基于ICF构建综合性职业康复服务流程:理论架构与方法  

Reconstruction of comprehensive vocational rehabilitation service process based on ICF:conceptual framework and approaches

作　　者：胡志活 吴孟杰 陈芷莹 杨亚茹 WOO Chi Wood;NG Mang Kit;CHAN Tsz Ying;YANG Yaru(Fu Hong Society,Hong Kong 999077,SAR.,China;WHO-FIC Collaborating Center in China,Beijing 100068,China;College of Physical Education and Health,East China Normal University,Shanghai 200241,China;School of Social Development,Center for International Rehabilitation Policy and ICF,University of Health and Rehabilitation Sciences,Qingdao,Shandong 266113,China)

机构地区：[1]扶康会,中国香港特别行政区999077 [2]世界卫生组织国际分类家族中国合作中心,北京市100068 [3]华东师范大学体育与健康学院,上海市200241 [4]康复大学社会发展学院/国际康复政策和ICF研究中心,山东青岛市266113

出　　处：《中国康复理论与实践》2024年第12期1383-1390,共8页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的 本研究基于《国际功能、残疾和健康分类》(ICF)架构和工具,通过建立一个系统化、标准化的职业康复服务体系,对职业康复服务进行流程再造,以实现职业康复与其他康复服务的融合发展,提升残疾人的整体康复效果和生活质量。通过建立一个系统化、标准化的职业康复服务体系,提供功能导向的全人整体康复服务。方法 基于ICF架构和工具,对职业康复流程进行系统分析;在此基础上,根据功能特点并且系统应用基于ICF的工具,建构了职业康复流程,包括功能评估与康复目标确定、康复方案制定、多学科干预的实施、结局评估和生活质量评估,以及长期跟踪和支持。结果 基于ICF架构和运用ICF的工具,根据残疾人职业康复机构的特点和工作性质,构建了五步骤的职业康复流程,详细定义了各流程的主要活动内容,确定了运用的ICF工具以及运用方法。职业康复流程再造能够显著提升多学科综合康复的效率和质量。ICF架构和工具是多学科团队之间的沟通和协作的理论基础和平台,根据不同的职业康复流程,规范性运用基于ICF的工具可以确保制定科学有效的康复干预方案并且实施有效的康复干预。ICF工具的使用还可以整合职业康复与其他康复服务,实现不同康复服务和不同康复机构间的协同。结论 本研究基于ICF架构对职业康复流程进行了再造,建构了基于ICF的职业康复流程,包括以下5个关键流程:功能评估与康复目标确定、制定个性化整体康复方案、多学科团队实施综合干预策略、结局评估与生活质量评估以及长期跟踪与支持服务。运用ICF架构与工具,再造康复机构的职业康复服务流程,构建了整合的康复服务体系,提供功能导向的综合康复模式,残疾人能够获得全生命周期的全人康复服务。建立基于ICF的通用语言和工具,可以有效地提高各专业人员之间的沟�Objective To reconstruct the vocational rehabilitation service process based on the framework and tools of the International Classification of Functioning,Disability and Health(ICF),to establish a systematic and standardized vocational rehabilitation service system to achieve the integrated development of vocational rehabilitation and other rehabilitation services,and to improve the overall rehabilitation effect and quality of life of people with disabilities.By establishing a systematic and standardized vocational rehabilitation service system,it provides functionoriented,holistic rehabilitation services for the whole person.Methods This study adopted the ICF framework and tools to conduct a systematic analysis of the vocational rehabilitation process.Based on this,according to the functional characteristics and systematic application of ICF-based tools,a vocational rehabilitation process was constructed,including functional assessment and rehabilitation goal setting,rehabilitation plan formulation,implementation of multidisciplinary intervention,outcome evaluation and quality of life assessment,and long-term follow-up and support.Results Based on the ICF framework and the application of ICF tools,according to the characteristics and nature of work of vocational rehabilitation institutions for persons with disabilities,a five-step vocational rehabilitation process was constructed.The main activity content of each process was defined in detail,and the ICF tools used and the methods of application were determined.The reengineering of the vocational rehabilitation process significantly improved the efficiency and quality of multidisciplinary comprehensive rehabilitation.The ICF framework and tools were the conceptual framework and platform for communication and collaboration among multidisciplinary teams.According to different vocational rehabilitation processes,the normative application of ICFbased tools ensured the development and implementation of scientific and effective rehabilitation intervention programs.The

关 键 词：国际功能、残疾和健康分类 职业康复 整体康复 流程再造 

分 类 号：R492[医药卫生—康复医学]