Using WHO’s ICF Model on Service Needs of Patients with Pneumoconiosis

 

Mean

Standard deviation (SD)

Respiratory function (exchange of gas)

5.0

0.0

Respiratory function (breathing, coughing, and sneezing)

5.0

0.0

Support and relationship with family

4.8

0.5

Health services, systems, and policies

4.7

0.7

Emotional functions

4.7

0.7

Walking function

4.6

0.7

Exercise tolerance

4.4

0.9

Recreation and leisure

4.2

0.9

Community life

4.2

0.9

Sensations associated with cardiovascular and other respiratory functions

3.3

1.3

Relationship with friends

3.3

1.2

Housework

2.7

1.2

Non-remunerative employment

1.3

0.9

Labor and employment services, systems, and policies

1.1

0.5

Remunerative employment

1.0

0.4



The second question for each category of function in the survey asked participants to judge the extent to which a function has been impaired. A sample question in this part of the questionnaire is, “At what level has respiratory function been impaired?” The five categories of functions that received the highest ratings from the participants were health services, systems, and policies (mean = 4.5), respiratory functions (exchange of gases) (mean = 4.2), other respiratory functions (breathing, coughing, and sneezing) (mean = 4.1), walking (mean = 4.1), and exercise tolerance (mean = 3.9) (Table 16.2). The three categories of functions that received the lowest ratings were remunerative employment (Mean = <1.1); labor and employment services, systems, and policies (mean = 1.1); and voluntary work (mean = 1.2).


Table 16.2
Summary of level of impairment of categories of functions rated by participants listed in needs assessment (N = 162)







































































 
Mean

SD

Health services, systems, and policies

4.5

0.9

Respiration functions (exchange of gases)

4.2

1.0

Respiratory functions (breathing, etc.)

4.1

1.0

Walking function

4.1

0.9

Exercise tolerance

3.9

0.9

Emotional functions

3.8

1.1

Community life

3.7

1.0

Recreation and leisure

3.3

1.1

Support and relationship with family

3.0

1.2

Relationship with friends

2.9

1.3

Sensations associated with cardiovascular and other respiratory functions

2.4

1.5

Housework

2.3

1.3

Non-remunerative employment

1.2

0.7

Labor and employment services, systems, and policies

1.1

0.5

Remunerative employment

1.0

0.4

The third question in the survey asked the participants to judge the importance of each category of function that they found necessary to restore or maintain for the promotion of their well-being. For example, participants were asked, “What are your needs for restoring/maintaining respiratory functions for promoting your well-being?” The five categories of functions that received the highest ratings from the participants as needs for restoring/maintaining the functions for promoting well-being were respiratory function (exchange of gases) (mean = 4.0); respiratory functions (breathing, coughing, and sneezing) (mean = 4.0); health services, systems, and policies (mean = 3.9); walking function (mean = 3.8); and exercise tolerance (mean = 3.8) (Table 16.3). The three categories of functions that received the lowest ratings were remunerative employment (mean = <1.1); labor and employment services, systems, and policies (mean = 1.1); and voluntary work (mean = 1.2).


Table 16.3
Summary of the needs for restoring/maintaining the functions for promoting well-being of the participants listed in the needs assessment (N = 162)







































































 
Mean

SD

Respiration functions (exchange of gases)

4.0

1.1

Respiratory functions (breathing, etc.)

4.0

1.1

Health services, systems and policies

3.9

1.3

Walking function

3.8

1.1

Exercise tolerance

3.8

1.3

Emotional functions

3.6

1.2

Community life

3.5

1.0

Recreation and leisure

3.2

1.0

Support and relationship with family

2.9

1.2

Relationship with friends

2.7

1.2

Sensations associated with cardiovascular and other respiratory functions

2.4

1.5

Housework

2.2

1.2

Non-remunerative employment

1.2

0.5

Labor and employment services, systems, and policies

1.1

0.4

Remunerative employment

1.0

0.3

The fourth question in the survey asked participants to judge their degree of satisfaction that each category of function had been restored/maintained. For example, participants were asked, “To what extent have the needs for restoring/maintaining respiratory functions been satisfied?” The five categories of functions that received the highest ratings for needs satisfaction were: support and relationship with family (mean = 4.5); health services, systems, and policies (mean = 4.4); recreation and leisure (mean = 3.9); respiratory functions (breathing) (mean = 3.8); and exercise tolerance (mean = 3.8) (see Table 16.4). The three categories of functions that received the lowest ratings were remunerative employment (mean = <1.1); labor and employment services, systems, and policies (mean = 1.1); and voluntary work (mean = 1.3).
Sep 25, 2016 | Posted by in PHYSICAL MEDICINE & REHABILITATION | Comments Off on Using WHO’s ICF Model on Service Needs of Patients with Pneumoconiosis

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