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。
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), memo- ry functions (b144), gait pattern fimctions (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 nega- tive 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.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2013年第11期1015-1020,共6页
Chinese Journal of Rehabilitation Medicine
基金
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)
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
international classification of functioning, disability and health for children and youth
traumaticbrain injury
children
rehabilitation