将重症监护室的功能尺度与国际功能分类联系起来:提出一种新的评估方法
Juliana S F Dos Santos1, Gabriely A G Silva2, Nubia M F V Lima1
1Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte, Santa Cruz, Brasil.
BMC health services research
|August 16, 2023
概括
这项研究将重症监护患者的常用评估工具与国际功能,残疾和健康分类 (ICF) 联系起来. 它提出了一种基于ICF的新方法,用于标准化的ICU康复策略.
科学领域:
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
- 关键护理医学 关键护理医学
背景情况:
- 标准化评估工具对于指导重症监护病房 (ICU) 的康复策略至关重要.
- 目前针对重症患者的功能和身体状况评估工具缺乏标准化,这阻碍了它们的有效应用.
- 国际功能,残疾和健康分类 (ICF) 为健康和残疾评估提供了一个框架.
研究的目的:
- 为了确定ICF和已建立的ICU评估工具之间的共同内容:医学研究理事会总和得分 (MRC-ss),ICU的功能状态得分 (FSS-ICU) 和ICU测试中的身体功能得分 (PFIT-s).
- 提出一种基于ICF的新型评估方法,用于ICU环境中的重症患者.
主要方法:
- 一项试点横截面研究,涉及50至75岁的男性和女性ICU患者.
- 使用MRC-ss,FSS-ICU和PFIT进行评估,Cieza等人提出的链接规则.
- 通过使用卡帕系数来评估链接过程的评价者间可靠性.
主要成果:
- 在评估的工具中,ICF从14个项目中确定了13个项目的共同点.
- 这些共同点包括2个与身体功能相关的项目,6个与身体结构相关的项目,5个与活动和参与相关的项目.
- 在将MRC-ss (k=0.665),PFIT-s (k=0.749) 和FSS-ICU (k=0.832) 与ICF联系起来时,达成了相当或几乎完美的互评级协议.
结论:
- 该研究成功地从常见的ICU评估工具中合成和分类内容.
- 提出了一个基于ICF的新模型,整合了相关ICU工具的关键元素,以指导未来的康复研究和实践.
- 这种符合ICF的方法旨在提高功能性评估在重症监护中的标准化和适用性.
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