摘要
目的探讨国际功能、残疾和健康分类(International Classification of Functioning,Disability,and Health,ICF)功能障碍组合(ICF Disability Set)30个类目在神经内科住院患者临床疗效评估中的应用。方法 80例神经内科住院患者,于治疗前、治疗后,采用中国版ICF功能障碍组合、Barthel指数(BI)、世界卫生组织残疾评定量表(WHO Disability Assessment Schedule,WHODASⅡ)、抑郁自评量表(self-rating depression scale,SDS)进行评定,对脑卒中患者还进行美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)、蒙特利尔认知评估量表(Montreal Cognitive Assessment,MOCA)评分,分析ICF功能障碍组合量表与BI、WHODASⅡ、SDS、及与卒中患者NIHSS、Mo CA评分的相关性及一致性。结果 ICF功能障碍组合总体及身体功能和活动与参与两个分量表的Cronbachα系数为0.803、0.834、0.926;与BI、WHODASⅡ、SDS评分以及与脑卒中患者NIHSS、Mo CA评分均有显著相关(r=0.316~0.830,P<0.05或P<0.01)。80例患者ICF功能障碍组合量表30个类目中前后比较除b280痛觉、b640性功能和b620排尿功能没有统计学意义(P>0.05),d850有报酬的就业不适用,其余均有统计学意义(P<0.05)。结论 ICF功能障碍组合能准确描述患者的功能障碍和反映其疗效评估,是有效的临床评定工具,值得临床推广使用。
Objective To explore the application of the thirty categories of ICF Disability Set to the evaluation of therapeutic effect among inpatients in the Department of Neurology . Methods Eighty inpatients in the Department of Neurology were assessed with ICF Disability Set ,Barthel Index （BI） , WHO Disability Assessment Schedule （WHODAS Ⅱ ） , and Self-rating depression scale（SDS） , while stroke patients were also assessed with National Institutes of Health Stroke Scale （NIHSS） and Chinese （Montreal cognitive assessment, MoCA） scale before and after treatment. The correlations and consistency between ICF Disability Set scale and BI,WHODAS II, SDS, NIHSS and MOCA scores were analyzed. Results The coefficients of Cronbach ct of the overall and body function, activity and participation of the ICF Disability Set were 0. 803,0. 834 and 0. 926 respectively. The absolute value of Pearson correlation coefficients ranged from 0. 316 to 0. 830 ,P〈0. 05 or P〈0.01 ）. The thirty categories of ICF Disability Set for 80 inpatients were of statistical significance before and after treatment（ P〈0.05 ） except b280, b640, b620 and d850. Conclusion ICF Disability Set can be used as a tool for clinical assessment, for it canaccurately reflect any disability and the therapeutic effect.
出处
《解放军预防医学杂志》
CAS
2017年第3期229-233,共5页
Journal of Preventive Medicine of Chinese People's Liberation Army
关键词
国际功能、残疾和健康分类
功能障碍组合
疗效评估
international classification of functioning, disability and health
disability set
evaluation of therapeutic effect
作者简介
王文宗（1985-），男，硕士研究生，主治医师。从事脑血管病治疗及神经康复研究工作。
通信作者
