Evaluation of Activities and Participation of Patients by Using International Classification of Functioning, Disability and Health (ICF)

Abstract

OBJECTIVE The objective of the study was to evaluate the disturbances of activities and participation of inpatients with rheumatoid arthritis, after stroke and myocardial infarction. METHODS Activities and participation disturbance were evaluated by the International Classifi cation of Functioning, Disability and Health. We examined 17 patients with rheumatoid arthritis, 27 - after stroke and 27, after myocardial infarction The age the patients was 51.3 ± 10.7; 70.4 ± 7.4; 63.7 ± 11.7 years, respectively. Activities and participation were assessed by the following scale: 0, no diffi culty; 1, mild diffi culty; 2, moderate diffi culty; 3, severe diffi culty; 4, complete diffi culty. RESULTS We determined that in cases with rheumatoid arthritis changing and maintaining body position, carrying, moving and handling objects, walking and moving, dressing, handling objects were the mostly disturbed. Learning and applying knowledge, communication, toileting, general interpersonal interactions were impaired mildly or were not disturbed. We revealed, a dependence between the Keitel index and undertaking a task, changing and maintaining body position, handling objects, walking, moving and self-care (p < 0.05). When we compared the disturbances of activities and participation of inpatients after stroke and myocardial infarction., we noticed, that basic learning (copying, learning to write and calculate), applying knowledge (solving problems), general tasks and demands, communicating with - receiving - written messages, changing and maintaining a body position, walking and moving, self - care (washing oneself, caring for body parts, looking after one health) were more disturbed in the inpatients after stroke ( p <0,05). CONCLUSION By using the International Classifi cation of Functioning, Disability and Health we can evaluate the disturbances of activities and participation in different groups of patient