功能,残疾和健康国际分类 (ICF) 词汇映射以确定与四肢的上肢手术相关的人类功能
K Anne Sinnott Jerram1,2,3, Jennifer A Dunn4, Richard P Smaill3
1John Walsh Centre for Rehabilitation Research, Kolling Institute, St Leonards, NSW, Australia.
Journal of patient experience
|November 29, 2023
概括
对四肢患者进行上肢手术的临床结果工具往往错过了关键的心理功能领域. 接受神经或肌移植手术的患者重视能量,个性和认知等方面,目前的工具无法完全捕捉这些方面.
科学领域:
- 康复医学 康复医学 康复医学
- 神经科学是一个神经科学.
- 关于残疾人的研究.
背景情况:
- 选择性四肢的上肢重建手术越来越多地在受伤后的早期进行.
- 了解患者对功能和残疾的看法对于指导手术决策和结果至关重要.
- 之前的混合方法研究提供了有关神经或肌移植手术患者经验的定性和定量数据.
研究的目的:
- 确定当前的临床结果工具是否充分反映了对于考虑重建手术的四肢患者来说重要的功能领域.
- 确定临床医生评估的结果和患者确定的功能优先级之间的差距.
主要方法:
- 从以前的混合方法研究中获得的定性和定量数据的二次数据分析.
- 从定性分析中得出的18个候选主题的回顾性审查.
- 结果工具 (COPM,CAPE-Q,PWI,GRT) 的内容分析,并将词汇映射到ICF分类.
主要成果:
- 对比显示,目前的临床结果工具并不完全涵盖患者确定的功能领域.
- 一个独特的联系被确定为第1章 (b) ICF分类的心理功能.
- 关键的患者价值领域包括意识,导向,气质/个性,能量/驱动力和更高层次的认知.
结论:
- 在四肢中用于上肢重建手术的现有临床结果工具可能不足.
- 需要将心理功能领域纳入结果评估,以便对患者的康复和幸福感进行更全面的评估.
- 将结果措施与患者报告的经验结合起来,对于有效的康复和手术规划至关重要.
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