康复学报2024，Vol.34Issue(6)：577-583,7.DOI:10.3724/SP.J.1329.2024.06007
《国际功能、残疾和健康分类康复组合》在西北戈壁地区膝骨关节炎患者康复中的应用
Application of the International Classification of Functioning,Disability and Health Rehabilita-tion Set in Rehabilitation of Patients with Knee Osteoarthritis in Northwest Gobi Region
摘要
Abstract
Objective To explore the feasibility of the International Classification of Functioning,Disability and Health Reha-bilitation Set(ICF-RS)in evaluating the overall functional level,rehabilitation treatment effects,and the relationship between reha-bilitation efficacy and cost-effectiveness of patients with knee osteoarthritis(KOA)in the northwest Gobi region.Methods A total of 50 patients with KOA who were hospitalized in the Acupuncture and Moxibustion Department of Jimsar County Hospital of Tradi-tional Chinese Medicine from March 2022 to March 2023 were selected.A total of eight cases discontinued or dropped out due to comprehension deviation and low assessment compliance,and finally 42 cases were included.Personalized rehabilitation programs were formulated according to the severity of functional disorders referring to the"Clinical Practice Guidelines of Traditional Chi-nese Medicine Rehabilitation for Knee Osteoarthritis".The treatment was conducted once a day,six days a week for two weeks.The ICF-RS was used to evaluate the overall functional level,rehabilitation efficacy and rehabilitation treatment costs.Results The main body functional impairments of patients with KOA were b280 pain sensation,b455 exercise tolerance,b130 energy and drive function,and b134 sleep function in sequence;the main activity limitations were d410 changing basic body postures,d455 moving around,and d415 maintaining a body posture;the main participation dysfunctions were d850 remunerative employment and d920 recreation and leisure.There was no statistically significant difference in the composition ratio of the frequency of the limit values in all categories of ICF-RS(except d240 handling stress and other psychological needs)between Han and ethnic minority patients with KOA(P>0.05).The ICF-RS assessment results showed that,all categories of the body function,activities and participation in patients with KOA increased significantly after treatment(P<0.001),and the overall improvement rate was 100%.The total rehabilitation cost of patients with KOA was(2 165.44±783.79)yuan,with an average rehabilitation expenditure of 245.09 yuan for each one-point improvement in overall functional score.Conclusion The ICF-RS can be used to evaluate the overall functional status of patients with KOA in the northwest Gobi region,guide clinical rehabilitation treatment and evaluate the rehabilitation medical expen-diture for patients with KOA.关键词
膝骨关节炎/国际功能、残疾和健康分类康复组合/身体功能/活动功能/参与功能/西北戈壁地区Key words
knee osteoarthritis/International Classification of Functioning,Disability and Health Rehabilitation Set/body function/activity function/participation function/northwest Gobi region引用本文复制引用
姚冬,何毅琪,张琴,刘长花,李泰标,姚才明,王相凤,王钦枫,胡红军..《国际功能、残疾和健康分类康复组合》在西北戈壁地区膝骨关节炎患者康复中的应用[J].康复学报,2024,34(6):577-583,7.基金项目
国家自然科学基金面上项目(82272614) （82272614）
