位间距指数评估评分的一致性。从这些类别中开发出一套用于评估中风患者功能水平的核心集。开发了一个用于评估和验证中风患者功能水平的ICF核心集简短版本，涵盖12个类别，包括身体功能中的3个类别（意识、肌肉力量和注意力）、身体结构中的1个类别（脑结构）、活动与参与中的5个类别（进食、行走、四处移动、改变基本身体姿势和进行日常活动）以及环境因素中的3个类别（直系家庭成员、直系亲属和个人护理提供者/个人助理的个人态度）。这项初步研究开发了一种德尔菲共识达成过程，基于韩国中风患者康复的ICF核心集简短版本收集统计证据和专家意见。
