【目的】 探讨《国际功能、残疾和健康分类》ICF在儿童脑外伤康复功能评定和随访中的作用。 【方法】 对照国际疾病分类(ICD-10)对儿童脑外伤的疾病分类,运用脑外伤ICF简要核心组合表对本院2006年5月-2011年5月期间儿童脑外伤的住院病人进行功能评定和随访,分析儿童脑外伤的年龄分布与病因特点。 【结果】 1)儿童脑外伤的致伤原因与各年龄阶段的发育特征相关,0~6岁以高处坠落伤为主,7~12岁以高处坠落伤和车祸伤为主,13~18岁以自我伤害和他人伤害为主。 2)年龄越小,平均ICF得分越高;车祸伤、高处坠落伤、自我伤害和他人伤害平均ICF得分依次降低。 【结论】 ICF能有效、全面地评定、随访和指导儿童脑外伤的治疗和康复,ICF对功能的评定和ICD-10对病因的诊断相互补充。儿童脑外伤在0~6岁预防重点是高处坠落,7~12岁预防重点是高处坠落和车祸,13~18岁预防重点是自我伤害和他人伤害。
Abstract
【Objective】 Application of ICF to Rehabilitation evaluation and follow-up study of children with traumatic brain injury. 【Methods】 From May 2006 to May 2011,48 traumatic brain injury children acceptted the rehabilitation therapy were measured by ICF in the second affiliated hospital of Wenzhou Medical College and the disease were diagnosised by ICD-10;Application of ICF to follow-up study for all the children with traumatic brain injury and the 144 children were analyzed by distribution of age and the reason of wounds. 【Results】 1)The reason for children with traumatic brain injury was relate to ages stage and developmental characteristics,0 to 6 years old children with traumatic nrain injury primarily by high fall injury,7 to 12 years old by high fall injury and traffic accident wound,13 to 18 years old by self-harm and other people injury.2)The younger age with traumatic brain injury was,the score was higher in ICF.The average ICF score decreased by turns from in traffic accident,high fall injury,to self-harm and other people injury. 【Conclusions】 ICF can effectively and comprehensively assess the rehabilitation and follow-up study of brain injury children,and guiding opinions for rehabilitation treatment.The ICF complements the information provided by the ICD-10 by classifying information on functioning and disability,Thus,ICD-10 and ICF are complementary classifications.Prevention traumatic brain injury in 0 to 6 years old,7 to 12 years old,13 to 18 years old respectively is high place crash,high place crash and traffic accident,self-harm and other people injury.
关键词
ICF /
儿童脑外伤 /
康复
Key words
international classification of functioning /
children traumatic brain injury /
rehabilitation
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参考文献
[1] Angela E,Jodi M,Carol G,et al.Traumatic Bran Injury[M].Nursing Care of the Pediatric Neurosurgery Patient,2007:149-190.
[2] Pollard B,Johnston M,Dieppe P.Exploring the relationships between International Classification of Functioning,Disability and Health (ICF) constructs of impairment,activity limitation and participation restriction in people with osteoarthritis prior to joint replacement[J].BMC Musculoskelet Disord,2011,12:97-102.
[3] International Classification of Functioning,Disability,and Health (ICF).World Health Organization(WHO)Web site.http://www.who.int/classification/icf/en.Accessed January 21,2009.
[4] Bernabeu M,Laxe S,Lopez R,et al.Developing core sets for persons with traumatic brain injury based on the international classification of functioning,disability,and health[J].Neurorehabil Neural Repair,2009,23(5):464-467.
[5] Finger ME,Escorpizo R,Glssel A,et al.ICF Core Set for vocational rehabilitation:results of an international consensus conference[J].Disabil Rehabil,2011,Epub ahead of print.
[6] Tschiesner U,Linseisen E,Becker S,et al.Content validation of the ICF Core Sets for HNC:a multicentre study[J].J Otolaryngol Head Neck Surg,2010,39(6):674-687.
[7] Glssel A,Kirchberger I,Linseisen E,et al.Content validation of the International Classification of Functioning,Disability and Health (ICF) Core Set for stroke:the perspective of occupational therapists[J].Can J Occup Ther,2010,77(5):289-302.
[8] International Statistical Classification of Diseases and Related Health Problems 10th Revision(ICD-10 Version:2010)[EB/OL].World Health Organization (WHO) Web site.http://apps.who.int/classifications/icd10/browse/2010/en.
[9] DIMDI.Development of ICF Core Sets for Traumatic Brain Injury (TBI).ICF Reaserch Branch Web site[EB/OL].http://www.icf-research-branch.org/icf-core-sets-projects/neurological-conditions/development-of-icf-core-sets-for-traumatic-brain-injury-tbi.html.
[10] Cieza A,Stucki G.The International Classification of Functioning Disability and Health:its development process and content validity[J].Eur J Phys Rehabil Med,2008,44(3):303-313.
[11] Bruyere SM,Van Looy SA,Peterson D.The International Classification of Funct ioning,Disability and Health (ICF):Contemporary literature overview[J].Rehabil Psychol,2005,50(2):113-121.
[12] 吴丽慧,李沁燚.将临床测量表与ICF类目建立联系的规则:从研究实例说明规则的更新[J].中国康复理论与实践杂志,2011,17(2):107-109.
[13] Tschiesner U,Cieza A,Rogers SN,et al.Developing core sets for patients with head and neck cancer based on the International Classification of Functioning,Disability and Health(ICF) [J].Eur Arch Otorhinolaryngol,2007,264(10):1215-1222.
[14] Tenorio-Martínez R,del Carmen Lara-Muoz M,Medina-Mora ME.Measurement of problems in activities and participation in patients with anxiety,depression and schizophrenia using the ICF checklist[J].Soc Psychiatry Psychiatr Epidemiol,2009,44 (5):377-384.
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