Effectiveness of ICF-based multidisciplinary rehabilitation approach with serial assessment and discussion using the ICF rehabilitation set in a convalescent rehabilitation ward
Effectiveness of ICF-based multidisciplinary rehabilitation approach with serial assessment and discussion using the ICF rehabilitation set in a convalescent rehabilitation ward
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DOI：
10.1097/mrr.0000000000000421
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发表时间：
2020-09-01
影响因子：
1.7
通讯作者：
Okamoto, Takatsugu
中科院分区：
文献类型：
--
作者：
Kinoshita, Shoji;Abo, Masahiro;Okamoto, Takatsugu
本研究旨在确定基于国际功能、残疾和健康分类（ICF）的多学科康复方法的有效性，并与ICF康复组进行一系列评估和讨论。这项前瞻性队列研究纳入了2017年8月1日至2018年9月30日期间连续入住康复病房的患者。自2018年4月1日起，每两周对每位患者进行ICF康复组的系列评估和讨论。分析ICF康复集评估前（前期）与评估后（后期）ICF康复集扩展指数的差异。治疗后组患者（n = 59） ICF康复集延伸指数的变化高于治疗前组（n = 45）（平均值31.6,SD 18.5 vs平均值17.3,SD 18.4； 95%可信区间差异为7.0 ~ 21.5）。多元回归分析显示，ICF康复集系列评估与延伸指数的改善独立相关。多学科康复方法结合使用ICF康复集的系列评估和讨论与良好的康复相关。我们的研究强调了基于icf的多学科康复在临床环境中的有效性。
This study was aimed to determine the effectiveness of the International Classification of Functioning, Disability and Health (ICF)-based multidisciplinary rehabilitation approach with serial assessment and discussion with the ICF rehabilitation set. This prospective cohort study included consecutive patients admitted to the convalescent rehabilitation ward during the period between 1 August 2017 and 30 September 2018. Serial assessment and discussion with the ICF rehabilitation set every 2 weeks in each patient commenced from 1 April 2018. We analyzed the difference in the Extension Index of the ICF rehabilitation set between the periods before the assessment of the ICF rehabilitation set (prior period) and after that (post-period). The change of the Extension Index of the ICF rehabilitation set was higher in patients of the post-period group (n = 59) compared with those of the prior period group (n = 45) (mean 31.6, SD 18.5 vs. mean 17.3, SD 18.4, respectively; 95% confidence interval for the difference 7.0-21.5). Multiple regression analysis showed that serial assessment by the ICF rehabilitation set was independently associated with the improvement of the Extension Index. Multidisciplinary rehabilitation approach combined with serial assessment and discussion using the ICF rehabilitation set was associated with favorable recovery. Our study highlighted the effectiveness of ICF-based multidisciplinary rehabilitation in a clinical setting.