《国际功能、残疾和健康分类康复组合》对创伤性脊髓损伤恢复期患者康复疗效和成本效益的初步报告

目的:采用ICF康复组合(ICF-RS)评价脊髓损伤患者的功能状况,初步分析康复疗效与成本效益关系.方法:15例创伤性脊柱脊髓损伤(TSCI)恢复期患者进行为期2周的集中康复训练,通过ICF-RS评估患者的功能改善情况,记录康复医疗支出.结果:TSCI恢复期患者最常见的身体功能障碍主要为b730肌肉力量、b640性功能...

Preliminary report on the therapeutic effect and cost-effectiveness of ICF-RS in the traumatic spinal cord injured patients during convalescent stage

Objective:To apply ICF rehabilitation set(ICF-RS)to assess functional status of the convalescent patients with traumatic spinal cord injury(TSCI).To preliminary analyze the relationship between therapeutic effect and cost-benefit of rehabilitation medicine.Method:Fifteen convalescent TSCI patients were enrolled into a 2-week intensive rehabilitation program.Functional improvement was assessed by ICF-RS and rehabilitation medical expenses were recorded in hospitalizations.Result:The Body Function impairments in TSCI patients were mainly concentrated in b730 Muscle power functions,b640 Sexual functions,b455 Exercise tolerance functions,b280 Sensation of pain,b710 Mobility of joint functions,main obstacles in domain of Activity and Participation were d770 Intimate relationships,d455 Moving around,d450 Walking,d415 Maintaining a body position,d410 Changing basic body position,d470 Using transportation,d850 Remunerative employment,d570 Looking after one's health,d920 Recreation and leisure.After intensive rehabilitation program,the overall functional improvement averaged 9.6 points,in which 13 of the 30 ICF categories were significantly improved(P<0.05),including Sleep functions,Emotional functions,Sensation of pain,Urination functions,Changing basic body position,Transferring oneself,walking,Washing oneself,Dressing,Looking after one's health,Doing housework,Basic interpersonal interactions,Recreation and leisure.The total medical expenditure per person averaged(8126.70±2631.69)Yuan,and the total rehabilitation cost per person averaged(6610.83±2692.62)Yuan.If rising every 1 point score of total function,the average medical expense per person was 846.55 Yuan,including 688.63 Yuan for rehabilitation medicine.Conclusion:ICF-RS can be used to assess the functional status of TSCI patients as well as the management of rehabilitation program and efficacy evaluation.