基于国际功能、残疾和健康分类架构的作业治疗策略在帕金森病患者健康管理中的应用

屠金康 , 张 键, 吴晓琼, 陆伟伟, 李方方, 陈 君

神经病学与神经康复学杂志 ›› 2021, Vol. 17 ›› Issue (4) : 164-170.

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神经病学与神经康复学杂志 ›› 2021, Vol. 17 ›› Issue (4) : 164-170. DOI: 10.12022/jnnr.2021-0075
综述

基于国际功能、残疾和健康分类架构的作业治疗策略在帕金森病患者健康管理中的应用

  • 屠金康1,张 键1,吴晓琼1,陆伟伟1,李方方2,陈 君1
作者信息 +

Application of occupational therapy strategy based on International Classification of Function, Disability and Health framework in health management of patients with Parkinson’s disease

  • TU Jinkang1, ZHANG Jian1, WU Xiaoqiong1, LU Weiwei1, LI Fangfang2, CHEN Jun1
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摘要

帕金森病(Parkinson’s disease,PD)是当前严重威胁老年人生活质量的一种中枢神经系统退行性变性疾病,临床上常表现为运动与非运动功能障碍 2 大类。药物和手术治疗仅对控制 PD 的部分运动症状有一定的疗效,而对于认知障碍、情绪情感障碍、疲乏、二便功能障碍和睡眠障碍等非运动功能障碍的疗效欠佳。作业治疗策略对于帮助 PD 患者重返生活、工作和社会以及提高生活质量尤为重要。本文基于国际功能、残疾和健康分类(International Classification of Function, Disability and Health,ICF)架构对 PD 患者进行全面细致地分析,指导 PD 患者在运动症状与非运动症状方面的作业治疗实践,提高对PD 患者的健康管理水平。

Abstract

Parkinson’s disease (PD) is a degenerative disease of central nervous system that seriously threatens the quality of life of the elderly. Clinically, it is often manifested in two categories: motor dysfunction and non-motor dysfunction. Currently, drugs and surgical operation only have certain efficacy in controlling part of the motor symptoms of PD. For non-motor disorders such as cognitive impairment, emotional disorders, fatigue, bowel and bladder dysfunction and sleep disorders, medication and surgery have poor effect. If patients want to return to life, work and community and improve the quality of life, occupational therapy strategies are particularly important. In this paper, a comprehensive and detailed analysis of PD is made based on International Classification of Function, Disability and Health (ICF) framework, to help guide the clinical practice of occupational therapy for PD patients with motor and non-motor symptoms, and improve the level of health management of PD.

关键词

帕金森病 / 作业治疗 / 健康管理 / 国际功能、残疾和健康分类 / 生活质量

Key words

Parkinson’s disease / Occupational therapy / Health management / International Classification of Function, Disability and Health / Quality of life

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屠金康 , 张 键, 吴晓琼, 陆伟伟, 李方方, 陈 君. 基于国际功能、残疾和健康分类架构的作业治疗策略在帕金森病患者健康管理中的应用[J]. 神经病学与神经康复学杂志. 2021, 17(4): 164-170 https://doi.org/10.12022/jnnr.2021-0075
TU Jinkang , ZHANG Jian, WU Xiaoqiong, LU Weiwei, LI Fangfang, CHEN Jun. Application of occupational therapy strategy based on International Classification of Function, Disability and Health framework in health management of patients with Parkinson’s disease[J]. Journal of Neurology and Neurorehabilitation. 2021, 17(4): 164-170 https://doi.org/10.12022/jnnr.2021-0075

基金

上海市临床重点专科基金(shslczdzk02703)

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