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首页> 外文期刊>AIDS care. >The International Classification of Function Disability and Health (ICF) in adults visiting the HIV outpatient clinic at a regional hospital in Johannesburg, South Africa.
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The International Classification of Function Disability and Health (ICF) in adults visiting the HIV outpatient clinic at a regional hospital in Johannesburg, South Africa.

机译：在南非约翰内斯堡一家地区医院就诊的艾滋病毒门诊患者的成人功能障碍与健康国际分类（ICF）。

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In 2005, 16.6% of South Africans between 15 and 49 years of age were HIV positive. The advent of anti-retroviral therapy has led to improved longevity, CD4 counts and clinical well-being of people living with HIV/AIDS (PLWHA). Physical impairments, activity limitations and participation restrictions of PLWHA have profound effects on the Health-related Quality of Life and functional abilities of those with the disease, and understanding thereof may assist in the formulation of rehabilitation protocols, health care interventions as well as vocational and legislative policies. The International Classification of Function, Disability and Health (ICF) is a standardised tool, endorsed by the World Health Assembly for international use, which aims to classify functioning and disability. It is structured to assess body functions and structure, functional activities and associated personal and environmental factors.This study aimed to develop a profile of the level of functional activity, using the ICF Checklist, of an urban cohort of 45 South African individuals who are HIV positive attending an outpatient clinic at the Helen Joseph Memorial Hospital, Gauteng, South Africa. The results showed a high prevalence of physical impairments, participation restrictions and selective activity limitations and that environmental factors influence their level of ability. Specific impairments where patients had problems were mental functions (69% (n=31), sensory and pain -- 71% (n=32), digestive and metabolic functions 45% (n=20) and neuromuscular 27% (n=12). Activity limitations included major life areas' 58% (n=26), interpersonal relationships 56% (n=25), mobility 40% (n=18) and general tasks and demands 38% (n=17). Limitations in mobility were significantly associated with problems of sensory functions (p=0.05), pain (p=0.006), neuromusculoskeletal and movement-related functions (p=0.006), muscle power (p=0.006) as well as energy and drive functions (p=0.001). The study identifies the level of function and ability of PLWHA, clinical markers, and how these affect the physical, psychological and social functioning of this population.
机译：2005年，年龄在15至49岁之间的南非人中有16.6％是HIV阳性。抗逆转录病毒疗法的出现提高了艾滋病毒/艾滋病感染者（PLWHA）的寿命，CD4计数和临床福祉。 PLWHA的身体障碍，活动限制和参与限制对与该疾病相关的健康相关生活质量和功能能力具有深远影响，对其的了解可能有助于制定康复方案，卫生保健干预措施以及职业和健康方面的知识。立法政策。 《功能，残疾与健康国际分类》（ICF）是世界卫生大会认可供国际使用的标准化工具，旨在对功能和残疾进行分类。该研究旨在评估人体功能和结构，功能活动以及相关的个人和环境因素。本研究旨在利用ICF清单，对45名南非艾滋病毒感染者的城市队列进行功能活动水平的概况分析。积极参加南非豪登省海伦·约瑟夫纪念医院的门诊。结果表明，身体障碍，参与限制和选择性活动限制的患病率很高，环境因素影响其能力水平。患者有问题的特定障碍是精神功能（69％（n = 31），感觉和疼痛-71％（n = 32），消化和代谢功能45％（n = 20）和神经肌肉27％（n = 12） ）。活动限制包括主要生活领域的58％（n = 26），人际关系56％（n = 25），行动力40％（n = 18）和一般任务和需求38％（n = 17）。活动性与感觉功能（p = 0.05），疼痛（p = 0.006），神经肌肉骨骼和运动相关功能（p = 0.006），肌肉力量（p = 0.006）以及能量和驱动功能（p = 0.001）。该研究确定了PLWHA的功能和能力水平，临床标记以及这些标记如何影响该人群的身体，心理和社会功能。

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