Using the International Classification of Functioning, Disability, and Health core set with organ transplant patients at the acute stage
10.3760/cma.j.issn.0254-1424.2012.010.012
- VernacularTitle:采用国际功能、残疾和健康分类核心要素比较不同器官移植急性期患者的功能
- Author:
Xinhua DING
;
Yanping XIA
;
Tiecheng GUO
;
Xiaolin HUANG
- Publication Type:Journal Article
- Keywords:
International Classification of Functioning,Disability,and Health;
Core set;
Organ transplantation;
Rehabilitation
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2012;(10):767-770
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the functional profiles of organ transplant patients using the International Classification of Functioning,Disability,and Health (ICF) core set.Methods The patients were enrolled 5 to 10 days after discharge following an organ transplant.The Functional Independence Measure (FIM),Barthel Index (BI) and the ICF core set were used to assess them.Analysis was conducted by grouping the kidney transplant patients (group A) separately from the heart,lung and liver transplant patients (group B).The prevalence of sevcre impairment in each group was calculated and compared.Results Average FIM and BI secores were both significantly higher in group A than in group B.No severe or total impairment was observed in group A,but in group B,the prevalence of 5 categories (ie.b455,b730,s430,d415 and d450) was significantly greater than in group A.The most prevalent were poor exercise tolerance (b455,56.8%),low muscle power (b730,54.5%),difficulty in maintaining a body position (d415,54.5%),and impaired walking (d450,45%) With regard to the environment factors,the prevalence of e110 (products or substances for personal consumption) and e120 (products and technology for personal use in daily living) were both significantly different in the two groups.Conclusion Heart,lung and liver transplant patients transplant demonstrated more impairments than the kidney transplant patients.All the organ transplant patients deserve early evaluation for detecting any possible impairment.