| 刘 林,孔雨柔,焦 乐,林 枫,李汶汶,江钟立.终末期肾病血液透析《国际功能、残疾和健康分类》核心组合的初步研究[J].中国康复医学杂志,2021,(7):793~798 |
| 终末期肾病血液透析《国际功能、残疾和健康分类》核心组合的初步研究 点此下载全文 |
| 刘 林 孔雨柔 焦 乐 林 枫 李汶汶 江钟立 |
| 南京医科大学第一临床医学院，江苏南京，210029 |
| 基金项目：南京医科大学附属逸夫医院院内临床重点科室建设专项(YFZDXK02-7) |
| DOI：10.3969/j.issn.1001-1242.2021.07.005 |
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| 摘要： |
| 摘要
目的：初步探讨我国终末期肾病血液透析ICF核心组合及简要版的内容。
方法：参考国外相关文献及WHO的ICF checklist，制成两种调查问卷。一种是由医务人员填写的专用病历记录表和个案记录表。对入组的100名患者进行调查。使用描述性统计方法确定每一ICF条目的频率，其中有功能障碍的频率之和≥30%的条目作为终末期肾病血液透析第一期ICF核心组合。另一种为医护人员调查问卷，用描述性统计方法确定医务人员认为与终末期肾病血液透析患者健康和残疾状况密切相关的ICF条目的频率，大于50%的条目作为第二期ICF核心组合。通过两期结果整合确定我国终末期肾病血液透析ICF核心组合。进一步筛选出大于50%患者存在障碍的条目作为终末期肾病血液透析ICF核心组合简要版。
结果：本研究确立了52个条目组成我国终末期肾病血液透析ICF核心组合，包括28个身体功能条目、6个身体结构条目、12个活动和参与条目、6个环境因素条目。另外，确定了包含28个条目的核心组合简要版，其中身体功能部分13个、身体结构部分5个、活动和参与部分5个、环境因素部分5个。
结论：初步确立了我国终末期肾病血液透析ICF核心组合及简要版，为终末期肾病血液透析患者功能和障碍的康复评估提供依据。 |
| 关键词：终末期肾病 血液透析 《国际功能、残疾和健康分类》 核心组合 |
| The ICF Core Sets for Chinese end-stage renal disease patients on hemodialysis Download Fulltext |
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| The First Affiliated Hospital with Nanjing Medical University， Nanjing，210029 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To explore the ICF Core Sets and the brief version for end-stage renal disease patients on hemodialysis.
Method： According to relevant foreign literatures and the ICF checklist， we set out two case report forms. One is for end-stage renal disease patients on hemodialysis. The items whose disability frequency was equal or greater than 30% were chosen as one of the first-phase ICF Core Sets. The other form is for medical personnel to access hemodialysis patients. The items whose frequency were greater than 50% were chosen as one of the second-phase ICF Core Sets. One hundred patients and twelve medical staffs were enrolled in this study. Descriptive statistics were given for determining frequency of ICF items. Through the two results we integrated the ICF Core Sets for Chinese end-stage renal disease patients on hemodialysis. The brief ICF Core Sets were consisted of the items whose frequency were equal or greater than 50% in patients.
Result： Fifty-two categories were identified in the ICF Core Sets， including 28 items on body function， 6 items on body structure， 12 items on activities and participation， and 6 items on environment factors. And a total of twenty-eight ICF categories were extracted in the brief ICF Core Sets， with 13 items on body function， 5 items on structure， 5 items on activities and participation， and 5 items on environment factors.
Conclusion： The ICF Core Sets and the brief version for Chinese end-stage renal disease patients on hemodialysis were proposed. This study provides the basis for evaluating the function and impairments in end-stage renal disease patients on hemodialysis. |
| Keywords:end-stage renal disease hemodialysis International Classification of Functioning, Disability and Health core set |
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