基于ICF的数字赋能乡村残疾人精准康复服务研究

doi:10.3969/j.issn.1006-9771.2026.00.001

《中国康复理论与实践》 ›› 2026, Vol. 32 ›› Issue (5): 604-610.doi: 10.3969/j.issn.1006-9771.2026.00.001

基于ICF的数字赋能乡村残疾人精准康复服务研究

安娜¹, 陈迪²^,³, 杨亚茹²^,⁴^,⁵, 邱卓英²^,⁵, 王忠彦⁵^,⁶()

¹ 康复大学公共教学部（马克思主义学院）/青岛市健康治理与社会政策研究基地，山东青岛市 266113
² 世界卫生组织国际分类家族中国合作中心，北京市 100068
³ 中国康复科学所康复信息研究部，北京市 100068
⁴ 华东师范大学体育与健康学院，上海市 200241
⁵ 康复大学社会发展学院/ICF与康复政策研究中心，山东青岛市 266113
⁶ 山东省人口健康公共政策软科学研究基地/青岛市健康科技与产业政策研究基地，山东青岛市 266113

收稿日期:2025-11-26 出版日期:2026-05-25 发布日期:2026-01-07
通讯作者: 王忠彦，E-mail：zwang@uhrs.edu.cn
作者简介:安娜(1981-)，女，汉族，山东邹平市人，博士，副教授，主要研究方向：乡村治理、健康治理。
王忠彦(1978-)，男，汉族，山东潍坊市人，博士，世界卫生组织国际分类家族中国合作中心专家，主要研究方向：人口健康与社会医学、ICF与康复政策、康复科技与产业发展。
基金资助:
山东省社科规划研究项目(20CKSJ01)

Digitally empowered precision rehabilitation services for rural persons with disabilities based on ICF

AN Na¹, CHEN Di²^,³, YANG Yaru²^,⁴^,⁵, QIU Zhuoying²^,⁵, WANG Zhongyan⁵^,⁶()

¹ Department of General Education (School of Marxism), University of Health and Rehabilitation Sciences/Qingdao Research Base for Health Governance and Social Policy, Qingdao, Shandong 266113, China
² WHO-FIC Collaborating Center in China, Beijing 100068, China
³ Department of Rehabilitation Information Research, China Rehabilitation Science Institute, Beijing 100068, China
⁴ College of Physical Education and Health, East China Normal University, Shanghai 200241, China
⁵ School of Social Development/Research Centre for ICF and Rehabilitation Policy, University of Health and Rehabilitation Sciences, Qingdao, Shandong 266113, China
⁶ Shandong Provincial Soft Science Research Base for Public Policies on Population Health/Qingdao Research Base for Health Technology and Industrial Policy, Qingdao, Shandong 266113, China

Received:2025-11-26 Published:2026-05-25 Online:2026-01-07
Contact: WANG Zhongyan, E-mail: zwang@uhrs.edu.cn
Supported by:
Shandong Province Social Science Planning Research Project(20CKSJ01)

摘要/Abstract

摘要：

目的针对我国乡村残疾人康复服务中存在的专业资源匮乏、评估不精准、服务不连续等结构性问题，探索构建一套以《国际功能、残疾和健康分类》(ICF)为指导、以数字技术为支撑的乡村残疾人精准康复服务新模式。
方法以ICF为分析工具，以乡村残疾人康复服务为应用场景，以当前服务面临的挑战为问题导向，通过文献研究、现状分析和对策探讨等方法，将身体功能与结构、活动和参与、环境因素与数字技术要素有机融合，探讨系统性解决方案。
结果构建了基于ICF并融合物联网、大数据、远程康复等数字技术的乡村残疾人精准康复服务模式，涵盖身体功能精准评估、干预方式精准匹配和环境因素精准调适3个维度，提出了数字技术赋能乡村残疾人精准康复的实施路径。
结论基于ICF的数字赋能精准康复服务模式，有助于解决我国乡村康复服务均等化与精准化问题，推动乡村残疾人获得更加公平可及、系统连续的康复服务。

关键词: 国际功能、残疾和健康分类, 数字赋能, 精准康复, 远程康复, 基层医疗, 健康乡村

Abstract:

Objective To develop a novel precision rehabilitation service model for structural problems in rural rehabilitation services for persons with disabilities in China, such as shortages of professional resources, imprecise assessment and lack of service continuity, guided by International Classification of Functioning, Disability and Health (ICF) and supported by digital technologies.
Methods Using ICF as an analytical tool and rural disability rehabilitation services as the application scenario, this study adopted a problem-oriented approach focused on current service challenges. Through literature review, situation analysis and strategy exploration, elements of body functions and structures, activities and participation, environmental factors, and digital technologies were organically integrated to form systematic solutions.
Results A precision rehabilitation service model developed for rural persons with disabilities was constructed based on ICF and integrated with digital technologies such as the Internet of Things, big data and telerehabilitation. The model encompassed three dimensions: precise assessment of body functions, precise matching of intervention modalities and precise adjustment of environmental factors. An implementation pathway for digital technology-empowered precision rehabilitation in rural areas was proposed.
Conclusion The digitally empowered precision rehabilitation service model based on ICF is helpful for addressing the challenges of equity and precision in rural rehabilitation services in China, promoting access fairer, more accessible and systematically continuous rehabilitation services.

Key words: International Classification of Functioning, Disability and Health, digital empowerment, precision rehabilitation, telerehabilitation, primary healthcare, healthy rural development

中图分类号:

安娜, 陈迪, 杨亚茹, 邱卓英, 王忠彦. 基于ICF的数字赋能乡村残疾人精准康复服务研究[J]. 《中国康复理论与实践》, 2026, 32(5): 604-610.

AN Na, CHEN Di, YANG Yaru, QIU Zhuoying, WANG Zhongyan. Digitally empowered precision rehabilitation services for rural persons with disabilities based on ICF[J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(5): 604-610.

参考文献 28

[1]	中共中央, 国务院. 中共中央国务院关于进一步深化农村改革扎实推进乡村全面振兴的意见[EB/OL]. (2025-01-01)[2025-11-01]. https://www.gov.cn/gongbao/2025/issue_11906/202503/content_7011166.html.
[2]	国家卫生健康委, 全国爱卫办, 国家发展改革委, 等. 关于推进健康乡村建设的指导意见[EB/OL]. (2024-08-01)[2025-11-01]. https://www.gov.cn/gongbao/2024/issue_11666/202410/content_6983465.html. .
[3]	中国残疾人联合会. 2006年第二次全国残疾人抽样调查主要数据公报(第二号)[EB/OL]. (2021-02-20)[2025-11-01]. https://www.cdpf.org.cn/zwgk/zccx/cjrgk/93a052e1b3d342ed8a059357cabf09ca.htm.
[4]	王国祥, 姜静远, 邱卓英, 等. 康复体育政策架构、优先领域及其核心内容:基于WHO康复政策内容分析[J]. 中国康复理论与实践, 2022, 28(12): 1380-1389. doi: 10.3969/j.issn.1006-9771.2022.12.002
	WANG G X, JIANG J Y, QIU Z Y, et al. Framework, core contents and priority of rehabilitation of physical activity and exercise in health service: a content analysis of WHO rehabilitation policies[J]. Chin J Rehabil Theory Pract, 2022, 28(12): 1380-1389.
[5]	世界卫生组织. 健康服务体系中的康复[J]. 邱卓英,郭键勋,李伦,译. 中国康复理论与实践, 2020, 26(1): 1-14. doi: 10.3969/j.issn.1006-9771.2020.01.001
	World Health Organization. Rehabilitation in health systems[J]. QIU Z Y, KWOK J K F, LI L,trans. Chin J Rehabil Theory Pract, 2020, 26(1): 1-14.
[6]	World Health Organization. Rehabilitation[EB/OL]. (2024-03-22)[2025-10-22]. https://www.who.int/news-room/fact-sheets/detail/rehabilitation.
[7]	世界卫生组织. 全球残疾人健康公平报告[M]. 邱卓英,郭键勋,吕军,等,译. 香港: 香港复康会, 2024.
[8]	AFRIDI A, KHAN S. Digital transformation in healthcare rehabilitation: a narrative review[J]. J Process Manag New Technol, 2024, 12(2): 16-30.
[9]	KRINGLE E, TRAMMELL M, BROWN E D. Telerehabilitation strategies and resources for rehabilitation professionals[J]. Arch Phys Med Rehabil, 2023, 104(12): 2191-2197. doi: 10.1016/j.apmr.2023.02.027
[10]	SERON P, OLIVEROS M J, GUTIERREZ-ARIAS R, et al. Effectiveness of telerehabilitation in physical therapy: a rapid overview[J]. Phys Ther, 2021, 101(6): pzab053.
[11]	ABEDI A, COLELLA T J F, PAKOSH M, et al. Artificial intelligence-driven virtual rehabilitation for people living in the community: a scoping review[J]. NPJ Digit Med, 2024, 7(1): 25. doi: 10.1038/s41746-024-00998-w pmid: 38310158
[12]	邱卓英, 郭键勋, 李伦, 等. 世界卫生组织康复指南«健康服务体系中的康复»:背景、理论架构与方法、主要内容和实施[J]. 中国康复理论与实践, 2020, 26(1): 16-21. doi: 10.3969/j.issn.1006-9771.2020.01.003
	QIU Z Y, KWOK J K F, LI L, et al. WHO rehabilitation in health system: background, framework and approach, contents and implementation[J]. Chin J Rehabil Theory Pract, 2020, 26(1): 16-21.
[13]	杨亚茹, 邱卓英, 陈迪, 等. 运用ICF构建残疾标准的理论架构与方法体系[J]. 中国康复理论与实践, 2025, 31(7): 745-754. doi: 10.3969/j.issn.1006-9771.2025.00.001
	YANG Y R, QIU Z Y, CHEN D, et al. Constructing disability eligibility standards using ICF: conceptual framework, approaches and methodological systems[J]. Chin J Rehabil Theory Pract, 2025, 31(7): 745-754.
[14]	世界卫生组织. 国际功能、残疾和健康分类(国际中文增补版)[M]. 邱卓英,译. 日内瓦: 世界卫生组织, 2015.
[15]	叶海燕, 杨亚茹, 邱卓英, 等. 基于ICF和ICD-11的中国5种肢体残疾相关标准比较研究[J]. 中国康复理论与实践, 2025, 31(7): 772-780. doi: 10.3969/j.issn.1006-9771.2025.07.004
	YE H Y, YANG Y R, QIU Z Y, et al. Comparative study of five physical disability-related standards in China based on ICF and ICD-11[J]. Chin J Rehabil Theory Pract, 2025, 31(7): 772-780.
[16]	葛胜男, 王勇丽, 尹敏敏, 等. 脑性瘫痪并发言语障碍的诊断、评估与康复:基于WHO-FICs研究[J]. 中国康复理论与实践, 2022, 28(6): 637-645. doi: 10.3969/j.issn.1006-9771.2022.06.003
	GE S N, WANG Y L, YIN M M, et al. Diagnosis, assessment and rehabilitation of speech disorders after cerebral palsy using WHO-FICs[J]. Chin J Rehabil Theory Pract, 2022, 28(6): 637-645.
[17]	王梓彤, 马松翠, 徐丽丽, 等. 肢体残疾人自我效能感、照顾质量与生活质量的关系[J]. 中国康复理论与实践, 2023, 29(3): 340-348. doi: 10.3969/j.issn.1006-9771.2023.03.014
	WANG Z T, MA S C, XU L L, et al. Relationship among self-efficacy, quality of care and quality of life for people with physical disabilities[J]. Chin J Rehabil Theory Pract, 2023, 29(3): 340-348.
[18]	王一然, 戴婉薇, 苏彬彬, 等. 我国康复服务需求评估与供需缺口原因分析[J]. 中国康复理论与实践, 2022, 28(6): 725-729. doi: 10.3969/j.issn.1006-9771.2022.06.015
	WANG Y R, DAI W W, SU B B, et al. Assessment of demand for rehabilitation services and analysis of causes of the gap between supply and demand in China[J]. Chin J Rehabil Theory Pract, 2022, 28(6): 725-729.
[19]	TANG R, ZHANG X, YAN S, et al. Assistive device utilization among disabled elderly in China: a cross-sectional study[J]. Public Health Nurs, 2024, 41(4): 653-663. doi: 10.1111/phn.13329 pmid: 38652371
[20]	田红梅, 邱卓英, 李欣, 等. 肢体残疾人康复需求与康复服务发展状况Logistic回归分析研究[J]. 中国康复理论与实践, 2020, 26(5): 508-512. doi: 10.3969/j.issn.1006-9771.2020.05.003
	TIAN H M, QIU Z Y, LI X, et al. Unmet needs and services of rehabilitation for people with physical disabilities using logistic regression analysis[J]. Chin J Rehabil Theory Pract, 2020, 26(5): 508-512.
[21]	范韫仪, 郑晓瑛. 我国残疾人精准康复服务行动实施效果评估[J]. 中国康复理论与实践, 2022, 28(10): 1117-1125. doi: 10.3969/j.issn.1006-9771.2022.10.001
	FAN Y Y, ZHENG X Y. Evaluation of precision rehabilitation services for people with disabilities in China[J]. Chin J Rehabil Theory Pract, 2022, 28(10): 1117-1125.
[22]	杨锦茹, 常浩然, 王冠军, 等. 我国东部地区残疾人基本康复服务效率研究[J]. 中国康复理论与实践, 2022, 28(10): 1143-1149. doi: 10.3969/j.issn.1006-9771.2022.10.004
	YANG J R, CHANG H R, WANG G J, et al. Operation efficiency of basic rehabilitation services for people with disabilities in the regions of Eastern China[J]. Chin J Rehabil Theory Pract, 2022, 28(10): 1143-1149.
[23]	刘冯铂, 吴铭, 邱卓英, 等. 成年残疾人康复需求与康复服务发展研究[J]. 中国康复理论与实践, 2020, 26(5): 497-501. doi: 10.3969/j.issn.1006-9771.2020.05.001
	LIU F B, WU M, QIU Z Y, et al. Unmet needs and services of rehabilitation for adults with disabilities[J]. Chin J Rehabil Theory Pract, 2020, 26(5): 497-501.
[24]	ZHANG Z, YU L. AI and stroke rehabilitation: the past, present and future[J]. Regen Repair Rehabil, 2025, 1(4): 6-11.
[25]	HAN Y, ZHOU L, JIANG W, et al. Intelligent wheelchair human-robot interactive system based on human posture recognition[J]. J Mechan Sci Technol, 2024, 38(8): 4353-4363.
[26]	PRODINGER B, CIEZA A, OBERHAUSER C, et al. Toward the International Classification of Functioning, Disability and Health (ICF) Rehabilitation Set: a minimal generic set of domains for rehabilitation as a health strategy[J]. Arch Phys Med Rehabil, 2016, 97(6): 875-884. doi: 10.1016/j.apmr.2015.12.030
[27]	邱卓英, 陈迪. 基于 ICF的残疾和康复信息标准体系及其应用研究[J]. 中国康复理论与实践, 2014, 20(6): 501-507.
	QIU Z Y, CHEN D. ICF based disability and rehabilitation information standard and its applications[J]. Chin J Rehabil Theory Pract, 2014, 20(6): 501-507.
[28]	杨亚茹, 邱卓英, 王忠彦, 等. 残疾数据政策、标准体系与数据应用研究[J]. 中国康复理论与实践, 2024, 30(12): 1365-1375. doi: 10.3969/j.issn.1006-9771.2024.12.001
	YANG Y R, QIU Z Y, WANG Z Y, et al. Research on policy framework,standards system and application of disability data[J]. Chin J Rehabil Theory Pract, 2024, 30(12): 1365-1375.

基于ICF的数字赋能乡村残疾人精准康复服务研究

Digitally empowered precision rehabilitation services for rural persons with disabilities based on ICF

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