ICF disability measured by WHO-DAS II in three community diagnostic groups in Madrid, Spain
ICF disability measured by WHO-DAS II in three community diagnostic groups in Madrid, Spain
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DOI：
10.1016/j.gaceta.2011.08.005
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发表时间：
2011-12-01
期刊：
影响因子：
1.9
通讯作者：
Luis Monteagudo, Jose
中科院分区：
文献类型：
--
作者：
de Pedro-Cuesta, Jesus;Alberquilla, Angel;Luis Monteagudo, Jose
目的：为慢性病患者群体规划、提供和监测医疗和支助服务可能需要进行残疾评估和登记。本研究的目的是评估残疾的三组患者慢性阻塞性肺疾病（COPD），慢性心力衰竭（CHF）或stroke.Methods：方便样本的连续患者诊断为COPD（102），CHF（99），中风（99），从1,053初级保健用户在南部地区的自治区马德里。患者被告知的研究，并在他们的家中进行了评估，由训练有素的现场工作人员使用世界卫生组织残疾评估表II（WHO-DAS II）。重度残疾的患病率在各组之间存在差异，卒中和CHF的患病率最高（分别为33.33%和29.29%），COPD的患病率最低（14.71%）。这三个群体有两个相似的特点，即妇女的残疾发生率高于男子，以及各领域的具体模式，其中严重/极端限制发生率最高的领域是家庭生活活动和行动能力。严重限制社会参与在卒中和CHF患者中更常见。中度残疾组根据全球WHODAS II评分（n=94）表现出很高的患病率严重限制的流动性，生活活动和自我care.Conclusions：残疾之间的非制度化的人与COPD，CHF和中风是频繁的，并显示性别和域相关的模式中所描述的一项基于人群的研究中使用的WHO-DAS II在老年人在西班牙。经ICF验证的残疾类别可用于流行病学调查、个人评估和初级保健数据监测系统。(C)2011年SESPAS。出版社：Elsevier Espana，S.L. All rights reserved.
Objective: The planning, provision and monitoring of medical and support services for patient groups with chronic ailments may require disability assessment and registration. The purpose of this study was to assess disability in three groups of patients with chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF) or stroke.Methods: Convenience samples of consecutive patients diagnosed with COPD (102), CHF (99), and stroke (99) were taken from 1,053 primary care users in the southern area of the autonomous region of Madrid. The patients were informed of the study and were assessed in their homes by trained field workers using the World Health Organization Disability Assessment Schedule II (WHO-DAS II).Results: None of the groups had patients with extreme disability on their global WHO-DAS II scores. The prevalence of severe disability differed among the groups and was highest for stroke and CHF (33.33% and 29.29%, respectively) and lowest for COPD (14.71%). The three groups shared two similar traits, namely, a higher prevalence of disability among women than men, and a specific pattern by domain, with the highest prevalence of severe/extreme limitations being found in household life activities and mobility. Severe restrictions in Social Participation were more frequent in patients with stroke and CHF. The group with moderate disability according to the global WHODAS II score (n=94) showed a high prevalence of severe limitations in mobility, life activities and self-care.Conclusions: Disability among non-institutionalized persons with COPD, CHF and stroke is frequent and shows gender- and domain-related patterns similar to those described in a population-based study performed using the WHO-DAS II in elderly persons in Spain. ICF-validated disability categories could be useful in epidemiological surveys, individual assessments and primary care data monitoring systems. (C) 2011 SESPAS. Published by Elsevier Espana, S.L. All rights reserved.