运用ICF核心分类组合脑卒中(综合版)评价脑卒中患者功能状况的多中心研究

doi:10.3969/j.issn.1006-9771.2019.07.015

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (7): 816-821.doi: 10.3969/j.issn.1006-9771.2019.07.015

运用ICF核心分类组合脑卒中(综合版)评价脑卒中患者功能状况的多中心研究

刘丽旭^1,2,3, 张通^1,2,3, 何静杰^1,2

1.十二五”国家科技支撑计划课题组
2.中国康复研究中心北京博爱医院，北京市 100068
3.首都医科大学康复医学院，北京市 100068
4.神经损伤与康复北京市重点实验室，北京市 100068

收稿日期:2019-05-20 修回日期:2019-07-04 出版日期:2019-07-25 发布日期:2019-07-23
通讯作者: 张通 E-mail:zt_crrc@126.com
作者简介:刘丽旭(1972-)，女，汉族，湖南邵阳市人，博士，副主任医师、副教授，主要研究方向：神经系统疾病诊治、神经康复。
基金资助:
“十二五”国家科技支撑计划课题(No. 2011BAI08B11)

Application of Comprehensive ICF Core Set for Stroke for Evaluation for Stroke Patients: A Multi-center Study

LIU Li-xu^1,2,3, ZHANG Tong^1,2,3, HE Jing-jie^1,2. Group of the "Twelfth Five-Year" National Plan for the Science & Technology Support Program of China

1. Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China;
2. Capital Medical University School of Rehabilitation, Beijing 100068, China;
3. Beijing Key Laboratory of Neural Injury and Rehabilitation, Beijing 100068, China

Received:2019-05-20 Revised:2019-07-04 Published:2019-07-25 Online:2019-07-23
Contact: ZHANG Tong E-mail:zt_crrc@126.com
Supported by:
Supported by “Twelfth Five-Year” National Plan for Science & Technology Support Program of China (No. 2011BAI08B11)

摘要/Abstract

摘要： 目的运用ICF核心分类组合脑卒中(综合版)评价脑卒中康复患者的功能、结构、活动和参与、环境因素，并探讨其相互关系。方法 2012年7月至2014年6月，来自全国57个医疗中心的首发脑卒中住院患者2822例，采用ICF核心分类组合脑卒中(综合版)进行评定。对各类目以及不同类目之间的关系进行分析。结果步态、肌肉力量、随意运动控制、驾驶、做家务、就业是患者困难较大的前几位类目；环境因素中，建筑物相关的用品和技术、个人室内外移动和运输用的用品和技术、劳动和就业的服务、体制和政策等是影响患者的前几位障碍因素。功能与活动和参与正相关(r = 0.712, r = 0.694, P < 0.001)；活动和参与的活动表现与能力表现高度正相关(r = 0.877, P < 0.001)；环境因素中的障碍因素与活动和参与的活动表现正相关(r = 0.308, P < 0.001)。结论 ICF核心分类组合脑卒中(综合版)可以作为一个新的康复评价体系应用于脑卒中患者，有助于开展更实用、更有效的康复。

关键词: 脑卒中, 国际功能、残疾和健康分类, 脑卒中ICF核心分类组合, 康复评定, 多中心研究

Abstract: Objective To evaluate the body function, structure, activities and participation, and environmental factors of stroke patients using the Comprehensive ICF Core Set for Stroke, and explore the correlation among them. Methods From July, 2012 to June, 2014, 2822 stroke inpatients from 57 health service centres were assessed with Comprehensive ICF Core Set for Stroke. The ICF categories and the relationship among them were analyzed. Results The most serious barriers for the stroke patients involved in gait pattern, muscle power, control of voluntary movement, driving, doing housework, and remunerative employment in the domains of body functions and activities and participation; and products and technology of design, building and construction of buildings, products and technology for personal indoor and outdoor mobility and transportation, labor and employment services and policies in the domains of environmental factors. There was positive correlation between the categories of body functions and activities and participation (r = 0.712, r = 0.694, P < 0.001), activities and participation-performance and activities and participation-capacity (r = 0.877, P < 0.001), and environmental factors-barrier and activities and participation-performance (r = 0.308, P < 0.001). Conclusion Comprehensive ICF Core Set for Stroke may be used as a standard tool for evaluation for stroke patients, which benefit for rehabilitation practice.

Key words: stroke, International Classification of Functioning, Disability and Health, Comprehensive ICF Core Set for Stroke, rehabilitation assessment, multicenter study

中图分类号:

R743.3

刘丽旭, 张通, 何静杰. 运用ICF核心分类组合脑卒中(综合版)评价脑卒中患者功能状况的多中心研究[J]. 《中国康复理论与实践》, 2019, 25(7): 816-821.

LIU Li-xu, ZHANG Tong, HE Jing-jie. Group of the "Twelfth Five-Year" National Plan for the Science & Technology Support Program of China. Application of Comprehensive ICF Core Set for Stroke for Evaluation for Stroke Patients: A Multi-center Study[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(7): 816-821.

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运用ICF核心分类组合脑卒中(综合版)评价脑卒中患者功能状况的多中心研究

Application of Comprehensive ICF Core Set for Stroke for Evaluation for Stroke Patients: A Multi-center Study

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