Use of ICF in Assessing the Effects of Meniere's Disorder on Life
Use of ICF in Assessing the Effects of Meniere's Disorder on Life
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DOI：
10.1177/000348941011900903
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发表时间：
2010-09-01
影响因子：
1.4
通讯作者：
Pyykko, Ilmari
中科院分区：
文献类型：
--
作者：
Levo, Hella;Stephens, Dafydd;Pyykko, Ilmari
目的：我们试图确定世界卫生组织国际功能分类的价值。梅尼埃障碍患者的残疾与健康(ICF)与其生活质量的关系。方法：我们询问了芬兰梅尼埃联合会的228名成员，报告了梅尼埃障碍对他们生活的影响。这些答复是根据ICF的分类进行分类的，并与EuroQol 5D评分和疾病具体影响有关。结果：70%的患者存在功能障碍，39%的患者活动受限，47%的患者参与受限。对环境情境因素的影响为16%，对个人情境因素的影响为28%。EuroQol 5D得分由报告的眩晕、焦虑、疲劳、生活限制和沟通问题解释。这种疾病特有的影响可以通过眩晕、疲劳、沟通问题、无法工作、生活限制和生活不确定的发作来解释。两种分析模型提供了相同的结果变量，尽管决策树比Logistic回归分析(60%)更好地将结果分类(80%)。结论：自我报告的参与限制、活动限制和个人背景因素描述了梅尼埃障碍受试者一般生活的局限性。ICF分类的使用提供了一种工具，可用于梅尼埃障碍受试者的治疗。
Objectives: We sought to determine the value of the World Health Organization's International Classification of Functioning. Disability and Health (ICF) in subjects with Meniere's disorder in relation to their quality of life.Methods: We asked 228 members of the Finnish Meniere Federation to report the effects that Meniere's disorder had on their lives. The replies were classified on the basis of the ICF classification and related to the EuroQol 5D score and disease-specific impact. Logistic regression and decision tree analyses were used to determine the relationships.Results: Seventy percent of the patients listed impairments, 39% activity limitations, 47% participation restrictions. 16% effects On environmental contextual factors, and 28% effects on personal contextual factors. The EuroQol 5D score was explained by reported vertigo, anxiety, fatigue, restriction of life, and communication problems. The disease-specific impact was explained by episodes of vertigo, fatigue, communication problems, inability to work, restriction of life, and uncertainty of life. Both analysis models provided the same outcome variables, although the decision tree separated the results better (80%) into correct classes than did logistic regression analysis (60%).Conclusions: Self-reported participation restriction, activity limitation, and personal contextual factors describe the limitations of general life in subjects with Meniere's disorder. The use of the ICF classification provides an instrument that can be used in enablement of subjects with Meniere's disorder.