中国康复理论与实践2023，Vol.29Issue(12)：1454-1464,11.DOI:10.3969/j.issn.1006-9771.2023.12.010
基于ICD-11和ICF的活动和参与与生活质量测量工具的内容比较
Content comparison of assessment tools of activity and participation,and quality of life:based on ICD-11 and ICF
摘要
Abstract
Objective To encode and analyze the measurement items of major activity and participation function assessment tools and quality of life assessment tools using International Classification of Functioning,Disability and Health(ICF). Methods Representative tools in the activity category,comprehensive activity and participation category,as well as qual-ity of life assessment tools were selected for analysis of their measurement structures and content.Based on the ICF linking rule and content matching method,the concepts of measurement items in various tools were matched with ICF categories,analyzing the relationships between the content of measurement items and the concepts of ICF categories,and then coded in ICF and ICD-11. Results Measurement tools in the activity category,such as Barthel index(BI)and Instrumental Activities of Daily Liv-ing(IADL),were primarily standardized activity assessment tools in medical,rehabilitation,and community set-tings.The measurement was conducted through direct observation of activity function and semi-structured inter-views with individuals or their caregivers,with 25 to 60 minutes.Most measurement tools were standardized ref-erence tools.Assessment tools related to overall functioning in the activity and participation category,such as 36-item Short-Form Health Survey(SF-36),World Health Organization Quality of Life Questionnaire(WHOQOL-BREF),World Health Organization Quality of Life-Disability(WHOQOL-DIS)and World Health Orgnization Disability Assessment Scheme 2.0(WHODAS 2.0)were norm-referenced assessment tools applicable in medi-cal,rehabilitation,education,and social service contexts.The measurement was carried out by professionals through interviews and observations,or completed by the assessed individuals through self-administered ques-tionnaires,with a measurement duration of 30 to 60 minutes.In terms of measurement content,IADL and BI mainly focus on activities of self care and functional activities,corresponding to ICF categories such as mobility(d4),self-care(d5),and domestic life(d6).SF-36 primarily covers general tasks and demands(d2),communica-tion(d3),mobility(d4),self-care(d5),and domestic life(d6).WHOQOL-BREF and WHOQOL-DIS items relat-ed to general tasks and demands(d2),communication(d3),mobility(d4),interpersonal interactions and relation-ships(d7),and community,social,and civic life(d9).WHODAS 2.0 was the most comprehensive measurement tool covering all nine domains of activity and participation in the ICF. Conclusion This study amalyzed the structures and contents of items of six assessments tools using ICF nomenclature,terminology,codes and linking rules.WHOQOL-BREF,WHOQOL-DIS and WHODAS 2.0 are comprehensive functioning evaluation tools,covering all nine ICF domains of activity and participation,as well as quality of life and well-being.关键词
国际疾病分类第十一次修订本/国际功能、残疾和健康分类/日常生活活动/健康相关生活质量/评估Key words
International Classification of Diseases 11th Revision/International Classification of Functioning,Disability and Health/activities of daily living/health-related quality of life/assessment分类
医药卫生引用本文复制引用
杨亚茹,杨剑..基于ICD-11和ICF的活动和参与与生活质量测量工具的内容比较[J].中国康复理论与实践,2023,29(12):1454-1464,11.基金项目
1.上海高校"立德树人"人文社会科学重点研究基地子项目(No.1100-41222-16057) （No.1100-41222-16057）
2.青少年体育教育研究上海市社会科学创新研究基地子项目(No.11001-412321-17006) （No.11001-412321-17006）
3.华东师范大学青少年运动促进健康研究院子项目 Supported by Shanghai University Key Research Base for Humanities and Social Sciences(No.1100-41222-16057),Shanghai Social Science Research Base for Youth Physical Education(No.11001-412321-17006),and East China Normal University Institute of Youth Sports Promoting Health （No.1100-41222-16057）
