| 许 琦,谢洪武,于佳妮,何毅琪,姚 冬,王佳梅,林友益,吴心虹,郑丁炤,李泰标.国际功能、残疾和健康分类限定值频数分析法比较社区失能者功能等级性别与年龄的差异研究[J].中国康复医学杂志,2022,(10):1332~1340 |
| 国际功能、残疾和健康分类限定值频数分析法比较社区失能者功能等级性别与年龄的差异研究 点此下载全文 |
| 许 琦 谢洪武 于佳妮 何毅琪 姚 冬 王佳梅 林友益 吴心虹 郑丁炤 李泰标 |
| 厦门医学院，福建省厦门市，361023 |
| 基金项目：厦门市翔安区《残疾人精准康复服务行实施方案》（厦翔残联201720）；福建省卫生计生委中医药科研计划项目（2021zylc51）；福建省科技局引导性项目（2021D012） |
| DOI：10.3969/j.issn.1001-1242.2022.10.007 |
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| 摘要： |
| 摘要
目的：探讨采用国际功能、残疾和健康分类（International Classification of Functioning， Disability and Health， ICF）限定值频数分析法研究社区失能者功能障碍等级在性别和年龄方面的差异。
方法：2019年5月至2019年12月期间，对厦门市翔安区共508例肢体失能者采集基于ICF康复组合（ICF-RS）30条设计的普查问卷。应用ICF原始限定值（0—4）通过频数占比换算、χ2检验与多分类有序Logistic回归分析等统计分析数据。
结果：所有对象（12—95岁）及40—59岁组ICF-RS总体维度异常功能障碍频数占比女性高于男性；总人群组能量和驱动能力、情感等6项ICF-RS，以及在40—59岁组步行，利用交通等3项ICF-RS功能等级障碍中，女性的功能障碍也显著高于男性（P<0.05）；多分类有序Logistic回归分析同样证明了年龄和性别为ICF-RS多个类目功能障碍的主要影响因素。小提琴可视化图3个维度之间观察表明，社会参与维度的异常功能障碍分布最多。
结论：频数分析法有利于临床研究不同维度的ICF-RS功能等级障碍。应更加关注老年人及社区女性失能者，尤其是40—59岁女性的步行、利用交通等功能。临床康复需要更加关注失能者的社会参与功能。 |
| 关键词：国际功能、残疾和健康分类康复组合 频数分析法 性别 年龄 功能等级 |
| Gender and age differences in multidomain function levels of disability in community： a ICF-RS qualifiers count-based study Download Fulltext |
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| Xiamen Medical College， Xiamen， Fujian， 361023 |
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| Abstract: |
| Abstract
Objective： To explore the differences of function levels in the gender and age for the physical disability in the community using ICF rehabilitation set qualifiers count-based method.
Method： From May 2019 to December 2019， 508 survey questionnaires based on ICF-RS design were collected from Xiang An District of Xia Men city. Qualifiers count-based method， chi-square test， and ordered multi-class logistic regression analysis were used to evaluate the data.
Result：Women showed higher ICF count-based index than men in the overall impaired function level within all range （12—95 years） age group， and within 40—59 age group. Compared with men， women had higher impaired function level of 6 ICF-RS categories in all range age group， including： energy and drive functions， emotional functions， and etc（P<0.05）. women in 40—59 age group had higher impaired function level of ICF-RS items， including： walking， using transportation and etc（P<0.05）； ordered multi-class logistic also identified that the age and gender were the main influencing factors of dysfunction of several ICF-RS categories. The violin visualization graph demonstrated that the social participation domain had more distribution of impaired dysfunction compared to other two domains.
Conclusion： ICF count-based method benefits the clinical analyse of different functional levels from multidomains. Clinical attention should be paid to the functional status of elderly with physical disabilities，and disabled women， especially the function of walking and using transportation for 40—59 aged women. Clinical attention should be paid to improve the functional level of social participating domain. |
| Keywords:international classification of functioning-rehabilitation set count-based method gender age function level |
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