The research of primary osteoporosis patients’ function and environmental rehabilitation based on International Classification of Functioning, Disability and Health_West China Medical Journal

Authors：

LI Simin ^1,2,3 ,  DU Chunping ^1,2,3 , ZHU Siyi ^1,2 , HE Chengqi ^1,2

1. Center of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Rehabilitation Key Laboratory of Sichuan Province, Chengdu, Sichuan 610041, P. R. China;
3. West China School of Nursing / West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

DU Chunping, Email: ducp116@168.com

Keywords：

Osteoporosis; International Classification of Functioning, Disability and Health; Function; Environment

DOI：

10.7507/1002-0179.202002030

Video：

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Objective To identify primary osteoporosis patients’ function and environment status based on International Classification of Functioning, Disability and Health (ICF) and provide evidence to clinical treatment, rehabilitation therapy and rehabilitation nursing.Methods A questionnaire survey was conducted among osteoporosis patients hospitalized in the Center of rehabilitation Medicine of West China Hospital of SiChuan University, from May 2017 to December 2019. The research design was based on a cross-sectional survey. ICF was applied to simplify the core classification set, and a convenient sampling method was adopted.Results A total of 240 patients were investigated. All of the patients’ function showed limitation but different level. Meanwhile, including Walking (D450), Sensation of pain(B280), Structure of trunk (S760), Lifting and carrying objects (D430), Mobility of joint function (B710), the proportion of injuries were more than 90%, most of which the limitation level were light and moderate injuries indicating 5%-49% injuries; more than 50% pointed the three parts of environment factors were facilitative factors including Products or substances for personal consumption (E110), Health professionals (E355), Health services, systems and policies (E580), of which the proportion of Health services, systems and policies (E580) were highest.Conclusion Osteoporosis has a significant effect on patients’ function, we should develop clinical treatment, rehabilitation therapy, rehabilitation nursing based on the current evaluation of function.

Citation： LI Simin, DU Chunping, ZHU Siyi, HE Chengqi. The research of primary osteoporosis patients’ function and environmental rehabilitation based on International Classification of Functioning, Disability and Health. West China Medical Journal, 2021, 36(3): 385-390. doi: 10.7507/1002-0179.202002030 Copy

1.	Consensus development conference: diagnosis, prophylaxis, and treatment of osteoporosis. Am J Med, 1993, 94(6): 646-650.
2.	Cieza A, Schwarzkopf SR, Sigl T, et al. ICF core sets for osteoporosis. J Rehabil Med, 2004(Suppl 44): 81-86.
3.	Office of the Surgeon General (US). Bone health and osteoporosis: a report of the surgeon general. (2004)[2020-02-04]. https://www.ncbi.nlm.nih.gov/books/NBK45513/pdf/Bookshelf_NBK45513.pdf.
4.	邱贵兴, 裴福兴, 胡侦明, 等. 中国骨质疏松性骨折诊疗指南(骨质疏松性骨折诊断及治疗原则). 中华骨与关节外科杂志, 2015, 8(5): 371-374.
5.	白颖, 杨明珠, 杨雪, 等. 骨质疏松骨折患者的健康管理及效果分析. 中国骨质疏松杂志, 2014, 20(12): 1450-1452.
6.	刘爱玲, 陶晓南, 林岚, 等. 慢性阻塞性肺疾病ICF核心功能组合信度与效度的初步研究. 中华物理医学与康复杂志, 2009, 31(2): 96-99.
7.	中华医学会骨质疏松和骨矿盐疾病分会. 原发性骨质疏松症诊治指南(2011年). 中华骨质疏松和骨矿盐疾病杂志, 2011, 4(1): 2-17.
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9.	Gimigliano F, Moretti A, Riccio I, et al. Classification of functioning and assessment of fracture risk of a large Italian osteoporotic population. The physiatric approach to osteoporosis project. Eur J Phys Rehabil Med, 2015, 51(5): 529-538.
10.	张娜, 周谋望, 胡志伟, 等. 简明版骨质疏松国际功能、残疾和健康分类核心分类组合的信效度研究. 中国康复医学杂志, 2017, 32(8): 895-901.
11.	王谦, 刘遄, 王朴, 等. 芦山地震骨折伤员伤情特点及功能分析. 医学版, 2015, 46(4): 606-610.
12.	《中国老年骨质疏松症诊疗指南》(2018)工作组, 中国老年学和老年医学学会骨质疏松分会. 中国老年骨质疏松症诊疗指南(2018). 中国骨质疏松杂志, 2018, 24(12): 1541-1567.
13.	Feng J, Liu S, Ma S, et al. Protective effects of resveratrol on postmenopausal osteoporosis: regulation of SIRT1-NF-κB signaling pathway. Acta Biochim Biophys Sin (Shanghai), 2014, 46(12): 1024-1033.
14.	中华医学会骨质疏松和骨矿盐疾病分会. 原发性骨质疏松症诊疗指南(2017). 中国骨质疏松杂志, 2019, 25(3): 281-309.
15.	中国营养学会. 中国居民膳食营养素参考摄入量速查手册(2013版). 北京: 中国标准出版社, 2014.
16.	汤一帆, 顾则娟, 高春红, 等. ICF评估工具的开发与应用现状. 中国护理管理, 2019, 19(11): 1751-1755.
17.	刘杰, 江钟立. 中国人群原发性骨质疏松症简明ICF核心组套的初步研究. 中国骨质疏松杂志, 2012, 18(9): 803-807.
18.	Ilieva EM, Oral A, Küçükdeveci AA, et al. Osteoporosis. The role of physical and rehabilitation medicine physicians. The European perspective based on the best evidence. A paper by the UEMS-PRM Section Professional Practice Committee. Eur J Phys Rehabil Med, 2013, 49(4): 565-577.
19.	Borchers M, Cieza A, Sigl T, et al. Content comparison of osteoporosis-targeted health status measures in relation to the International Classification of Functioning, Disability and Health (ICF). Clin Rheumatol, 2005, 24(2): 139-144.
20.	赵志宏, 王锐, 国宇, 等. 膝关节骨关节炎患病率及与骨质疏松症相关性研究. 中华骨科杂志, 2019, 39(14): 870-875.
21.	李艾娟, 李思敏, 杜春萍. 成都市某三甲医院骨质疏松患者心理状态与健康行为的相关性分析. 医学与社会, 2018, 31(10): 77-78.
22.	李媛. 老年骨质疏松患者心理负担与健康行为影响因素分析. 泰安: 泰山医学院, 2014.
23.	尹华, 梅伟. 肌力、脂肪含量与绝经后骨质疏松症患者骨密度T值的相关性分析. 中国妇幼保健, 2019, 34(11): 2540-2542.
24.	Kuchuk NO, van Schoor NM, Pluijm SM, et al. Vitamin D status, parathyroid function, bone turnover, and BMD in postmenopausal women with osteoporosis: global perspective. J Bone Miner Res, 2009, 24(4): 693-701.
25.	Neuman MD, Fleisher LA, Even-shoshan O, et al. Nonoperative care for hip fracture in the elderly: the influence of race, income, and comorbidities. Med Care, 2010, 48(4): 314-320.

1. Consensus development conference: diagnosis, prophylaxis, and treatment of osteoporosis. Am J Med, 1993, 94(6): 646-650.
2. Cieza A, Schwarzkopf SR, Sigl T, et al. ICF core sets for osteoporosis. J Rehabil Med, 2004(Suppl 44): 81-86.
3. Office of the Surgeon General (US). Bone health and osteoporosis: a report of the surgeon general. (2004)[2020-02-04]. https://www.ncbi.nlm.nih.gov/books/NBK45513/pdf/Bookshelf_NBK45513.pdf.
4. 邱贵兴, 裴福兴, 胡侦明, 等. 中国骨质疏松性骨折诊疗指南(骨质疏松性骨折诊断及治疗原则). 中华骨与关节外科杂志, 2015, 8(5): 371-374.
5. 白颖, 杨明珠, 杨雪, 等. 骨质疏松骨折患者的健康管理及效果分析. 中国骨质疏松杂志, 2014, 20(12): 1450-1452.
6. 刘爱玲, 陶晓南, 林岚, 等. 慢性阻塞性肺疾病ICF核心功能组合信度与效度的初步研究. 中华物理医学与康复杂志, 2009, 31(2): 96-99.
7. 中华医学会骨质疏松和骨矿盐疾病分会. 原发性骨质疏松症诊治指南(2011年). 中华骨质疏松和骨矿盐疾病杂志, 2011, 4(1): 2-17.
8. 福建省人民政府. 我国以老年人口是如何界定的?(2014-07-08)[2020-02-01] http://www.fujian.gov.cn/hdjlzsk/mzt/llgz/201407/t20140708_1136579.htm.
9. Gimigliano F, Moretti A, Riccio I, et al. Classification of functioning and assessment of fracture risk of a large Italian osteoporotic population. The physiatric approach to osteoporosis project. Eur J Phys Rehabil Med, 2015, 51(5): 529-538.
10. 张娜, 周谋望, 胡志伟, 等. 简明版骨质疏松国际功能、残疾和健康分类核心分类组合的信效度研究. 中国康复医学杂志, 2017, 32(8): 895-901.
11. 王谦, 刘遄, 王朴, 等. 芦山地震骨折伤员伤情特点及功能分析. 医学版, 2015, 46(4): 606-610.
12. 《中国老年骨质疏松症诊疗指南》(2018)工作组, 中国老年学和老年医学学会骨质疏松分会. 中国老年骨质疏松症诊疗指南(2018). 中国骨质疏松杂志, 2018, 24(12): 1541-1567.
13. Feng J, Liu S, Ma S, et al. Protective effects of resveratrol on postmenopausal osteoporosis: regulation of SIRT1-NF-κB signaling pathway. Acta Biochim Biophys Sin (Shanghai), 2014, 46(12): 1024-1033.
14. 中华医学会骨质疏松和骨矿盐疾病分会. 原发性骨质疏松症诊疗指南(2017). 中国骨质疏松杂志, 2019, 25(3): 281-309.
15. 中国营养学会. 中国居民膳食营养素参考摄入量速查手册(2013版). 北京: 中国标准出版社, 2014.
16. 汤一帆, 顾则娟, 高春红, 等. ICF评估工具的开发与应用现状. 中国护理管理, 2019, 19(11): 1751-1755.
17. 刘杰, 江钟立. 中国人群原发性骨质疏松症简明ICF核心组套的初步研究. 中国骨质疏松杂志, 2012, 18(9): 803-807.
18. Ilieva EM, Oral A, Küçükdeveci AA, et al. Osteoporosis. The role of physical and rehabilitation medicine physicians. The European perspective based on the best evidence. A paper by the UEMS-PRM Section Professional Practice Committee. Eur J Phys Rehabil Med, 2013, 49(4): 565-577.
19. Borchers M, Cieza A, Sigl T, et al. Content comparison of osteoporosis-targeted health status measures in relation to the International Classification of Functioning, Disability and Health (ICF). Clin Rheumatol, 2005, 24(2): 139-144.
20. 赵志宏, 王锐, 国宇, 等. 膝关节骨关节炎患病率及与骨质疏松症相关性研究. 中华骨科杂志, 2019, 39(14): 870-875.
21. 李艾娟, 李思敏, 杜春萍. 成都市某三甲医院骨质疏松患者心理状态与健康行为的相关性分析. 医学与社会, 2018, 31(10): 77-78.
22. 李媛. 老年骨质疏松患者心理负担与健康行为影响因素分析. 泰安: 泰山医学院, 2014.
23. 尹华, 梅伟. 肌力、脂肪含量与绝经后骨质疏松症患者骨密度T值的相关性分析. 中国妇幼保健, 2019, 34(11): 2540-2542.
24. Kuchuk NO, van Schoor NM, Pluijm SM, et al. Vitamin D status, parathyroid function, bone turnover, and BMD in postmenopausal women with osteoporosis: global perspective. J Bone Miner Res, 2009, 24(4): 693-701.
25. Neuman MD, Fleisher LA, Even-shoshan O, et al. Nonoperative care for hip fracture in the elderly: the influence of race, income, and comorbidities. Med Care, 2010, 48(4): 314-320.

West China Medical Journal

The research of primary osteoporosis patients’ function and environmental rehabilitation based on International Classification of Functioning, Disability and Health

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