在中风后康复中使用的评估工具的内容分析:与国际功能分类相关的范围审查
Maria Heloiza Araujo Silva1, Thaissa Hamana de Macedo Dantas1, Ana Cecília de Medeiros Araújo2
1Center for Health Sciences, Federal University of Rio Grande do Norte, Natal 59078-900, Brazil.
概括
评估中风康复往往忽视参与和环境因素. 这项研究将常见工具与国际功能,残疾和健康分类 (ICF) 联系起来,显示出需要更广泛的功能领域覆盖.
科学领域:
- 康复医学
- 卫生科学
- 生物医学研究
背景情况:
- 综合性中风康复需要根据国际功能,残疾和健康分类 (ICF) 生物心理社会模型进行评估.
- 将评估工具与ICF框架联系起来对于全面了解患者的功能至关重要.
研究的目的:
- 系统地分析并将经常使用的中风后康复评估工具的内容与ICF类别进行映射.
- 发现有关ICF领域的现有评估中的差距.
主要方法:
- 一项范围审查确定了PubMed,LILACS,SciELO和PEDro临床试验 (2014-2024) 中常用的评估工具.
- 使用ICF链接方法将选定的工具映射到ICF类别和领域.
主要成果:
- 确定了29个评估工具,其中21个与ICF相关联.
- 该分析涵盖了261个ICF类别,主要集中在活动 (53%) 和身体功能 (31%).
- 参与 (15%) 和环境因素 (1%) 代表性不足,身体结构领域没有任何工具.
结论:
- 目前的中风后康复评估重视活动和身体功能.
- 需要在评估工具中加强参与和环境因素的整合.
- 该研究提供了评估工具对ICF覆盖面的有价值概述,有助于在研究和临床实践中做出明智的决定.
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