康复科住院患者国际功能、残疾和健康分类康复组合功能画像的聚类分析研究  

Cluster analysis of ICF-RS functional portrait model for inpatients in Rehabilitation Department

作　　者：章马兰 张涵慈 李涛 高焱 游友花 王颖敏 段彬红 贺灵慧 邹淑怡 姚宝滢 燕铁斌 ZHANG Malan;ZHANG Hanci;LI Tao(Guangzhou Sport University,Guangzhou,Guangdong,510500)

机构地区：[1]广州体育学院运动健康学院,广东省广州市510500 [2]广东祈福医院 [3]深圳大学第一附属医院 [4]厦门市第五医院 [5]中山大学孙逸仙纪念医院 [6]华中科技大学协和深圳医院 [7]广东三九脑科医院 [8]中山大学第五附属医院 [9]广东省康复与养老工程技术研究中心

出　　处：《中国康复医学杂志》2025年第2期188-195,共8页Chinese Journal of Rehabilitation Medicine

基　　金：国家自然科学基金项目(72104060)。

摘　　要：目的:通过构建康复科住院患者基于国际功能、残疾和健康分类康复组合(international classification of functioning,disability and health-rehabilitation set,ICF-RS)的群体健康画像,以呈现患者功能特征及规律,为制定康复方案提供证据。方法:通过多中心采集不同医院康复科住院患者的基本信息及ICF-RS的数据共988例,运用因子分析和K-Means聚类分析方法,构建患者ICF-RS功能的群体健康画像。结果:康复科住院患者提取的公因子为自我感受表现、运动能力表现、生活自理表现、社会交往表现因子,功能障碍特征可划分为临界功能障碍、轻度功能障碍、中度功能障碍和重度功能障碍。结论:健康画像可被应用于康复领域,用于挖掘患者健康信息数据,把握群体特征及趋势,辅助康复策略的制定。Objective:The group health portrait of inpatients in the rehabilitation department based on the international classification of functioning,disability and health-rehabilitation set(ICF-RS)was constructed to present the functional characteristics and rules of patients,and provide evidence for the formulation of rehabilitation programs.Method:The basic information and ICF-RS functional data of 988 inpatients in rehabilitation departments of different hospitals were collected through a multi-center study.Factor analysis and K-Means cluster analysis were used to construct the ICF-RS functional group health portrait of patients.Result:The common factors extracted from the inpatients in the rehabilitation department were self-feeling performance factors,motor ability performance factors,self-care performance factors,and social interaction performance factors.The functional characteristics could be divided into critical dysfunction,mild dysfunction,moderate dysfunction,and severe dysfunction.Conclusion:Health portrait can be applied to the field of rehabilitation to mine patients'health information data,grasp the group characteristics and trends,and assist the formulation of rehabilitation strategies.

关 键 词：国际功能 残疾和健康分类康复组合 功能评估 健康画像 聚类分析 

分 类 号：R493[医药卫生—康复医学]