世卫组织为了定义和衡量残疾并满足对健康状况的标准化跨文化需求,建立了世界卫生组织残疾评估表2.0 (WHODAS 2.0),旨在评估和了解个人在六项主要生活领域的功能水平。近年来,不少研究人员探索了WHODAS 2.0与围手术期之间的关系,用于更...世卫组织为了定义和衡量残疾并满足对健康状况的标准化跨文化需求,建立了世界卫生组织残疾评估表2.0 (WHODAS 2.0),旨在评估和了解个人在六项主要生活领域的功能水平。近年来,不少研究人员探索了WHODAS 2.0与围手术期之间的关系,用于更好地为患者制定合适的手术方案和康复计划,最大限度的改善以患者为中心的结局。本文主要探讨WHODAS 2.0在围手术期应用的进展,为围术期管理提供参考。*通讯作者。The WHO, to define and measure disability and to meet the cross-cultural need for standardization of health status, created the World Health Organization Disability Assessment Scale 2.0 (WHODAS 2.0), which is designed to assess and understand an individual’s level of functioning in six major life domains. In recent years, several researchers have explored the relationship between the WHODAS 2.0 and the perioperative period, which is used better to develop appropriate surgical and rehabilitation plans for patients and maximize patient-centered outcomes. This article focuses on the advances in applying WHODAS 2.0 in the perioperative period to inform perioperative management.展开更多
<strong>Background:</strong> Chronic illnesses are often associated with functional disability, thus compromising the ability to carry out everyday activities of daily living. The degree of disability depe...<strong>Background:</strong> Chronic illnesses are often associated with functional disability, thus compromising the ability to carry out everyday activities of daily living. The degree of disability depends on the severity and the type of illness experienced. Studies that compare the level of disability between people with chronic medical conditions and mental illnesses in North-Central Nigeria are scarce. This study aims to compare the disability levels between people with schizophrenia and Type 2 Diabetes Mellitus (T2DM) attending outpatient clinics at the Jos University Teaching Hospital, north-central Nigeria, and evaluate the factors associated with these conditions. <strong>Methods:</strong> It was a cross-sectional study with a total of 600 patients who were diagnosed with schizophrenia and T2DM, attending the Psychiatric and medical outpatient clinics of the Jos University Teaching Hospital, north-central Nigeria, between June 2017 and November 2017. The study assessed Psychotic and non-psychotic symptoms by applying the Brief Psychiatric Rating Scale (BPRS) among those with schizophrenia. We evaluated the level of disability by using World Health Organization Disability Assessment Schedule version 2.0 (WHODAS 2.00). <strong>Results:</strong> Disability was significantly higher among respondents with schizophrenia than those with T2DM. This difference occurred across all the domains except domain 2 (moving around). Marital status, living situation, occupation, and treatment adherence were significant common factors associated with disability in these conditions. In contrast, age, educational status, income level, and duration of illness were significantly associated with disability among respondents with T2DM only. <strong>Conclusion:</strong> Disability and its associated factors among people with chronic diseases, if identified early and proper interventions instituted, disability can be avoided or minimized among people with chronic illnesses.展开更多
文摘世卫组织为了定义和衡量残疾并满足对健康状况的标准化跨文化需求,建立了世界卫生组织残疾评估表2.0 (WHODAS 2.0),旨在评估和了解个人在六项主要生活领域的功能水平。近年来,不少研究人员探索了WHODAS 2.0与围手术期之间的关系,用于更好地为患者制定合适的手术方案和康复计划,最大限度的改善以患者为中心的结局。本文主要探讨WHODAS 2.0在围手术期应用的进展,为围术期管理提供参考。*通讯作者。The WHO, to define and measure disability and to meet the cross-cultural need for standardization of health status, created the World Health Organization Disability Assessment Scale 2.0 (WHODAS 2.0), which is designed to assess and understand an individual’s level of functioning in six major life domains. In recent years, several researchers have explored the relationship between the WHODAS 2.0 and the perioperative period, which is used better to develop appropriate surgical and rehabilitation plans for patients and maximize patient-centered outcomes. This article focuses on the advances in applying WHODAS 2.0 in the perioperative period to inform perioperative management.
文摘<strong>Background:</strong> Chronic illnesses are often associated with functional disability, thus compromising the ability to carry out everyday activities of daily living. The degree of disability depends on the severity and the type of illness experienced. Studies that compare the level of disability between people with chronic medical conditions and mental illnesses in North-Central Nigeria are scarce. This study aims to compare the disability levels between people with schizophrenia and Type 2 Diabetes Mellitus (T2DM) attending outpatient clinics at the Jos University Teaching Hospital, north-central Nigeria, and evaluate the factors associated with these conditions. <strong>Methods:</strong> It was a cross-sectional study with a total of 600 patients who were diagnosed with schizophrenia and T2DM, attending the Psychiatric and medical outpatient clinics of the Jos University Teaching Hospital, north-central Nigeria, between June 2017 and November 2017. The study assessed Psychotic and non-psychotic symptoms by applying the Brief Psychiatric Rating Scale (BPRS) among those with schizophrenia. We evaluated the level of disability by using World Health Organization Disability Assessment Schedule version 2.0 (WHODAS 2.00). <strong>Results:</strong> Disability was significantly higher among respondents with schizophrenia than those with T2DM. This difference occurred across all the domains except domain 2 (moving around). Marital status, living situation, occupation, and treatment adherence were significant common factors associated with disability in these conditions. In contrast, age, educational status, income level, and duration of illness were significantly associated with disability among respondents with T2DM only. <strong>Conclusion:</strong> Disability and its associated factors among people with chronic diseases, if identified early and proper interventions instituted, disability can be avoided or minimized among people with chronic illnesses.
