| 杨 华,赵凯怡,金 泉,刘 婵,梁莉丹,汤行录,陈 翔.《国际功能、残疾和健康分类儿童和青少年版》类目在儿童脑外伤随访中的应用[J].中国康复医学杂志,2013,28(11):1015~1020 |
| 《国际功能、残疾和健康分类儿童和青少年版》类目在儿童脑外伤随访中的应用 点此下载全文 |
| 杨 华 赵凯怡 金 泉 刘 婵 梁莉丹 汤行录 陈 翔 |
| 温州医科大学附属第二医院暨育英儿童医院康复医学科，温州，325027 |
| 基金项目：浙江省卫生厅医药卫生科学研究基金资助项目（2008A121）；浙江省人口计生委资助项目（200716） |
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| 摘要点击次数: 1931 |
| 全文下载次数: 2010 |
| 摘要： |
| 摘要
目的：通过《国际功能、残疾和健康分类儿童和青少年版》（ICF-CY）在儿童脑外伤康复评定和随访的应用的研究，促进其在康复工作中的应用。
方法：建立2009年1月—2012年1月在温州医学院附属第二医院康复科首次住院脑外伤患儿的档案，选取19个ICF-CY身体功能及活动和参与的二级类目、Barthel指数（BI）、格拉斯哥结局量表（GOS）对受伤年龄在2岁以上的患儿伤后1—2年的预后情况进行随访评定，并分别对ICF-CY与BI、GOS进行相关分析。
结果：①47例住院患儿中，有结果的随访病例数40例（85.11%），失访人数6例，死亡人数1例，随访时间平均（16.60±4.89）个月，随访结束时平均年龄（84.63±37.52）个月。②身体功能方面，智力功能（b117）、记忆功能（b144）、步态功能（b770）恢复情况较差。活动与参与方面，精巧手的使用（d440）、四处移动（d455）、盥洗自身（d510）、学校教育（d820）/学龄前教育（d815）、参与游戏（d880）恢复情况较差。③相关性分析提示ICF-CY评分与BI得分、GOS分级呈显著负相关。
结论：ICF-CY类目作为儿童脑外伤的随访内容，可以从整体水平上评估儿童脑外伤的健康状态，但要在临床上得到广泛应用仍需要很长的路要走。 |
| 关键词：国际功能、残疾和健康分类儿童和青少年版 脑外伤 儿童 康复 |
| Application of international classification of functioning, disability and health for children and youth category in rehabilitation evaluation and follow-up practice of children with traumatic brain injury Download Fulltext |
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| Department of Rehabilitation Medicine, the 2nd Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027 |
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| Abstract: |
| Abstract
Objective: To explore the use of international classification of functioning, disability and health for children and youth (ICF-CY) in rehabilitation evaluation and follow-up practice of children with traumatic brain injury (TBI).
Method: TBI children hospitalized in the rehabilitation setting were followed up when discharged. Nineteen ICF-CY body function and activity/participation categories, Barthel index (BI), Glasgow outcome scale (GOS) were used to evaluate health status of children 1—2 years after TBI, and interrelationships among ICF-CY, BI and GOS were analyzed.
Result: ① Forty of all the 47 hospitalized children were followed up. The mean follow-up time was (16.60±4.89) months. ② In body functions, poor recovery were frequently found in intellectual functions (b117), memory functions (b144), gait pattern functions (b770). Restrictions in their activities and participation related to fine hand use (d440), moving around (d455), washing oneself (d510), school education (d820)/preschool education (d815), engagement in play (d880). ③ Correlation analysis showed that ICF-CY scores had significantly negative correlation with BI and GOS.
Conclusion: ICF-CY can comprehensively assess the health status of children with TBI, but to widely use ICF-CY in clinical practice, there is still a long way. |
| Keywords:international classification of functioning, disability and health for children and youth traumatic brain injury children rehabilitation |
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