Functioning and Disability Profile of Children with Microcephaly Associated with Congenital Zika Virus Infection
Functioning and Disability Profile of Children with Microcephaly Associated with Congenital Zika Virus Infection
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DOI：
10.3390/ijerph15061107
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发表时间：
2018-06-01
影响因子：
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通讯作者：
Longo, Egmar
中科院分区：
文献类型：
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作者：
Confessor Ferreira, Haryelle Naryma;Schiariti, Veronica;Longo, Egmar
巴西小头症病例数的增加及其与寨卡病毒（ZIKV）的关联是一个全球性的公共卫生问题。国际功能残疾和健康分类（ICF）模型是一个强大的工具，在管理残疾方面非常相关。目的：描述巴西东北部两个州与寨卡病毒相关的小头畸形儿童的功能特征。方法：这是一项描述性横断面研究。通过医学图表、体格检查、测量仪器和对儿童及其父母的访谈收集了社会人口学特征、头围和其他临床数据。使用巴西葡萄牙语版脑瘫ICF核心集（CP）。每个ICF类别都分配了一个限定符，范围从0到4（无问题，轻度问题，中度问题，严重问题，完全问题）。对于环境因素，0表示无屏障，4表示完全屏障；+0表示无辅助器，+4表示有辅助器。结果：在巴西北部大德州和帕拉伊巴州的四个康复机构共招募了34名寨卡病毒引起的小头畸形儿童（18名女孩和16名男孩）。参与者的平均年龄为21个月，月收入约为300.00美元，头围z分数在0.92到-5.51之间。功能概况显示大多数身体功能类别完全残疾(b)。活动和参与领域(d)受到严重影响，特别是与流动有关的类别。关于环境因素(e)，大多数样本报告了直系亲属、朋友和卫生服务、系统和政策的完全促进因素，以及对社会态度的完全障碍。结论：这是第一项使用基于巴西ICF的工具描述与寨卡病毒相关的小头畸形儿童功能概况的研究。我们的研究结果强调了在ICF的基础上，为多专业团队、管理人员、家庭成员和儿童提供最大限度的医疗保健和信息获取的必要性。
Introduction: The increase in the number of cases of microcephaly in Brazil and its association with the Zika virus (ZIKV) is a global public health problem. The International Classification of Functioning Disability and Health (ICF) model is a powerful tool and extremely relevant in managing disability. Objective: Describe the functioning profile of children with microcephaly associated with ZIKV in two states of northeastern Brazil. Methods: This is a descriptive cross-sectional study. The sociodemographic characteristics, head circumference, and other clinical data were collected from medical charts, physical examinations, measuring instruments, and interviews with the children and their parents. The Brazilian Portuguese version of the Brief Common ICF Core Set for cerebral palsy (CP) was used. Each ICF category was assigned a qualifier, which ranged from 0 to 4 (no problem, mild problem, moderate problem, severe problem, complete problem). For environmental factors, 0 represents no barrier and 4 represents complete barrier; +0, no facilitator and +4, complete facilitator. Results: A total of 34 children with microcephaly caused by ZIKV were recruited (18 girls and 16 boys) at four rehabilitation facilities in Rio Grande do Norte and Paraiba states, Brazil. The average age of the participants was 21 months, monthly income was approximate to USD 300.00, and head circumference z-scores ranged between 0.92 and -5.51. The functioning profile revealed complete disability in most of the body function categories (b). The activity and participation areas (d) were highly impacted, particularly in mobility-related categories. With respect to environmental factors (e), most of the sample reported a complete facilitator for the immediate family, friends, and health services, systems, and policies, as well as a complete barrier to societal attitudes. Conclusion: This is the first study that describes the functioning profile of children with microcephaly associated with ZIKV, using a tool based on the ICF in Brazil. Our findings reinforce the need to maximize health care and access to information, based on the ICF, for multiprofessional teams, administrators, family members, and children.