2010年新制身心障礙鑑定試辦結果花蓮縣資料分析：初步研究

The Results of the 2010 New System for Assessment of Disability in Hualien County: A Preliminary Study

黃寶(Pao Huang) ； 吳佩霖(Pei-Lin Wu) ； 樊志成(Chih-Cheng Fan) ； 梁忠詔(Chung-Chao Liang)

《台灣復健醫學雜誌》 40卷2期 (2012/06) Pp. 61-70

https://doi.org/10.6315/2012.40(2)01

摘要

目的：本研究目的是想藉由新制身心障礙鑑定表之評估結果，來探討此鑑定表當中之身體功能、活動及參與、環境因素及世界衛生組織障礙評估手冊2.0短版之間分數的相關性，並且比較舊制障礙分類與新制障礙鑑定屬性分類及其各項分數是否不同。方法：本研究總共收取148位持有身心障礙手冊的花蓮縣個案，使用新制身心障礙鑑定表進行評估，評估項目包括身體功能、身體構造、活動及參與、環境因素及WHODAS 2.0短版，以Spearman's rho係數來分析身體功能、活動及參與、環境因素及WHODAS 2.0短版之間的相關性。並分析不同程度的肢體障礙其身體功能與活動及參與是否有差異。結果：舊制肢體障礙等級與（2010年）新制身心障礙鑑定內容的身體功能相關性達0.540、活動及參與達0.643；WHODAS 2.0短版與新制身心障礙鑑定內容的活動及參與相關性達0.872；不同的肢體障礙程度對於身體功能與活動及參與有顯著不同。結論：本次使用的新制身心障礙鑑定內容的身體功能及活動及參與，與舊制肢體障礙等級相關性達中度相關；WHODAS 2.0短版與新制身心障礙鑑定內容的活動及參與相關性達高度相關；輕度與重度、中度與重度的肢體障礙程度對於身體功能與活動及參與有顯著不同。（台灣復健醫誌2012；40(2)：61 - 70）

關鍵字

國際健康功能與身心障礙分類系統（ICF） ； 身體功能（body function） ； 活動及參與（activities and participation） ； 環境因素（environmental factors） ； 世界衛生組織障礙評估手冊2.0短版（short version of the WHODAS 2.0）

並列摘要

Objective: This study uses the assessment results from the new system of the disability assessment schedule to investigate the relationships between the short version of the WHODAS 2.0 and the body functions, activities and participation, and environmental factors in this schedule. The influence of using this assessment schedule on changes in disability levels is analyzed.Method: In total, this study recruits 148 individuals with disabilities in Hualien County as cases for study. The new system assessment schedule from the ICF's promotion program is adopted to perform an assessment. The assessment items include body functions, activities and participation, environmental factors, and the short version of the WHODAS 2.0. The Spearman's rho coefficient is used to analyze the relationships between body functions, activities and participation, environmental factors, and the short version of the WHODAS 2.0. The results of the new and old assessment systems, and changes in the level of disability in cases are calculated in percentages.Results: After comparing the original level of disability in cases with the body functions in the new disability assessment schedule, the relationship between the levels of disability in the old system and the ICF's body functions reached 0.540; the relationship between the one and the ICF's activity and participation reached 0.540.The relationship between the short version of the WHODAS 2.0 and the ICF's activities and participation reached 0.872. The results of the new and old assessment systems, and changes in the level of disability in cases are significantly different.Conclusion: A medium correlation is observed between the ICF core set assessment schedule and the disability classifications of the old system. A high correlation is observed between using the short version of the WHODAS 2.0 and the ICF core set activities and participation. The mild and severely level of disability have significantly different in the body function and activities and participation. (Tw J Phys Med Rehabil 2012; 40(2): 61 - 70)

並列關鍵字

ICF ； body functions ； activities and participation ； environmental factors ； short version of the WHODAS 2.0