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.	邱貴興, 裴福興, 胡偵明, 等. 中國骨質疏松性骨折診療指南(骨質疏松性骨折診斷及治療原則). 中華骨與關節外科雜志, 2015, 8(5): 371-374.
5.	白穎, 楊明珠, 楊雪, 等. 骨質疏松骨折患者的健康管理及效果分析. 中國骨質疏松雜志, 2014, 20(12): 1450-1452.
6.	劉愛玲, 陶曉南, 林嵐, 等. 慢性阻塞性肺疾病ICF核心功能組合信度與效度的初步研究. 中華物理醫學與康復雜志, 2009, 31(2): 96-99.
7.	中華醫學會骨質疏松和骨礦鹽疾病分會. 原發性骨質疏松癥診治指南(2011年). 中華骨質疏松和骨礦鹽疾病雜志, 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.	張娜, 周謀望, 胡志偉, 等. 簡明版骨質疏松國際功能、殘疾和健康分類核心分類組合的信效度研究. 中國康復醫學雜志, 2017, 32(8): 895-901.
11.	王謙, 劉遄, 王樸, 等. 蘆山地震骨折傷員傷情特點及功能分析. 醫學版, 2015, 46(4): 606-610.
12.	《中國老年骨質疏松癥診療指南》(2018)工作組, 中國老年學和老年醫學學會骨質疏松分會. 中國老年骨質疏松癥診療指南(2018). 中國骨質疏松雜志, 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.	中華醫學會骨質疏松和骨礦鹽疾病分會. 原發性骨質疏松癥診療指南(2017). 中國骨質疏松雜志, 2019, 25(3): 281-309.
15.	中國營養學會. 中國居民膳食營養素參考攝入量速查手冊(2013版). 北京: 中國標準出版社, 2014.
16.	湯一帆, 顧則娟, 高春紅, 等. ICF評估工具的開發與應用現狀. 中國護理管理, 2019, 19(11): 1751-1755.
17.	劉杰, 江鐘立. 中國人群原發性骨質疏松癥簡明ICF核心組套的初步研究. 中國骨質疏松雜志, 2012, 18(9): 803-807.
18.	Ilieva EM, Oral A, Kü?ükdeveci 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.	趙志宏, 王銳, 國宇, 等. 膝關節骨關節炎患病率及與骨質疏松癥相關性研究. 中華骨科雜志, 2019, 39(14): 870-875.
21.	李艾娟, 李思敏, 杜春萍. 成都市某三甲醫院骨質疏松患者心理狀態與健康行為的相關性分析. 醫學與社會, 2018, 31(10): 77-78.
22.	李媛. 老年骨質疏松患者心理負擔與健康行為影響因素分析. 泰安: 泰山醫學院, 2014.
23.	尹華, 梅偉. 肌力、脂肪含量與絕經后骨質疏松癥患者骨密度T值的相關性分析. 中國婦幼保健, 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. 邱貴興, 裴福興, 胡偵明, 等. 中國骨質疏松性骨折診療指南(骨質疏松性骨折診斷及治療原則). 中華骨與關節外科雜志, 2015, 8(5): 371-374.
5. 白穎, 楊明珠, 楊雪, 等. 骨質疏松骨折患者的健康管理及效果分析. 中國骨質疏松雜志, 2014, 20(12): 1450-1452.
6. 劉愛玲, 陶曉南, 林嵐, 等. 慢性阻塞性肺疾病ICF核心功能組合信度與效度的初步研究. 中華物理醫學與康復雜志, 2009, 31(2): 96-99.
7. 中華醫學會骨質疏松和骨礦鹽疾病分會. 原發性骨質疏松癥診治指南(2011年). 中華骨質疏松和骨礦鹽疾病雜志, 2011, 4(1): 2-17.
8. 福建省人民政府. 我國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. 張娜, 周謀望, 胡志偉, 等. 簡明版骨質疏松國際功能、殘疾和健康分類核心分類組合的信效度研究. 中國康復醫學雜志, 2017, 32(8): 895-901.
11. 王謙, 劉遄, 王樸, 等. 蘆山地震骨折傷員傷情特點及功能分析. 醫學版, 2015, 46(4): 606-610.
12. 《中國老年骨質疏松癥診療指南》(2018)工作組, 中國老年學和老年醫學學會骨質疏松分會. 中國老年骨質疏松癥診療指南(2018). 中國骨質疏松雜志, 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. 中華醫學會骨質疏松和骨礦鹽疾病分會. 原發性骨質疏松癥診療指南(2017). 中國骨質疏松雜志, 2019, 25(3): 281-309.
15. 中國營養學會. 中國居民膳食營養素參考攝入量速查手冊(2013版). 北京: 中國標準出版社, 2014.
16. 湯一帆, 顧則娟, 高春紅, 等. ICF評估工具的開發與應用現狀. 中國護理管理, 2019, 19(11): 1751-1755.
17. 劉杰, 江鐘立. 中國人群原發性骨質疏松癥簡明ICF核心組套的初步研究. 中國骨質疏松雜志, 2012, 18(9): 803-807.
18. Ilieva EM, Oral A, Kü?ükdeveci 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. 趙志宏, 王銳, 國宇, 等. 膝關節骨關節炎患病率及與骨質疏松癥相關性研究. 中華骨科雜志, 2019, 39(14): 870-875.
21. 李艾娟, 李思敏, 杜春萍. 成都市某三甲醫院骨質疏松患者心理狀態與健康行為的相關性分析. 醫學與社會, 2018, 31(10): 77-78.
22. 李媛. 老年骨質疏松患者心理負擔與健康行為影響因素分析. 泰安: 泰山醫學院, 2014.
23. 尹華, 梅偉. 肌力、脂肪含量與絕經后骨質疏松癥患者骨密度T值的相關性分析. 中國婦幼保健, 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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