岭南地区住院脑卒中患者功能状况的《国际功能、残疾和健康分类康复组合》多中心研究

Multi-center study on the functions of inpatient stroke patients in Lingnan area by ICF-RS

目的:探讨ICF康复组合(ICF-RS)作为功能评价工具应用于岭南地区住院脑卒中患者的适用性,并了解脑卒中患者的身体功能、活动、参与三个维度的功能状况。方法:采用多中心研究的方式,选取岭南地区8所医院,按照统一的诊断标准对2019年9月-2020年8月期间住院康复的134例脑卒中患者(包括脑梗死、脑出血)采集人口学资料并评定其功能状况。资料的采集及功能测评工具为本课题组前期基于ICF-RS量化标准开发的ICF-RS APP。结果:脑卒中患者身体功能状况较差的类目为b455运动和耐受能力、b640性功能、b130能量和驱动能力,活动功能状况较差的类目为d455到处移动、d240控制应激和其他心理需求、d640做家务,参与功能状况较差的类目为d660帮助别人、d470利用交通工具、d920娱乐和休闲;通过对比三个维度限定值的频数分布情况发现,身体功能、活动、参与三个维度的功能障碍严重程度逐渐加重;照顾人类型不同对脑卒中患者功能状况的影响尚需进一步验证。结论:ICF-RS可用于临床多中心评价脑卒中患者的功能,且能够从身体功能、活动、参与三个维度反映患者的功能状况。

Objective:To explore the applicability of ICF rehabilitation set(ICF-RS)as a functional evaluation tool for stroke patients,and to understand the function of stroke patients from three dimensions such as body functions,activities and participation.Method:During the period of September 2019-August 2020,a multi-center study was conducted in 8 hospitals in the Lingnan area.According to the unified method of diagnosis,a total of 134 inpatient rehabilitation patients with cerebral infarction or cerebral hemorrhage stroke were included.The ICF-RS APP developed by our research group based on ICF-RS quantitative standard was used to collect demographic data and evaluate patients’function.Result:In body functions dimension,the worse status categories are b455 exercise tolerance functions,b640 sexual functions,b130 energy and drive function;In activities dimension,the worse status categories are d455 move around,d240 handling stress and other psychological demands,d640 doing housework;In participation dimension,the worse status categories are d660 assisting others,d470 using transportation,d920 recreation and leisure.By comparing the frequency distribution of qualifiers of the three dimensions,it is found that the severity of the dysfunction in the three dimensions of body functions,activities and participation is gradually increasing.The effects of different caregivers on functions of stroke patients need to be further verified.Conclusion:ICF-RS can be used in clinical multi-center study to evaluate functions of stroke patients,and can reflect the patient's functional status from the three dimensions of body functions,activities and participation.