文章摘要
尤雪婷,钟丽娟,林枫.汉语失语症国际功能、残疾和健康分类核心类目初探[J].中国康复,2021,36(5):265-269
汉语失语症国际功能、残疾和健康分类核心类目初探
A preliminary study on the International Classification of Functioning, Disability and Health Core Sets in Chinese for Aphasia
  
DOI:
中文关键词: 脑卒中  失语症  国际功能、残疾和健康分类  功能障碍
英文关键词: stroke  aphasia  International Classification of Functioning, Disability and Health  dysfunction
基金项目:国家自然科学基金资助项目(81672255);南京医科大学附属逸夫医院院内临床重点科室建设专项(YFZDXK02-7)
作者单位
尤雪婷 南京医科大学a.第一附属医院(江苏省人民医院)南京 210029b.附属逸夫医院南京 211100 
钟丽娟 南京医科大学附属逸夫医院南京 211100 
林枫 南京医科大学a.第一附属医院(江苏省人民医院)南京 210029b.附属逸夫医院南京 211100 
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中文摘要:
      目的:初步确定汉语失语症国际功能、残疾和健康分类(ICF)核心类目。方法:参考国外相关文献,选取66个失语症相关ICF类目,根据每个类目设计相关问题并将所有问题制成问卷。由研究人员根据该问卷对50例脑卒中后失语症患者进行定性访谈,将超过30%失语症患者认为对自己有影响的类目制成核心类目I。向35名康复科卫生工作人员发送问卷,将超过50%卫生专业人员认为对失语症患者有影响的类目制成核心类目II。提取核心类目I和II的重合类目,制成最终版汉语失语症ICF核心类目集。本研究确定的核心类目集中的所有类目均以第二级水平类目进行表示。结果:汉语失语症ICF核心类目集共包含25条ICF类目,包括7条身体功能类目,13条活动和参与类目,5条环境因素类目。结论:本研究以ICF为框架,通过收集失语症患者、患者家属、康复科医师和言语治疗师的观点,初步确定了汉语失语症ICF核心类目集,为脑卒中后失语症患者的功能障碍评估提供依据。
英文摘要:
      Objective: To identify the International Classification of Functioning, Disability and Health (ICF) Core Sets in Chinese for people with aphasia for the first time. Method: By referring to relevant foreign literature, 66 items of the ICF were selected. Relevant questions were designed according to each item and questionnaire was made for all the designed questions. According to the questionnaire, one researcher conducted qualitative interviews on 50 people with aphasia after stroke, and the items reported by more than 30% of the people with aphasia were extracted to form the ICF core items I. Then the questionnaire was sent to 35 clinical workers who specializing in aphasia therapy to gather their opinions on the people with aphasia, and the items reported by more than 50% of these people were extracted to form the ICF core items II. The repeated items of ICF core items I and II were extracted to make the final ICF Core Sets in Chinese for aphasia. All the items in the ICF Core Sets set in this study were presented in the second level. Results: A total of 25 ICF items were included in the final ICF Core Sets for people with aphasia in China: there were 7 body function items, 13 activity and participation items and 5 environment factor items. Conclusion: Based on the framework of the ICF, this study determined the ICF Core Sets for people with aphasia for the first time in China by interviewing and collecting the perspectives of the patients with aphasia, their families, rehabilitation physicians and speech-language therapists, providing basis for the assessment of dysfunction of patients with aphasia after stroke.
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