中国版简明版脑血管病急性期国际功能、残疾和健康分类核心要素的初步研究

摘要目的：初步确定中国版简明版脑血管病急性期国际功能、残疾和健康分类（ICF）的核心要素。方法：选取30例脑血管病患者。采用调查问卷记录患者信息，统计每一个分类项目的频率，将频率≥30%的ICF分类项目提取形成临床调查结果，将包含166项ICF二级分类项目的调查表发给15位专家进行专家调查，本研究设定的专家调查取舍点为50%，即将半数以上专家认为与脑血管病患者非常相关的分类项目保留作为专家调查结果，取临床调查结果和专家调查结果的交集作为最终的结果。结果：最终确定的中国版简明版脑血管病急性期ICF核心要素共44项，其中身体功能分类21项，身体结构分类2项，活动和参与分类11项，环境因素分类10项。结论：通过本研究初步确定了中国版简明版脑血管病急性期ICF核心要素。

Initial study of the Chinese version of brief International Classification of Functioning, Disability and Health core sets for patients with cerebrovascular disease in acute phase

Objective:To identify the Chinese version of brief International Classification of Functioning,Disability and Health(ICF) core sets for patients with cerebrovascular disease in acute phase.Method:The 30 patients with cerebrovascular disease in acute phase were involved in study.Questionnaires were used to record all the patients’ information,frequency of each category was calculated and those categories which frequency≥30% were selected as the clinical investigation results.A questionnaire which contained 166 items of second level of ICF categories were sent to 15 specialists for specialist investigation.This study had set the cut off point of specialist investigation to 50%,that meant when the category was identified by more than half of specialists it was significantly concerned with patients with cerebrovascular disease in acute phase and would be reserved as the specialist investigation results.The clinical investigation results and the specialist investigation results were integrated to form the final results.Result:Total of 44 categories in the Chinese version of brief ICF core sets for patients with cerebrovascular disease in acute phase were identified,with 21 body function categories,2 body structure categories,11 activity and participation categories and 10 environmental factor categories involved.Conclusion:The Chinese version of brief ICF core sets for patiens with cerebrovascular disease in acute phase was identified in this study.