The reliability and validity of the International Classification of Functioning, Disability and Health′s Rehabilitation Set for multidisciplinary inpatients / 中华物理医学与康复杂志

Objective:To explore the reliability and validity of the International Classification of Functioning, Disability and Health′s 17-item Rehabilitation Set (ICF-RS-17) when used to evaluate multidisciplinary inpatients.Methods:A total of 359 inpatients in the departments of rehabilitation, orthopedics, neurology, and neurosurgery of three hospitals in Jiangsu province were assessed with the ICF-RS-17 at admission and at discharge, and the internal consistency of the tool was calculated. Inter-rater and intra-rater reliability were quantified using interclass correlation coefficients (ICCs). Structural validity was analyzed using factor analysis.Results:The tool′s Cronbach′s α was 0.945. The overall inter-rater ICC was 0.946 with the ICCs of all of the items except b280 sensation of pain within the range from 0.630 to 0.948. The overall intra-rater ICCs ranged from 0.471 to 0.947. The factor analysis found three factors with eigenvalues greater than 1, accounting for 74% of the variation, without double-loaded items. The three influential factors were exercise ability, sleep perception communication ability and self-care ability.Conclusion:The ICF-RS-17 has good internal consistency, inter-rater and intra-rater reliability and structural validity in the evaluation of multidisciplinary inpatients.

Comparison of Functional Status Between Diabetic Patients With and Without Nephropathy Based on the International Classification of Functioning,Disability and Health Rehabilitation Set / 中国医学科学院学报

Objective To compare the functional status of diabetic patients with and without nephropathy and identify the items that diabetic patients with nephropathy are more likely to develop dysfunction than diabetic patients without nephropathy based on the international classification of functioning,disability and health rehabilitation set(ICF-RS).Methods A cross-sectional study was conducted.A total of 320 diabetic patients hospitalized in Guangdong Provincial Hospital of Chinese Medicine from August 2021 to February 2022 were selected and assigned into a group with nephropathy and a group without nephropathy.The general characteristics,clinical examination,and laboratory findings were compared by the t test,rank sum test,and Chi-squared test.The functional status of the patients was compared between the two groups by the t test based on the ICF-RS.Logistic regression was employed to control interferential factors between the two groups and identify the association between nephropathy and ICF-RS problematic items among diabetic patients.Results The diabetic patients with nephropathy had more problematic items in ICF-RS(P<0.001),the body function dimension(P=0.003),the activity dimension(P<0.001),and the participation dimension(P<0.001)than those without nephropathy.Moreover,the diabetic patients with nephropathy experienced severer problems in 5 body function items(energy and drive functions,sleep functions,sexual functions,exercise tolerance functions,and muscle power functions),10 activity items(transferring oneself,walking,moving around using equipment,moving around,washing oneself,caring for body parts,toileting,dressing,doing housework,and looking after one's health),and 4 participation items(using transportation,assisting others,basic interpersonal interactions,and recreation and leisure)(all P<0.05).The Logistic regression results showed that compared with the diabetic patients without nephropathy,the diabetic patients with nephropathy were more likely to develop problems in energy and drive functions(aOR=4.35,95%CI=1.28-14.79,P=0.019),emotional functions(aOR=1.88,95%CI=1.06-3.34,P=0.031),sexual functions(aOR=3.39,95%CI=1.82-6.34,P<0.001),moving around(aOR=3.11,95%CI=1.76-5.52,P<0.001),doing housework(aOR=17.48,95%CI=3.57-85.60,P<0.001),looking after one's health(aOR=1.97,95%CI=1.13-3.43,P=0.017),using transportation(aOR=2.59,95%CI=1.38-4.88,P=0.003),and recreation and leisure(aOR=2.52,95%CI=1.46-4.35,P<0.001).Conclusion Compared with the diabetic patients without nephropathy,the patients with nephropathy suffer more ICF-RS problematic items and are more likely to develop dysfunction in certain items in all the three dimensions.

Development of programmes and curriculum of physical therapy at undergraduate level using ICF and rehabilitation competency framework / 中国康复理论与实践

@#Objective To develop programmes and curriculum of physical therapy competency for undergraduate education for the training of competent physical therapy.Methods Using World Health Organization Rehabilitation Competency Framework (RCF) and International Classification of Functioning, Disability and Health (ICF) as framework, a discipline of physical therapy, and programmes and curriculum for undergraduate education were developed.Results The basic concepts of rehabilitation and disability, laws, regulations and ethics and physical therapy of functioning and disability were explored within RCF. The contents, core values and beliefs of physical therapy competencies were developed using RCF. Results -oriented and backward strategy was used to develop programmes and curriculum of undergraduate education in physical therapy based on competency. Conclusion The theory of ICF and RCF is important for developing programmes and curriculum of physical therapy competency. Based on RCF, the physical therapy competency domain, principles, strategies and educational framework for undergraduate education in physical therapy are constructed, helping for developing competency-based undergraduate education standards for physical therapy and professional competency standards in China.

Perfil sociodemográfico de usuários de um centro de atenção psicossocial e o trabalho / Sociodemographic profile from the users of a psychosocial care center and the work

Introdução: Atualmente o trabalho ocupa posição central na vida dos indivíduos adultos, sendo esta atividade responsável pelo provimento de renda, relações sociais e satisfação pessoal. A população em geral e em específico alguns indivíduos com transtornos mentais ficam limitados e até mesmo privados no que se refere ao acesso a essa atividade. O significado principal do trabalho acaba sucumbindo, estando o indivíduo sujeito às necessidades do capital e não às suas necessidades pessoais. Objetivo: O estudo teve como objetivo traçar o perfil sociodemográfico de usuários de um Centro de Atenção Psicossocial II com foco no histórico do trabalho. O perfil poderá contribuir para o planejamento de oficinas de Geração de Trabalho e Renda. Método: Configura-se como uma pesquisa quantitativa, exploratória, de corte transversal. Utilizou-se questionário para a coleta de dados e a análise dos dados ocorreu por meio de estatística descritiva utilizando o programa Statistical Package for the Social Sciences (SPSS), com a recombinação dos dados da literatura. Resultados: Constatou-se que a grande maioria dos usuários entrevistados encontra-se afastada de atividade laboral e possui experiência anterior em atividades agrícolas, principalmente no cuidado com hortas. Conclusão: O desenvolvimento de oficinas de geração de trabalho e renda pode possibilitar a retomada da atividade laboral desses indivíduos, e o terapeuta ocupacional, por meio de suas habilidades profissionais, pode contribuir para este processo.

Introduction: Currently the work occupies a central position in the life of the adult individuals, being this activity responsible for the provision of income, social relations and personal satisfaction. The population in general and in particular some individuals with mental disorders, end up limited and even deprived regarding to access to this activity. The main meaning of the work ends up failing, being the individual subjected to the needs of capital and not its personal needs. Objective: The objective of this study was to outline the sociodemographic profile of users of a Psychosocial Care Center II with a focus on work history. The occupational profile may contribute to the planning of Work Generation and Income workshops. Method: It is configured as a quantitative, descriptive cross-sectional study. A semi-structured questionnaire was used to collect data and data analysis was performed through descriptive statistics using the Statistical Package for the Social Sciences (SPSS) program, with the recombination of the literature data. Results: It was found that the great majority of the users interviewed are far from work and have previous experience in agricultural activities, especially in the care of vegetable gardens. Conclusion: The development of workshops to generate work and income can make it possible to resume the work activity of these individuals and the occupational therapist through their professional skills can contribute to this process.

Effect of extension of nursing service on rehabilitation of the army retired officers with diabetes / 医学研究生学报

Objective Diabetes is a common chronic disease in the elderly and needs long-term treatment. This study aims to determine the effect of extended nursing service in rehabilitation of army retired officers with diabetes. Methods We selected 78 ca-ses of military retired officers with diabetes from September 2010 to September 2012 in Nanjing General Hospital of Nanjing Military Region. According to the different intervention methods, patients were divided into experimental group and control group( n=39 cases) . The control group used conventional nursing service, and the experimental group added extended nursing service on the basis of the control group . After one year follow-up, the fasting blood glucose level, glycosylated hemoglobin ( HbAlc) , self-rating depression scale (SDS) evaluation and self-rating anxiety scale (SAS) and the changes of patients′ satisfaction of the two groups were observed. Results The fasting blood glucose levels and HbAlc of experimental group were significantly better than control group, with statisticalsignificance (P<0.05);The SAS scores (34.9±5.9)and SDS scores (36.9±4.5) of experimental group were significantly lower than the control group(52.3±4.2 and 55.9±3.9), with statistical significance ( t=5.489, t=5.226, P<0.05);The satisfaction degree of the exper-imental group was significantly higher than the control group (99.8%vs 79.9%, χ2=4.898, P<0.05). Conclusion the extension ofnursing service in health rehabilitation in the retired veteran cadres in the army with diabetes can effectively improve the patient′s fast-ing blood glucose levels, reduce depression, as well as improving the nursing service satisfaction.

As tecnologias utilizadas no processo de trabalho do centro de atenção psicossocial com vistas à integralidade / Las tecnologías utilizadas en el proceso de trabajo del centro de atención psicosocial con vistas a la integralidad / The technologies used in the working process of the psychosocial careunit with sights to reach the comprehensiveness

Objetivo: Conhecer as tecnologias do processo de trabalho predominante nas relações entre profissionais e usuários com vistas à integralidade. Método: Trata-se de um estudo qualitativo realizado com 26 profissionais de um Centro de Atenção Psicossocial (CAPS) em um município no interior do Rio Grande do Sul, no mês de outubro de 2006. Os dados foram coletados por meio de entrevista semiestruturada e, posteriormente, submetidos à análise temática. Resultados: As tecnologias leves, leve-duras e duras estão presentes no cotidiano das práticas do CAPS, sendo que o acolhimento, o vínculo e a escuta foram fatores identificados como leves; os saberes estruturados como leve-duras e os prontuários e os psicofármacos como duras. Conclusão: As utilizações das tecnologias no processo de trabalho no CAPS podem estar entremeadas pela integralidade à medida que a relação entre equipe e usuários se configura em um espaço de interação.

Objective: Knowing the technologies of the working process predominant in the relationships between professionals and users with sights to reach the comprehensiveness. Method: It is a qualitative study performed with 26 professionals of a Psychosocial Care Unit - Centro de Atenção Psicossocial - (CAPS) in a municipality of the Rio Grande do Sul state, during October 2006. The data were collected by means of a semi-structured interview and, subsequently, subjected to the thematic analysis. Results: The soft, soft-hard and hard technologies are present in the CAPS daily practices, being that the welcoming, bond and listening were identified as being soft ones; the structured skills as being soft-hard ones and the medical charts and the psychotropic drugs as being hard ones. Conclusion: The use of technologies in the CAPS working process might be mixed with comprehensiveness as the relationship between the health care staff and users is configured in an interactive space.

Objetivo: Conocer las tecnologías del proceso de trabajo predominante en las relaciones entre profesionales y usuarios con vistas a la integralidad. Método: Se trata de un estudio cualitativo realizado con 26 profesionales de un Centro de Atención Psicosocial (CAPES) en un municipio en el interior de Río Grande del Sur, en el mes de octubre de 2006. Las informaciones fueron colectadas por medio de entrevista semiestructurada y, posteriormente, sometidas al análisis temático. Resultados: Las tecnologías leves, leves-duras y duras están presentes en el cotidiano de las prácticas de CAPS, siendo que el acogimiento, el vínculo y la audición fueron identificados como leves; los conocimientos estructurados como leve-duros y los prontuarios y los psicofármacos como duras. Conclusión: Las utilizaciones de las tecnologías en el proceso de trabajo en CAPS pueden estar intercaladas por la integralidad en la medida en que la relación entre equipo y usuarios se configura en un espacio de interacción.

Capacidade laboral dos segurados do INSS portadores de LER/DORT que retornaram ao trabalho / Work ability assessment of professionals with Cumulative Trauma Disorders insured by social security who returned to work

Introdução: As lesões musculoesqueléticas são uma das principais causas de problemas de saúde relacionados ao trabalho. Objetivo: Avaliar a capacidade laboral de segurados do INSS com DORT que retornaram ao trabalho. Métodos: Selecionaram-se 22 trabalhadores do setor produtivo de uma unidade fabril da cidade de Campina Grande (PB) que foram afastados de suas atividades trabalhistas com diagnóstico de DORT que voltaram a trabalhar. Para medir a capacidade laboral, utilizou-se o Índice de Capacidade para o Trabalho (ICT). Resultados: Verificou-se, por meio do ICT, que dos 22 trabalhadores pesquisados, 4 (18,18%) obtiveram uma pontuação correspondente à capacidade laboral ?baixa?; 15 (68,18%), ?moderada?, e 3 (13,64%), ?boa?. Conclusão: A maioria dos trabalhadores, portanto, retornou ao trabalho com uma moderada capacidade laboral, de acordo com o ICT, o que sugere que devem ser tomadas medidas para melhorar a qualidade da reabilitação profissional promovida pelo INSS aos acometidos de doenças laborais.

Introduction: Musculoskeletal disorders are one of leading causes of work related ill health. Objective: The purpose of this study is to evaluate the work ability of Social Security (INSS) insured professionals who had repetitive strain injuries/work-related musculoskeletal disorders Cumulative Trauma Disorders and returned to work. Methods: The research targeted 22 workers of a Campina Grande (PB, Brazil) fabric factory?s production sector who were withdrawn for having a diagnosis of Cumulative Trauma Disorders and returned to work. The assessment tool used was the Work Ability Index (WAI). Results: According to the WAI, one verified that 4 (18.18%) out of the 22 workers achieved grades within the ?low? work ability; 15 (68.18%) showed ?average? work ability and 3 (13.64%) were within the ?good? work ability group. Conclusion: Therefore, most of these workers returned to work with average work ability according to the WAI. This bears out that actions toward improving the work ability, promoted by INSS, should be taken.

Construction of Knowledge System of Modern Sciences of Rehabilitation and Rehabilitation Education Regarding ICF Model / 中国康复理论与实践

@# With the comprehensive model of ICF, the approach and construction of knowledge system of modern sciences of rehabilitation and rehabilitation education had been developed and explored. The influences and approaches of ICF based approach had been discussed applied in rehabilitation and rehabilitation education. from the perspective of "biology-psychology-society".