摘要
目的:国际、残疾和健康分类是一种新的国际分类系统,是在国际障碍分类的基础上发展而来的,是为了记录健康状况及与健康相关的状况,而提供统一的、标准化的语言,使全世界不同学科和领域能够对有关健康和保健情况进行广泛交流。并提供了一种框架,可以对健康及与健康相关的信息进行编码(如诊断、残疾等)。方法:从基本特征,分类项目,应用领域等几个方面对国际、残疾和健康分类进行分析。结果:①国际、残疾和健康分类的基本特征明确了环境因素及个人因素的重要性,在国际、残疾和健康分类中均用肯定的形式表示,且各个项目间的关系是双向、关联、相互作用、相互制约的立体式模式。②涉及的范围较前更加广泛,涉列的项目内涵扩大,且各个项目的分类详细。③国际、残疾和健康分类所有的人均可以使用,是世界上惟一被承认的一种分类工具。结论:国际、残疾和健康分类系统表明医务工作者面对的不仅是疾病、残疾,也不只是针对身心功能障碍水平的简单处置,而是要全面把握对象的活动能力、参与水平、环境因素及主观意识状况,使其充分发挥主观能动性。
AIM: International classification of functioning, disability and health is a new international classification system, which is developed on the basis of the international classification of disorder. In order to record tbe health status and its related things, it provides unified and standardized language,and it makes it possible that the worldwide different subjects and field can extensively communicate the status of health and health care; It also provides a framework that can code health and health related information,such as diagnosis and disability.METHODS: International classification of functioning, disability and health was analyzed from the aspects of basic characteristics, classification items and applicating fields.RESULTS:①The basic characteristic of international classification of functioning, disability and health was to clearly define the importance of environmental factor and individual factor, which were expressed in affirmative form; The relationship between the items was a stereoscopic mode of double-direction, associative, interactive and restrictive. ②Its range was more extensive than before, and the connotations of the involved items were amplified, the classification of each item was very particular. ③International classification of functioning, disability and health could be used by all the people, and it was the only classification instrument that was widely admitted around the world.CONCLUSION: International classification of functioning, disability and health indicates that medical staffs not only face the disease and disability,and do some simple treatments aiming at the levels of physiosomatic dysfunction, they should comprehensively grasp the activity ability,participating level, environmental factors and subjective consciousness of the subjects, so as to make them play their subjective motility completely.
出处
《中国临床康复》
CSCD
北大核心
2005年第20期170-171,共2页
Chinese Journal of Clinical Rehabilitation