| 张涵慈,章马兰.基于ICF-RS的非急性期住院患者参与功能特征及影响因素的多中心研究[J].中国康复,2025,40(3):156-161 |
| 基于ICF-RS的非急性期住院患者参与功能特征及影响因素的多中心研究 |
| Analysis of influencing factors on participation dimension of inpatients in non-acute stage based on ICF-RS |
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| DOI：10.3870/zgkf.2025.03.006 |
| 中文关键词: 国际功能、残疾和健康分类康复组合 参与功能 住院患者 回归分析 |
| 英文关键词: ICF-RS participating function inpatient regression analysis |
| 基金项目:国家自然科学基金项目（NO:72104060） |
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| 中文摘要: |
| 目的：评估非急性期住院患者国际功能、残疾和健康分类康复组合（ICF-RS）功能状况，探讨参与功能的特征和相关人口学影响因素。方法：采用多中心横断面研究的方法，选取2019年9月～2020年8月广东、福建省共5所医院康复科住院的非急性期患者297例，使用已开发的ICF-RS APP收集患者一般资料和功能状况，采用频数占比、秩和检验和有序多分类Logistic回归分析非急性期住院患者参与功能特征和影响因素。结果：根据频数占比情况，参与功能损伤最严重的前三位类目是d660帮助别人（93.6%）、d920娱乐和休闲（88.2%）、d470利用交通工具（68%）, 损伤程度最轻的是d770亲密关系（14.8%）。在不同疾病系统中d470利用交通工具差异最明显，d770亲密关系差异最小。秩和检验发现，性别、年龄、婚姻状况、职业状况、收入水平、临床诊断可能是非急性期住院患者参与功能的影响因素（P<0.05）。有序多分类Logistic回归分析显示，在职(OR=1.962)、男性(OR=1.579，OR=1.647)、收入<5000元（OR=2.054，OR=1.670）、40～59岁(OR=1.866)的患者参与功能更容易损伤。结论：非急性住院患者的参与功能均受到影响，其中神经系统患者损伤程度高于肌肉骨骼系统。临床人员需要重点关注男性、中年、在职、收入较低对患者参与功能的影响。 |
| 英文摘要: |
| Objective: To evaluate the status of ICF-RS function in non-acute inpatients and explore the characteristics of participation function and related demographic factors. Methods: A multi-center cross-sectional study was used to select 297 non-acute patients hospitalized in the rehabilitation departments of 5 hospitals in Guangdong and Fujian provinces from September 2019 to August 2020. The developed ICF-RS APP was used to collect the general data and functional status of the patients. Frequency ratio, rank sum test and ordered multiple Logistic regression were used to analyze the functional characteristics and influencing factors of non-acute inpatients. Results: According to the frequency proportion, the top three categories with the most severe functional impairment were d660 helping others (93.6%), d920 entertainment and leisure (88.2%), and d470 using transportation (68%). Among different disease systems, d470 had the most significant difference in the use of transportation, while d770 had the least difference in intimate relationship. The rank sum test showed that gender, age, marital status, occupational status, income level and clinical diagnosis may be the influencing factors of non-acute inpatients’ participation function (P<0.05). Ordered multiple Logistic regression analysis showed that patients with employment (OR=1.962), male (OR=1.579, OR=1.647), income <5000 yuan (OR=2.054, OR=1.670), and 40-59 years old (OR=1.866) were more likely to participate in functional impairment. Conclusion: In non-acute inpatients, the participation function was affected, and the degree of damage to the nervous system was greater than that of the musculoskeletal system. Emphasis was placed on the effects of male, middle-aged, employed, and lower income on patients’ participation in function. |
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