[指南推的多发性硬化症标准化仪器:基于国际功能,残疾和健康分类 (ICF) 的比较内容分析]
Jasmin Bolte1, Elise-Marie Dilger2, Anna Levke Brütt1,3
1Department für Versorgungsforschung, Fakultät VI Medizin und Gesundheitswissenschaften, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstr. 114-118, 26129, Oldenburg, Deutschland.
Der Nervenarzt
|October 29, 2024
概括
这项研究将多发性硬化症 (MS) 准则工具与国际功能,残疾和健康分类 (ICF) 联系起来. 环境因素不足,但仪器涵盖了更好的选择的广泛功能.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床指南建议使用标准仪器来评估多发性硬化症 (MS) 的功能能力.
- 这些仪器对患者功能的全面覆盖范围仍然不清楚.
研究的目的:
- 将多发性硬化疾病指南工具与国际功能,残疾和健康分类 (ICF) 进行映射.
- 分析内容在ICF功能领域和上下文因素中的分布.
- 识别在评估MS的运作中的潜在差距.
主要方法:
- 包括从MS诊断和治疗S2k指南中选择的仪器.
- 工具被分解成有意义的概念 (MC).
- 两位独立评级人员使用标准化的ICF规则编码了MC.
主要成果:
- 23个仪器产生了718个MC,其中663个成功与ICF联系.
- 身体功能占MC的51%,活动和参与占44%,环境因素占5%.
- 移动性 (d4) 是ICF编码最频繁的章节 (201 MCs),具有良好的分级协议 (k=0.79).
结论:
- ICF-linking揭示了MS指南工具中的各种主题覆盖范围.
- 环境因素在当前的评估工具中显著不足.
- 这种基于ICF的分析有助于选择合适的工具,以捕捉MS患者的广泛功能范围.
相关概念视频
Intellectual Disability
43
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
43
Diagnostic and Statistical Manual of Mental Disorders (DSM)
45
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
45
Classification of Illness
7.4K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.4K


