女性产后功能评估《国际功能、残疾和健康分类》核心类目初探

关键词：产后  《国际功能、残疾和健康分类》  核心类目

Keywords:postpartum period  international classification of functioning,disability and health  core categories

摘要：

      摘要 目的：初步探讨以ICF为基础女性产后功能评估的核心类目及其简要版内容。 方法：使用循证医学的方法，通过文献检索，提取文献指标所包含的概念，与ICF进行链接，并参考相关文献及WHO ICF清单，制成女性产后功能评估量表。对入组的300例患者进行临床调查、评估，统计每一条ICF条目的频率，将有功能障碍频率秩和≥30%的条目作为女性产后功能评估的第一期ICF条目池。对医护人员发放调查问卷，统计医护人员认为与女性产后功能密切相关的ICF条目，将＞50%的条目作为第二期ICF条目池。整合两期结果，构建了以ICF为基础女性产后功能评估的核心类目集。另外，进一步筛选出＞50%的功能障碍条目以及医护调查障碍100%的条目作为女性产后功能评估核心类目集的简要版。 结果：初步构建了由63个条目组成的以ICF为基础女性产后功能评估的核心类目集，包括27个身体功能条目、10个身体结构条目、15个活动和参与条目、11个环境因素条目。另外构建了包含43个条目的女性产后功能评估的核心类目集简要版，其中身体功能部分16个条目、身体结构部分9个条目、活动和参与部分9个条目、环境因素部分9个条目。 结论：本研究以ICF为基础，初步探讨了女性产后功能评估的核心类目及其简要版内容，为临床女性产后检查、功能评估及康复治疗提供一定的指导。

Abstract:

      Abstract Objective：To explore the core categories of postpartum functional assessment based on the international classification of functioning， disability and health (ICF) and its brief version. Method：Using the method of evidence-based medicine， through literature search， the concepts contained in the literature indicators were extracted， linked with ICF， and referred to the relevant literature and WHO ICF checklist to develop the postpartum functional assessment scale for women. A total of 300 patients were investigated and evaluated clinically， and the frequency of each ICF item was counted. The items with dysfunction frequency rank ≥30% were taken as the first ICF core set of postpartum function for women. Questionnaires were distributed to medical staff to count the ICF items that medical staff thought were closely related to women's postpartum function， and more than 50% of the items were used as the second stage ICF item pool. The results of the two periods were integrated to construct the core category set of postpartum functional assessment for women based on ICF. In addition， the items with more than 50% dysfunction and 100% dysfunction were further selected as the brief version of the core category set for postpartum functional assessment of women. Result：A core category set of 63 items was initially constructed based on the ICF for postpartum functional assessment of women， including 27 physical function items， 10 body structure items， 15 activity and participation items， and 11 environmental factors items. In addition， a brief version of the 43-item core set of functional assessments for postpartum women was constructed， including 16 items in the physical function part， 9 items in the body structure part， 9 items in the activity and participation part， and 9 items in the environmental factors part. Conclusion：Based on the ICF， this study preliminarily discusses the core categories of postpartum functional assessment and its brief version， so as to provide some guidance for clinical postpartum examination， functional assessment and rehabilitation treatment of women.