基于ICD-11和ICF的活动和参与与生活质量测量工具的内容比较  

Content comparison of assessment tools of activity and participation,and quality of life:based on ICD-11 and ICF

作　　者：杨亚茹 杨剑[1,2,3] YANG Yaru;YANG Jian(College of Physical Education and Health,East China Normal University,Shanghai 200241,China;Key Laborato ry of Adolescent Health Assessment and Exercise Intervention of Ministry of Education,East China Normal University,Shanghai 200241,China;WHO-FICs CC in China,Beijing 100068,China)

机构地区：[1]华东师范大学体育与健康学院,上海市200241 [2]华东师范大学青少年健康评价与运动干预教育部重点实验室,上海市200241 [3]世界卫生组织国际分类家族合作中心,北京市100068

出　　处：《中国康复理论与实践》2023年第12期1454-1464,共11页Chinese Journal of Rehabilitation Theory and Practice

基　　金：上海高校"立德树人"人文社会科学重点研究基地子项目(No.1100-41222-16057);青少年体育教育研究上海市社会科学创新研究基地子项目(No.11001-412321-17006);华东师范大学青少年运动促进健康研究院子项目。

摘　　要：目的运用《国际功能、残疾和健康分类》(ICF)对主要活动和参与测量工具以及生活质量测量工具的测量项目内容进行内容编码和分析。方法选择具有代表性的活动类、综合性活动和参与类以及生活质量评定工具,对它们的测量结构和内容进行分析。基于ICF联系规则和内容匹配方法,将测量工具的测量项目概念与ICF类目和ICD-11进行匹配,分析各测量工具的测量项目的内容与ICF类目概念间内涵与外延之间的关系,并进行编码。结果活动类的测量工具有Barthel指数(BI)、工具性日常生活活动能力(IADL)等标准化活动评定工具,主要运用于医疗、康复、社区等情境。测量模式为基于对活动功能的直接观察和对个人或其他人(照顾者)的半结构化访谈。测量时长25~60 min。多数测量工具是标准参照的测量工具。有关活动和参与类的整体功能的评定工具,如健康调查简表(SF-36)、世界卫生组织生活质量测定量表简表(WHOQOL-BREF)、世界卫生组织生活质量测定量表-残疾版(WHOQOL-DIS)以及世界卫生组织残疾评定量表(WHODAS 2.0)均为常模参照类评定工具,可以在医疗、康复、教育和社会服务等情境下应用。由专业人员采用访谈以及观察测量的形式完成测量,也可由被评估者自填问卷完成。测量时长30~60 min。从测量内容看,BI和IADL的测量项目主要集中于自我照护活动和功能性活动,即ICF的活动(d4)、自我照护(d5)和家庭生活(d6)等类目。SF-36主要涉及一般任务和要求(d2)、交流(d3)、活动(d4)、自我照护(d5)以及家庭生活(d6)等类目。WHOQOL-BREF和WHOQOL-DIS生活质量测量项目包括一般任务和要求(d2)、交流(d3)、活动(d4)、人际互动和联系(d7)和社区、社会和公民生活(d9)类目。WHODAS 2.0是覆盖ICF活动和参与9个领域最广泛的测量工具。结论运用ICF类目定义、术语和编码以及ICF联系规则确定6种典型的测量工�Objective To encode and analyze the measurement items of major activity and participation function assessment tools and quality of life assessment tools using International Classification of Functioning,Disability and Health(ICF).Methods Representative tools in the activity category,comprehensive activity and participation category,as well as quality of life assessment tools were selected for analysis of their measurement structures and content.Based on the ICF linking rule and content matching method,the concepts of measurement items in various tools were matched with ICF categories,analyzing the relationships between the content of measurement items and the concepts of ICF categories,and then coded in ICF and ICD-11.Results Measurement tools in the activity category,such as Barthel index(BI)and Instrumental Activities of Daily Living(IADL),were primarily standardized activity assessment tools in medical,rehabilitation,and community settings.The measurement was conducted through direct observation of activity function and semi-structured interviews with individuals or their caregivers,with 25 to 60 minutes.Most measurement tools were standardized reference tools.Assessment tools related to overall functioning in the activity and participation category,such as 36-item Short-Form Health Survey(SF-36),World Health Organization Quality of Life Questionnaire(WHOQOLBREF),World Health Organization Quality of Life-Disability(WHOQOL-DIS)and World Health Orgnization Disability Assessment Scheme 2.0(WHODAS 2.0)were norm-referenced assessment tools applicable in medical,rehabilitation,education,and social service contexts.The measurement was carried out by professionals through interviews and observations,or completed by the assessed individuals through self-administered questionnaires,with a measurement duration of 30 to 60 minutes.In terms of measurement content,IADL and BI mainly focus on activities of self care and functional activities,corresponding to ICF categories such as mobility(d4),self-care(d5),and domestic life

关 键 词：国际疾病分类第十一次修订本 国际功能、残疾和健康分类 日常生活活动 健康相关生活质量 评估 

分 类 号：R493[医药卫生—康复医学]