Comparison of multidisciplinary use of the International Classification of Functioning (ICF) in paper and electronic forms for patients with acute stroke
https://doi.org/10.24884/1682-6655-2023-22-2-44-50
Abstract
The aim of the study was to assess how the use of the International Classification of Functioning, Disability and Health (ICF) affects the formulation of a rehabilitation diagnosis.
Materials and methods. Three patient groups were formed: the first group (n=130) did not use the ICF, the second (n=130) used the paper-based ICF, and the third (n=54) used the ICFreader software.
Results. The use of ICF leads to more rehabilitative problems in the diagnosis that can be solved within the rehabilitation course. The highest number of clinically insignificant function domains was found in group 1. The number of activity and participation domains and environmental factor domains was significantly higher in groups two and three compared to group one. In group two the team spent between 8 and 15 minutes for the initial discussion per patient and between 2 and 5 minutes for repeated discussions.
Conclusion. Applying the ICF in paper form and using the ICF-reader software leads to more rehabilitative problems in the rehabilitation diagnosis, which can be solved within the rehabilitation course.
About the Authors
A. A. Shmonin
Pavlov University; Ivanovo State Medical Academy
Russian Federation
Russian Federation
Shmonin Aleksey A. – MD, PhD, Associate Professor, Department of Pathophysiology (Course of Clinical Pathophysiology)
8, Sheremetevskij pr., Ivanovo, 153012
M. N. Maltseva
Pavlov University
Russian Federation
Russian Federation
Maltseva Maria N. – Ph.D., Associate Professor, Department of Psychology and Pedagogy
6-8, L’va Tolstogo street, Saint Petersburg, 197022
L. N. Soloveva
Saint-Petersburg Elisabeth City Hospital; Saint-Petersburg Medical and Social Institute
Russian Federation
Russian Federation
Solovjeva Ludmila N. – MD, Ph. D., Head of General Neurology Department
14, litera A, Vavilovyh str., Saint Petersburg, 195257
72, litera A, Kondrat’evskij pr., Saint Petersburg, 195271
E. V. Melnikova
Saint-Petersburg Medical and Social Institute
Russian Federation
Russian Federation
Melnikova Elena V. – MD, Ph. D. (Medical Sciences), Professor, Chief Freelance Specialist for Medical Rehabilitation of the Ministry of Health of the Russian Federation in North-West Federal District, Dean of Department of Continuing Professional Education, Head of Clinical Medicine and Medical Rehabilitation Department
72, litera A, Kondrat’evskij pr., Saint Petersburg, 195271
References
1. GBD 2015 Neurological Disorders Collaborator Group. Global, regional, and national burden of neurological disorders during 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015 // Lancet Neurol. 2017; 16(11):877–897.
2. Feigin VL, Brainin M, Norrving B, Martins S, Sacco RL, Hacke W, Fisher M, Pandian J, Lindsay P. World Stroke Organization (WSO): Global Stroke Fact Sheet 2022 // Int J Stroke. 2022;17(1):18–29. Doi: 10.1177/17474930211065917.
3. International Classification of Functioning, Disability and Health (full version) / World Health Organization. Saint-Petersburg, SPbIUWEK, 2001:342. (In Russ.).
4. Ivanova GE, Bulatova MA, Polyayev BB, Trofimova AK. Primeneniye mezhdunarodnoy klassifikatsii funktsionirovaniya, ogranicheniy zhiznedeyatel′nosti i zdorov′ya v reabilitatsionnom protsesse // Bull Rehabil Med. 2021;20(6):4–33. (In Russ.).
5. Taratukhin EO. Patsiyent-tsentrirovannaya meditsina. Novaya real′nost′ // Russ J Cardiol. 2016;21(9):79–83. (In Russ.).
6. Stroke Unit Trialists’ Collaboration. Organised inpatient (stroke unit) care for stroke // Cochrane Database Syst Rev. 2013;(9):CD000197. Doi: 10.1002/14651858.CD000197.pub3.
7. Park CH, Pyun SB, Don Yoo S, Lim SH, Jung HY. Development of a Short Version of ICF Core Set for Stroke Adapted for Rehabilitation in Korea: a Preliminary Study // Brain Neurorehabil. 2021;14(1):e8. Doi: 10.12786/bn.2021.14.e8.
8. Jonsdottir J, Bowman T, Casiraghi A, Ramella M, Montesano A; IRCCS FDG-ICF Group. Functional profiles derived from the ICF Generic set and the responsiveness and validity of the Generic-6 set’s Functioning score among persons after stroke // Eur J Phys Rehabil Med. 2022;58(1):16–25. Doi: 10.23736/S1973-9087.21.06706-X.
9. Kochubey AV, Filyuk SA. Analysis of the informativeness of medical histories of orthopaedic dental patients from the perspective of the international classification of functioning, disability and health // Kuban Scient Med Bull. 2012;132(3):88–91. (In Russ.).
10. Melnikova EV, Builova TV, Bodrova RA, Shmonin AA, Maltseva MN, Ivanova GE. Using the International Classification of Functioning (ICF) in outpatient and inpatient medical rehabilitation: Instruction for specialists // Bull Regenerat Med. 2017;6(82):7–20. (In Russ.).
11. Shmonin AA, Maltseva MN, Nikiforov VV, Melnikova EV. Preliminary results of the pilot project “Development of medical rehabilitation in Russia” in St. Petersburg City Hospital №26. Use of “ICF-reader” software to establish a rehabilitation diagnosis // Academic Notes of the P.P. Pavlov St. Petersburg State Med University. I.P. Pavlov. 2016;23(4):54–60. (In Russ.).
12. Bovend’Eerdt TJH, Botell RE, Wade DT. Writing SMART rehabilitation goals and achieving goal attainment scaling: A practical guide // Clin Rehabil. 2009;23(4):352–361. Doi: 10.1177/0269215508101741.
13. Shmonin AA, Nikiforov VV, Maltseva MN, Melnikova EV, Ivanova GE. Electronic system for monitoring rehabilitation efficiency in the pilot project “Development of medical rehabilitation system in the Russian Federation” - ICF-reader program // Vestnik IHMA. 2016;(1):66–70. (In Russ.).
Review
For citations:
Shmonin A.A., Maltseva M.N., Soloveva L.N., Melnikova E.V. Comparison of multidisciplinary use of the International Classification of Functioning (ICF) in paper and electronic forms for patients with acute stroke. Regional blood circulation and microcirculation. 2023;22(2):44-50. (In Russ.) https://doi.org/10.24884/1682-6655-2023-22-2-44-50
Views:
506
Email this article 
