Talo S, Rytökoski U, Hämäläinen A, Kallio V
Social Insurance Institution, Research and Development Centre, Turku, Finland.
Int J Rehabil Res. 1996 Jun;19(2):93-109.
To compare the effectiveness of diverse rehabilitation programmes, comparable data about their effects on maintaining or improving the residual function of the rehabilitation patients should be gathered. Current rehabilitation theories and assessment procedures for functioning are not consistent enough for valid comparisons. The rehabilitation theory should be developed to produce coherence and generalizability to the rehabilitation process. The biopsychosocial disease consequence (BPSDC) model for functioning is presented for this purpose. The model describes the rehabilitation process of patients with chronic pain as a three-axial (biopsychosocial) and three-dimensional (disease consequences) assessment and intervention grid for functioning. It emphasizes the strict mutual relationship between the assessment procedures and intervention plans. Application of the BPSDC model in the Finnish AKSELI project studying the effects of two different programmes on patients with chronic low-back pain is described. Although the AKSELI studies indicated that in addition to the assessment procedures other factors also contributed to valid evaluation of outcomes, and it is hoped that the BPSDC model will encourage researchers to look for definitions of functioning, to assess functioning according to theoretical assumptions about the sub-areas of functioning, and to provide comparable outcome data for the evaluation of various programmes.
为比较不同康复方案的效果，应收集有关其对维持或改善康复患者残余功能影响的可比数据。当前的康复理论和功能评估程序不够一致，无法进行有效的比较。应发展康复理论，以实现康复过程的连贯性和普遍性。为此，提出了功能的生物心理社会疾病后果（BPSDC）模型。该模型将慢性疼痛患者的康复过程描述为一个用于功能评估和干预的三轴（生物心理社会）和三维（疾病后果）网格。它强调评估程序与干预计划之间严格的相互关系。描述了BPSDC模型在芬兰AKSELI项目中的应用，该项目研究了两种不同方案对慢性下腰痛患者的影响。尽管AKSELI研究表明，除评估程序外，其他因素也有助于对结果进行有效评估，并且希望BPSDC模型将鼓励研究人员寻找功能的定义，根据关于功能子领域的理论假设评估功能，并为评估各种方案提供可比的结果数据。
