脊髓损伤患者神经源性膀胱的国际功能、残疾和健康分类核心类目研究

关键词：神经源性膀胱  国际功能、残疾、健康分类  核心类目

Keywords:neurogenic bladder  international classification of function  disease and health  core set

摘要：

      摘要 目的：筛选出脊髓损伤患者神经源性膀胱的国际功能、残疾、健康分类核心类目。 方法：通过ISCOS提供的开放脊髓损伤数据库（international SCI data sets）筛选出和神经源性膀胱相关的基础数据库，整理出这些数据库的每个变量。利用WHO-FIC合作中心ICF研究组开发的ICF与结局测量工具间联系和匹配的原则，采用专业人员对内容定性联系和匹配的方法，将针对筛选出的变量与ICF综合版测量项目进行联系和匹配。整理匹配的ICF项目生成神经源性膀胱ICF核心要素。 结果：通过对比2名研究者筛选相同变量，合并相近的变量，剔除与神经源性膀胱不相关的变量，最终纳入85项。共提取有明确意义的概念60个，可与ICF联系、匹配的概念46个。与ICF联系、匹配后共得出神经源性膀胱ICF核心类目40项，其中身体功能16项、身体结构8项、活动和参与9项、环境因素与个人因素7项。 结论：系统回顾研究法初步筛选出脊髓损伤患者神经源性膀胱ICF核心类目，为神经源性膀胱评估、治疗提供了更全面的框架。

Abstract:

      Abstract Objective： To screen out the core sets of neurogenic bladder in patients with spinal cord injury. Method： The basic databases related to neurogenic bladder were screened out from the international SCI data sets database provided by ISCOS， and each variable of these databases was sorted out. Using the principle of linkage and matching between ICF and outcome measurement tools developed by the ICF research group of WHO-FIC collaborating center， the selected variables were linked and matched with ICF comprehensive measurement items using the method of qualitative linking and matching of content by professionals. Collate matching ICF items to generate neurogenic bladder ICF core sets. Result： By comparing the same variables with two investigators， combining similar variables， and excluding variables unrelated to neurogenic bladder， 85 items were included. A total of 60 concepts with clear meaning were extracted， and 46 concepts could be linked and matched with ICF. A total of 40 core sets of neurogenic bladder ICF were finally obtained after contact and matching with ICF, including 16 physical functions， 8 body structures， 9 activities and participation， and 7 environmental factors and personal factors. Conclusion： The systematic retrospective study method preliminarily screens the core sets of neurogenic bladder in patients with spinal cord injury， which provides a more comprehensive framework for the evaluation and treatment of neurogenic bladder.