康复学报 (Feb 2023)
Evaluation of Hospitalized Patients with Diabetes Mellitus with the International Classification of Functioning, Disability and Health Rehabilitation Set
Abstract
ObjectiveTo evaluate hospitalized patients with diabetes mellitus with the International Classification of Functioning, Disability and Health Rehabilitation Set (ICF-RS) and to explore factors that affect patients' functions.MethodsA total of 419 patients who were hospitalized in Guangdong Provincial Hospital of Traditional Chinese Medicine from August 2021 to February 2022 were recruited.The patients' socio-demographic and lifestyle data were obtained by the face-to-face interviews. Each patient's function was evaluated with the ICF-RS.The initial clinical examination results and laboratory findings after admission were obtained by consulting the medical record. The results of ICF-RS evaluation were standardized. The sum of the scores of all categories of qualified values was divided by the product of the sum of categories and 4, and then multiplied by 100, that is, ICF-RS standardized scorescores=[Sum of all categories of qualified values/(sum of categories ×4)]×100. The higher the standardization results, the worse the functions were. Univariate analysis usedt-test, Wilcoxon rank sum test, or linear regression. Multivariate analysis used multiple linear regression models to investigate factors that affect diabetic patients' functional status.ResultsA total of 376 patients completed the ICF-RSassessment,and therangeof ICF-RS standardized results ofthesepatientswas 0.83-75.83 with an average score of (17.23±10.83). Univariate analysis showed that age, comorbidities, education level, employment, monthly household income, alcohol consumption, walking time, exercise, glycated hemoglobin, creatinine, total cholesterol and low density lipoprotein cholesterol were the factors that influencing functions of patients with diabetes mellitus (P<0.05). With ICF-RS standardization results as dependent variable and factors affecting patients' function in univariate analysis as independent variables, a multiple linear regression model (F=22.558, P<0.001) was established. The model showed that creatinine (β=0.010, t=7.272, P<0.001), age (β=0.183, t=4.454, P<0.001), weeklywalking time (β=-0.336, t=-3.538, P=0.001), weeklyexercise (β=-0.378, t=-2.566, P=0.011) and education level (β=-1.338, t=-2.426, P=0.016) were independent factors that affected functions of patients with diabetes mellitus.ConclusionThree dimensions (body function, activity and participation) are all affected, and creatinine, age, weeklywalking time,weekly exercise and education level are independent factors that affect functions of patients with diabetes mellitus. Patients with higher creatinine value and older age had worse functions, and patients with longer weekly walking time, longer weekly exercise time and higher education level had better functions.
