康复学报 (Jan 2024)
Application of the <italic>International Classification of Functioning，Disability and Health Rehabilitation Set</italic> in Rehabilitation of Patients with Knee Osteoarthritis in the Northwest Gobi Area
Abstract
ObjectiveTo explore the feasibility of the International Classification of Functioning, Disability and Health Rehabilitation Set (ICF-RS) in evaluating the overall functional level, rehabilitation treatment effect, and the relationship between rehabilitation efficacy and cost-effectiveness of patients with knee osteoarthritis (KOA) in the northwest Gobi region.MethodsA total of 50 patients with KOA who were hospitalized in the Acupuncture and Moxibustion Department of Jimsar County Hospital of Traditional Chinese Medicine from March 2022 to March 2023 were selected. Due to reasons such as patients' own comprehension deviation and low assessment compliance, 8 cases were discontinued or dropped out, and finally 42 cases were included. Personalized rehabilitation programs were formulated based on the severity of functional disorders of the patients, referring to the "Clinical Practice Guidelines of Traditional Chinese Medicine Rehabilitation for Knee Osteoarthritis", once a day, 6 days a week, for a total of 2 weeks. ICF-RS was used to evaluate the overall functional level, rehabilitation efficacy and rehabilitation treatment costs of the patients.ResultsThe main physical functional disorders of KOA patients were b280 pain sensation, b455 exercise tolerance, b130 energy and drive function, and b134 sleep function in sequence; the main activity functional disorders were d410 changing basic body postures, d455 moving around, and d415 maintaining a body posture; the main participation functional disorders were d850 paid employment and d920 recreation and leisure. There was no statistically significant difference in the composition ratio of the frequency of the limit values of all categories of ICF-RS (except d240 controlling stress and other psychological needs) between Han and ethnic minority KOA patients (P>0.05). The assessment results of ICF-RS showed that all categories of the three dimensions of physical function, activity function and participation function of KOA patients were significantly improved after rehabilitation treatment (P<0.001）, and the overall improvement rate was 100%. The total rehabilitation cost of KOA patients was ¥ (2165.44±783.79). For each improvement of 1 point in the overall functional score, the average rehabilitation cost was ¥ 245.09.ConclusionICF-RS can be used to evaluate the overall functional status of KOA patients in the northwest Gobi region, guide clinical rehabilitation treatment, and evaluate the rehabilitation medical expense expenditure of KOA patients.
