Luciana Narciso Paschoal1, Patrícia Nery De Souza2, Cassia Maria Buchalla3, Christina May Moran De Brito4, Linamara Rizzo Battistella5. 1. Hospital da Polícia Militar de Minas Gerais and Hospital Metropolitano Odilon Behrens, Belo Horizonte, MG, Brazil. Electronic address: lucianapaschoal@yahoo.com.br. 2. Hospital Sírio-Libanês, São Paulo, SP, Brazil. 3. Department of Epidemiology, Faculdade de Saúde Pública, Universidade de São Paulo (USP), São Paulo, SP, Brazil. 4. Rehabilitation Service, Hospital Sírio-Libanês and Instituto do Câncer do Estado de São Paulo, São Paulo, SP, Brazil. 5. Department of Legal Medicine, Medical Ethics, Social and Work Medicine, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil.
Abstract
BACKGROUND: Hospitalized patients are at risk for the loss of function and impairment. Physical therapists aim to improve functionality and prevent disabilities. The International Classification of Functioning, Disability and Health (ICF) propose a universal language to classify the functionality of patients across different health care settings and over diverse health conditions. OBJECTIVES: To identify the International Classification of Functioning, Disability and Health categories that describe most common and relevant patient problems managed by physical therapists in Brazilian hospitals in the acute and post-acute care settings. SUBJECTS: The participants were physical therapists who worked in hospitals with a minimum work experience of two years. METHODS: A consensus-building, two-round, emailed survey was conducted using the Delphi technique. RESULTS: For the development of an ICF short list, 47 physical therapists from the acute care setting and 30 physical therapists from the post-acute care setting responded to the Delphi exercise. Most of the professionals were from the cardiorespiratory physical therapy area. A 80% level of consensus or higher was established for the selection of the categories of the ICF components (Body Functions, Body Structures, Activities and Participation, and Environmental Factors). We obtained two short lists to be used in clinical practice comprising 39 ICF categories for acute care settings and 53 for post-acute care settings. CONCLUSION: This study is the first to identify the most relevant aspects for physical therapy in Brazilian hospitals using the ICF framework. Our results can help to promote the adoption of the ICF in physical therapy clinical practice in the hospital setting.
BACKGROUND: Hospitalized patients are at risk for the loss of function and impairment. Physical therapists aim to improve functionality and prevent disabilities. The International Classification of Functioning, Disability and Health (ICF) propose a universal language to classify the functionality of patients across different health care settings and over diverse health conditions. OBJECTIVES: To identify the International Classification of Functioning, Disability and Health categories that describe most common and relevant patient problems managed by physical therapists in Brazilian hospitals in the acute and post-acute care settings. SUBJECTS: The participants were physical therapists who worked in hospitals with a minimum work experience of two years. METHODS: A consensus-building, two-round, emailed survey was conducted using the Delphi technique. RESULTS: For the development of an ICF short list, 47 physical therapists from the acute care setting and 30 physical therapists from the post-acute care setting responded to the Delphi exercise. Most of the professionals were from the cardiorespiratory physical therapy area. A 80% level of consensus or higher was established for the selection of the categories of the ICF components (Body Functions, Body Structures, Activities and Participation, and Environmental Factors). We obtained two short lists to be used in clinical practice comprising 39 ICF categories for acute care settings and 53 for post-acute care settings. CONCLUSION: This study is the first to identify the most relevant aspects for physical therapy in Brazilian hospitals using the ICF framework. Our results can help to promote the adoption of the ICF in physical therapy clinical practice in the hospital setting.
Authors: Jady Luara Veríssimo; Isabel C N Sacco; Maria Helena Morgani de Almeida; Cristina Dallemole Sartor; Eneida Yuri Suda Journal: Braz J Phys Ther Date: 2022-03-31 Impact factor: 4.762
Authors: Fernanda Dos Santos Lima; Vinícius da Silva Carvalho; Inaiacy Souto Bittencourt; Ana Paula Fontana Journal: Front Rehabil Sci Date: 2022-08-15