Contributo para a classificação da funcionalidade na população com mais de 65 anos, segundo a Classificação Internacional de Funcionalidade

Pereira, Carla; Fonseca, César; Escoval, Ana; Lopes, Manuel

doi:10.1016/S0870-9025(11)70008-6

Información del artículo

Resumen

Bibliografía

Descargar PDF

Estadísticas

Resumo

Finalidade

Identificação das categorias da Classificação Internacional da Funcionalidade (CIF), incapacidade e saúde, para a classificação da funcionalidade da população com mais de 65 anos de idade.

Objectivo

Identificar os domínios e as categorias da CIF mais referidos para classificar a população com mais de 65 anos de idade.

Metodologia

Revisão da literatura efectuada na CINAHL (Plus with Full Text, MEDLINE with Full Text). Foram pesquisados artigos científicos publicados em Texto Integral (Fevereiro de 2010), entre 2000/01/01 e 2010/01/31, utilizando o método de PI[C]O e seleccionados 17 artigos do total de 505 encontrados.

Resultados

Foram identificados 252 categorias que caracterizam a funcionalidade da população com mais de 65 anos de idade. Com a frequência de descrição ≥ a 30%, observamos 79 categorias, que se encontram divididas em 3 dos 4 componentes da CIF. No componente das Funções do Corpo, as categorias identificadas foram: Funções mentais globais (b110, b114, b130, b134); Funções mentais específicas (b140, b144, b152, b167); Visão e funções relacionadas (b210); Funções auditivas e vestibulares (b230); Dor (b280); Funções da voz e da fala (b310); Funções do aparelho cardiovascular (b410, b420); Funções dos sistema hematológico e imunológico (b430, b435); Funções do aparelho respiratório (b440); Funções relacionadas com o aparelho digestivo (b510, b525). No Componente das Estruturas do Corpo, as categorias identificadas foram: Estruturas do sistema nervoso (s110); Estruturas do aparelho cardiovascular, do sistema imunológico e do aparelho respiratório (s410, s430); Estruturas relacionadas com o movimento (s760). No componente das Actividades e Participação, as categorias identificadas foram: Experiências sensoriais intencionais (d110); Aprendizagem básica (d155); Aplicação do conhecimento (d160, d166, d170, d175, d177); Tarefas e exigências gerais (d220, d230, d240); Comunicar e receber mensagens (d310, d315); Comunicar e produzir mensagens (d330, d335, d345); Conversação e utilização de dispositivos e de técnicas de comunicação (d350, d360); Mudar e manter a posição do corpo (d410, d415, d420); Transportar, mover e manusear objectos (d430, d440, d445); Andar e deslocar-se (d450, d460, d465); Auto cuidados (d540, d550, d560, d570); Aquisição do necessário para viver (d620); Tarefas domésticas (d640); Relacionamentos interpessoais particulares (d760); Vida comunitária, social e cívica (d910). Na componente dos factores ambientais as categorias mais referidas foram: Produtos e tecnologia (e110, e115, e120, e125, e150); Ambiente natural e mudanças ambientais feitas pelo homem (e260); Apoio e relacionamentos (e310, e315, e320, e355, e360); Atitudes (e410, e415, e420, e450, e455, e465); Serviços, sistemas e políticas (e570, e575, e580).

Conclusões

Os totais de categorias identificadas distribuem-se do seguinte modo: 83 categorias do componente Funções do Corpo (32,93%) em 12 artigos; 30 categorias do componente das Estruturas do Corpo (11,90%) em 7 artigos; 82 categorias do componente das Actividades e Participação (32,53%) em 16 artigos; 57 categorias do componente dos Factores Ambientais (22,61%) em 15 artigos. A identificação desta categoria permite ter uma base de trabalho para iniciar o processo de caracterização da funcionalidade da população com mais de 65 anos no contexto nacional.

Palavras-chave:

Classificação Internacional de Funcionalidade

Incapacidade e Saúde

CIF

População com mais de 65 anos

Abstract

Purpose

Identification of categories of the International Classification of Functioning (ICF), disability and health, for the classification of functioning in the population over 65 years of age.

Objective

To identify the more referred areas and ICF categories to classify the population over 65 years of age.

Methodology

Literature review performed in CINAHL (Plus with Full Text, MEDLINE with Full Text). We searched scientific papers published in Full Text (February 2010) between 01.01.2000 and 31.01.2010, using the IP [C] O. Of 505 articles retrieved, 17 articles were selected because they were the ones who made reference to the most representative ICF categories for the population over 65 years.

Results

We identified 252 categories that characterize the functionality of the population over 65 years of age. With the frequency description of ≥ 30%, 79 categories were observed, which are divided into three of the four ICF components. In the Body Functions component the identified categories were: Global mental functions (b110, b114, b130, b134); Specific mental functions (1–40, b144, b152, b167); Vision and related functions (b210); Hearing and vestibular functions (b230); Pain (b280); Voice and Speech Functions (b310); Cardiovascular functions (b410, b420); Haematological and immunologic functions (b430, b435); Respiratory system functions (b440); Digestive system related functions (b510, b525). In the Body Structures component the identified categories were: Nervous system structures (s110) Cardiovascular, immune and respiratory system structures (s410, s430); Movement related structures (s760). In the Activities and Participation component the identified categories were: Intentional sensory experiences (d110); Basic learning (d155); Knowledge application (d160, d166, d170, d175, d177); Tasks and general demands (d220, d230, d240); Communicate and receive messages (d310, d315); Communicate and produce messages (d330, d335, d345); Conversation and use of communication devices and techniques (d350, d360); Changing and maintaining body position (D410, d415, d420) Transporting, moving and handling objects (d430, d440, d445); Walking and travel (d450, d460, d465); Self care (d540, d550, d560, d570); Providing for the bare necessities of life (d620); Housekeeping (d640); Interpersonal relationships (d760); Community, social and civic life (d910). The most often mentioned categories in the environmental factors component were: Products and Technology (e110, e115, e120, e125, e150); Natural and man-made environmental changes (e260); Support and relationships (e310, e315, e320, e355, e360); Attitudes (e410, e415, e420, e450, e455, e465); Services, systems and policies (e570, e575, e580).

Conclusions

The total of identified categories are distributed as follows: 83 categories of Body Functions component (32.93%); 12 articles, 30 categories of Body Structures component (11.90%); 7 articles, 82 categories of Activities and Participation component (32.53%); 16 articles, 57 categories of Environmental Factors component (22.61%) in 15 articles. The identification of these categories provides a working base to start the population over 65 year's characterization process in the national context.

Keywords:

International Classification of Functioning

Disability and Health

CIF

Population over 65 years

El Texto completo está disponible en PDF

Bibliografia

[1.]

Ministério da Saúde. Direcção-Geral da Saúde.

Classificação Internacional de Funcionalidade, Incapacidade e Saúde.

Direcção-Geral da Saúde, (2004),

[2.]

Taber's Cyclopedic Medical Dictionary, 20th ed.,

[3.]

M. Mueller, C. Boldt, E. Grill1, R. Strobl, G. Stucki.

Identification of ICF categories relevant for nursing in the situation of acute and early post-acute rehabilitation.

BMC Nurs, 7 (2008),

[4.]

G. Stucki, M. Stier-Jarmer, E. Grill, J. Melvin.

Rationale and principles of early rehabilitation care after an acute injury or illness.

Disabil Rehabil, 27 (2005), pp. 353-359

http://dx.doi.org/10.1080/09638280400014105 | Medline

[5.]

E. Grill, R. Hermes, W. Swoboda, C. Uzarewicz, N. Kostanjsek, G. Stucki.

ICF Core Set for geriatric patients in early post-acute rehabilitation facilities.

Disabil Rehabil, 27 (2005), pp. 411-417

http://dx.doi.org/10.1080/09638280400013966 | Medline

[6.]

S. Bruyère, S. Van Looy, D. Peterson.

The International Classification of Functioning Disability and Health: contemporary literature overview.

Rehabil. Psychol, 50 (2005), pp. 113-121

[7.]

S. Bartholomeyczik, C. Boldt, E. Grill, P. König.

Development and use of the ICF from the nursing point of view: a position statement of the German speaking working group “ICF and Nursing”.

Pflege Z, 59 (2006), pp. 2-7

Medline

[8.]

C. Boldt, M. Brach, E. Grill, A. Berthou, K. Meister, M. Scheuringer, et al.

The ICF categories identified in nursing interventions administered to neurological patients with post-acute rehabilitation needs.

Disabil Rehabil, 27 (2005), pp. 411-417

http://dx.doi.org/10.1080/09638280400013966 | Medline

[9.]

C. Boldt, E. Grill, M. Wildner, L. Portenier, S. Wilke, G. Stucki, et al.

ICF Core Set for patients with cardiopulmonary conditions in the acute hospital.

Disabil Rehabil, 27 (2005), pp. 375-380

http://dx.doi.org/10.1080/09638280400013982 | Medline

[10.]

M.A. O’Donovan, A. Doyle, P. Gallagher.

Barriers, activities and participation: incorporating ICF into service planning datasets.

Disabil Rehabil, 31 (2009), pp. 2073-2080

http://dx.doi.org/10.3109/09638280902918738 | Medline

[11.]

P.M. Kearney, J. Pryor.

The International Classification of Functioning Disability and Health (ICF) and nursing.

J Adv Nurs, 46 (2004), pp. 162-170

http://dx.doi.org/10.1111/j.1365-2648.2003.02976.x | Medline

[12.]

Portugal. Instituto Superior de Ciências do Trabalho e da Empresa. Centro de Reabilitação Profissional de Gaia. Elementos de caracterização das pessoas com deficiências e incapacidades em Portugal: realizado no âmbito do “Estudo Modelização das Políticas e das Práticas de Inclusão Social das Pessoas com Deficiências em Portugal”, decorrido entre Outubro de 2005 e Dezembro de 2007, com o apoio do Programa Operacional de Assistência Técnica ao QCA III – eixo FSE. Vila Nova de Gaia: CRPG. ISCTE; 2007.

[13.]

E.P. Davis.

Challenges posed by ageing to financial and monetary stability.

The Geneva Papers, 30 (2005), pp. 542-564

[14.]

S.A. Ayis, A. Bowling, R. Gooberman-Hill, S. Ebrahim.

The effect of definitions of activities of daily living on estimates of changing ability among older people.

Int J Rehabil Res, 30 (2007), pp. 39-46

http://dx.doi.org/10.1097/MRR.0b013e328013dafb | Medline

[15.]

E. Pilichowski, E. Arnould, E. Turkisch.

Ageing and the public sector: challenges for financial and human resources.

OECD Journal on Budgeting, 7 (2007), pp. 123-162

[16.]

D. Domeij, M. Flodén.

Population aging and international capital flows.

Int Econ Rev, 47 (2006), pp. 1013-1032

[17.]

S. Maggi.

Proceedings of the 1991 International Symposium on Data on Aging: World Health Organization program for research on aging.

Vital Health Stat, 7 (1993), pp. 43-50

[18.]

Eurostat. Population projections 2008–2060: from 2015, deaths projected to outnumber births in the EU27. Brussels: Eurostat Press Office; 2008.

[19.]

Instituto Nacional de Estatística (INE). Projecções de população residente em Portugal 2008–2060. [Internet]. Destaque. 2009 Mar 19;1–5 [consultado Abr 2009]. Disponível em: www.ine.pt/ngt_server/attachfileu.jsp?look_parentBoui=66023625&att_display=n&att_download=y.

[20.]

G. Lafortune, G. Balestat, Disability Study Expert Group Members.

Trends in severe disability among elderly people: assessing the evidence in 12 OECD countries and the future implications.

OECD, (2007),

[21.]

KPMG LLP. Health status: [Portugal]. Em: KPMG Healthcare & Pharmaceutical Institute. Healthcare industry report. 4th ed. [S.l.]: KPMG Healthcare & Pharmaceutical Institute; 2009. p. 9–15.

[22.]

J.-W. Yoon.

Beyond the crisis: towards a new horizon.

SERI Quarterly, 2 (2009), pp. 52-61

[23.]

E. Grill, T. Ewert, S. Chatterji, N. Kostanjsek, G. Stucki.

ICF Core Sets development for the acute hospital and early post-acute rehabilitation facilities.

Disabil Rehabil, 27 (2005), pp. 361-366

http://dx.doi.org/10.1080/09638280400013974 | Medline

[24.]

E. Grill, S. Joisten, W. Swoboda, G. Stucki.

Early-stage impairments and limitations of functioning from the geriatric ICF core set as determinants of independent living in older patients after discharge from post-acute rehabilitation.

J Rehabil Med, 39 (2007), pp. 591-597

http://dx.doi.org/10.2340/16501977-0093 | Medline

[25.]

E. Grill, M. Quittan, E.O. Huber, C. Boldt, G. Stucki.

Identification of relevant ICF categories by health professionals in the acute hospital.

Disabil Rehabil, 27 (2005), pp. 437-445

http://dx.doi.org/10.1080/09638280400014030 | Medline

[26.]

C. Christiansen, C. Baum.

Occupational therapy: overcoming human performance deficits. [e-book].

Slack Incorporated, (1991),

[27.]

J.L. Fitzpatrick.

Alternative models for the structuring of professional preparation programs.

New Directions for Evaluation, 62 (1994), pp. 41-50

[28.]

E. Swanson, S. Moorhead, M. Jones, M. Mass, M. Lee.

Using the model of mapping nursing outcomes classification (NOC) to the International Classification of Functioning, Disability and Health (ICF) to map NANDA, NIC and NOC.

Int. J. Nurs. Termiol. Classif, 17 (2006), pp. 56-57

[29.]

J. Yaruss.

Describing the consequences of disorders: stuttering and the International Classification of Impairments, Disabilities, and Handicaps.

J Speech Lang Hear Res, 41 (1998), pp. 249-257

Medline

[30.]

T. Van Achterberg, G. Holleman, Y. Heijnen-Kaales, Y. Van der Brug, G. Roodbol.

Using a multidisciplinary classification in nursing: the International Classification of Functioning, Disability and Health.

J Adv Nurs, 49 (2005), pp. 432-441

http://dx.doi.org/10.1111/j.1365-2648.2004.03307.x | Medline

[31.]

C.H. Duggan, K.J. Albright, A. Lequerica.

Using the ICF to code and analyse women's disability narratives.

Disabil Rehabil, 30 (2008), pp. 978-990

http://dx.doi.org/10.1080/09638280701797549 | Medline

[32.]

T. Ewert, E. Grill, S. Bartholomeyczik, M. Finger, T. Mokrusch, N. Kostanjsek, et al.

ICF Core Sets for patients with neurological conditions in the acute hospital.

Disabil Rehabil, 27 (2005), pp. 367-373

http://dx.doi.org/10.1080/09638280400014014 | Medline

[33.]

World Health Organization.

The uses of epidemiology in the study of the elderly: report of a WHO Scientific Group on the Epidemiology of Aging.

WHO, (1984),

[34.]

J. Florin, M. Ehnfors, G. Ostlinder.

Developing a national integrated classification of health care interventions in Sweden.

Int J Med Inform, 74 (2005), pp. 973-979

http://dx.doi.org/10.1016/j.ijmedinf.2005.07.011 | Medline

[35.]

E. Grill, E.O. Huber, G. Stucki, M. Herceg, V. Fialka-Moser, M. Quittan.

Identification of relevant ICF categories by patients in the acute hospital.

Disabil Rehabil, 27 (2005), pp. 447-458

http://dx.doi.org/10.1080/09638280400014048 | Medline

[36.]

E. Grill, U. Mansmann, A. Cieza, G. Stucki.

Assessing observer agreement when describing and classifying functioning with the International Classification of Functioning, Disability and Health.

J Rehabil Med, 39 (2007), pp. 71-76

http://dx.doi.org/10.2340/16501977-0016 | Medline

[37.]

M.M. Heinen, T. van Achterberg, G. Roodbol, C.M. Frederiks.

Applying ICF in nursing practice: classifying elements of nursing diagnoses.

Int Nurs Rev, 52 (2005), pp. 304-312

http://dx.doi.org/10.1111/j.1466-7657.2005.00433.x | Medline

[38.]

S. Maeda, F. Kita, T. Miyawaki, K. Takeuchi, R. Ishida, M. Egusa, et al.

Assessment of patients with intellectual disability using the International Classification of Functioning, Disability and Health to evaluate dental treatment tolerability.

J Intellect Disabil Res, 49 (2005), pp. 253-259

http://dx.doi.org/10.1111/j.1365-2788.2005.00644.x | Medline

[39.]

M.F. Schuntermann.

The implementation of the International Classification of Functioning Disability and Health in Germany: experiences and problems.

Int J Rehabil Res, 28 (2005), pp. 93-102

Medline

[40.]

C. Barral, M. Maudinet.

ICF training tool for trainers.

Meeting of WHO Collaborating Centres for the Family of International Classifications, Cologne, Germany, 19–25 October 2003,

[41.]

L. Kullmann.

ICF: developments in Hungary.

Meeting of WHO Collaborating Centres for the Family of International Classifications, Cologne, Germany, 19–25 October 2003,

[42.]

D.S. Pravikoff, S.T. Pierce, A. Tanner.

Evidence-based practice readiness study supported by academy nursing informatics expert panel.

Nurs Outlook, 53 (2005), pp. 49-50

http://dx.doi.org/10.1016/j.outlook.2004.11.002 | Medline

[43.]

B.M. Melnyk, E. Fineout-Overholt, C. Stetler, J. Allan.

Outcomes and implementation strategies from the first U.S. Evidence-Based Leadership Summit.

Worldviews Evid Based Nurs, 2 (2005), pp. 113-121

http://dx.doi.org/10.1111/j.1741-6787.2005.00022.x | Medline

[44.]

J. Hwang, S. Nochajski.

The International Classification of Function, Disability and Health (ICF) and its application with AIDS.

J Rehabil, 69 (2003), pp. 4-12

[45.]

R. Muò, A. Schindler, I. Vernero, O. Schindler, E. Ferrario, G.B. Frisoni.

Alzheimer's disease-associated disability: an ICF approach.

Disabil Rehabil, 27 (2005), pp. 1405-1413

http://dx.doi.org/10.1080/09638280500052542 | Medline

[46.]

T. Van Achterberg, G. Holleman, Y. Heijnen-Kaales, Y. Van der Brug, G. Roodbol, H.A. Stallinga, et al.

Using a multidisciplinary classification in nursing: the International Classification of Functioning Disability and Health.

J Adv Nurs, 49 (2005), pp. 432-441

http://dx.doi.org/10.1111/j.1365-2648.2004.03307.x | Medline

[47.]

M. Wildner, M. Quittan, L. Portenier, S. Wilke, C. Boldt, G. Stucki, et al.

ICF Core Set for patients with cardiopulmonary conditions in early post-acute rehabilitation facilities.

Disabil Rehabil, 27 (2005), pp. 397-404

http://dx.doi.org/10.1080/09638280400013958 | Medline

[48.]

M. Stier-Jarmer, E. Grill, T. Ewert, S. Bartholomeyczik, M. Finger, T. Mokrusch, et al.

ICF Core Set for patients with neurological conditions in early post-acute rehabilitation facilities.

Disabil Rehabil, 27 (2005), pp. 389-395

http://dx.doi.org/10.1080/09638280400014022 | Medline

[49.]

E. Grill, G. Stucki, C. Boldt, S. Joisten, W. Swoboda.

Identification of relevant ICF categories by geriatric patients in an early post-acute rehabilitation facility.

Disabil Rehabil, 27 (2005), pp. 467-473

http://dx.doi.org/10.1080/09638280400014055 | Medline

[50.]

E. Grill, B. Lipp, C. Boldt, G. Stucki, E. Koenig.

Identification of relevant ICF categories by patients with neurological conditions in early post-acute rehabilitation facilities.

Disabil Rehabil, 27 (2005), pp. 459-465

http://dx.doi.org/10.1080/09638280400014063 | Medline

[51.]

M. Scheuringer, E. Grill, C. Boldt, R. Mittrach, P. Müllner, G. Stucki.

Systematic review of measures and their concepts used in published studies focusing on rehabilitation in the acute hospital and in early post-acute rehabilitation facilities.

Disabil Rehabil, 27 (2005), pp. 419-429

http://dx.doi.org/10.1080/09638280400014089 | Medline

[52.]

R. Mullis, J. Barber, M. Lewis, E. Hay.

ICF core sets for low back pain: do they include what matters to patients?.

J Rehabil Med, 39 (2007), pp. 353-357

http://dx.doi.org/10.2340/16501977-0059 | Medline

[53.]

M. Glunz, E. Schmitz, H. Stappert.

ICF as part of logopedic rehabilitation after laryngectomy [German].

Forum Logopadie, 23 (2009), pp. 22-26

[54.]