Use of the ICF to describe functioning and disability in obese patients
Use of the ICF to describe functioning and disability in obese patients
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DOI：
10.3109/09638280903317724
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发表时间：
2009-01-01
影响因子：
2.2
通讯作者：
Leonardi, Matilde
中科院分区：
文献类型：
--
作者：
Raggi, Alberto;Sirtori, Anna;Leonardi, Matilde
目的。通过在临床住院环境中实施基于 ICF 的工具来描述严重肥胖成年患者的功能和残疾，并强调最相关的功能领域。方法。 BMI >= 35 kg/m(2) 的成年肥胖住院患者被纳入研究，并按照标准化诊断方案进行临床评估。 ICF 类别是根据既定的编码规则、基于 ICF 肥胖核心集、ICF 检查表和与诊断协议相关的其他类别组成的扩展列表来填写的。至少 20% 的患者报告为问题的类别被认为与描述肥胖患者的功能概况相关。结果。入组了 51 名患者，选择了 43 个 ICF 类别：11 种身体功能（占所选类别总数的 26%）、3 种身体结构（7%）、15 种活动和参与（35%）和 14 种环境因素（32%）。六个 ICF 类别未包含在肥胖核心集中。结论。我们的研究表明，ICF 类别的扩展列表适用于描述肥胖患者的功能和残疾，并为扩展 ICF 肥胖核心集提供了初步指示。
Purpose. To describe the functioning and disability in adult patients with severe obesity through an implementation of ICF-based tools in a clinical inpatient setting, and to highlight the most relevant domains of functioning.Methods. Adult obese inpatients with BMI >= 35 kg/m(2) were enrolled and underwent a clinical evaluation following a standardized diagnostic protocol. ICF categories were filled according to established coding rules, on the basis of an extended list composed by ICF Core Set for obesity, the ICF checklist and other categories linked to the diagnostic protocol. Categories reported as a problem by at least 20% of patients were considered relevant for describing functional profiles of obese patients.Results. Fifty-one patients were enrolled and 43 ICF categories were selected: 11 body functions (26% out of the total selected categories), 3 body structures (7%), 15 activities and participation (35%) and 14 environmental factors (32%). Six ICF categories were not included in the Core-Set for obesity.Conclusions. Our study shows the applicability of an extended list of ICF categories to describe functioning and disability of obese patients, and provide a preliminary indication to expanding the ICF Core Set for obesity.