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脑瘫患者的残疾感知:使用 WHODAS 2.0 的横断面研究。

The perception of disability in cerebral palsy: a cross-sectional study using the WHODAS 2.0.

机构信息

Scientific Institute, IRCCS E.Medea, Conegliano, Treviso, Italy.

Fondazione IRCCS Istituto Neurologico Carlo Besta, UOC Neurologia Salute Pubblica E Disabilità, Lombardia, Italy.

出版信息

Dev Neurorehabil. 2023 Jul;26(5):302-308. doi: 10.1080/17518423.2023.2232002. Epub 2023 Jul 4.

Abstract

This observational study aims to describe the level of perceived disability in Cerebral Palsy (CP). We described the perception of adults by using the interviewer-administered version of the WHO disability assessment schedule (WHODAS 2.0). In case of intellectual disability (ID), the proxy-administered version was used, and a caregiver was asked to report the difficulties experienced by the patient; 199 patients were enrolled. The level of perceived disability was higher when referred to patients with ID (proxy report) than when referred to patients without ID ( < .001). For all patients, the level of perceived disability varied depending on the severity and the localization of motor impairment (both  < .001). No differences were observed based on the type of motor impairment. The perceived disability was correlated with age only for patients with no ID ( < .05). The WHODAS 2.0 may be a useful tool to explore the perception of disability in CP.

摘要

这项观察性研究旨在描述脑瘫(CP)患者感知到的残疾程度。我们使用世卫组织残疾评估表(WHODAS 2.0)的访谈者管理版本来描述成年人的感知。在智力残疾(ID)的情况下,使用代理管理版本,要求照顾者报告患者所经历的困难;共纳入 199 名患者。当涉及到有 ID(代理报告)的患者时,感知到的残疾程度高于没有 ID 的患者( < .001)。对于所有患者,感知到的残疾程度取决于运动障碍的严重程度和定位(均  < .001)。根据运动障碍的类型,没有观察到差异。只有无 ID 的患者的感知残疾与年龄相关( < .05)。WHODAS 2.0 可能是一种有用的工具,可以探索 CP 患者对残疾的感知。

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