Tang Yifan
Nanjing Medical University, China
Posters & Accepted Abstracts: J Nurs Care
Aim: The main aim of the present study is to determine the initial concept of functional evaluation for
patients with chronic heart failure (CHF) in the views of international classification of functioning, disability
and health (ICF).
Materials & Methods: Clinical researches on patients with chronic heart failure for nearly five years were
recalled from Cochrane Library, PubMed, Embase, CNKI, WanFang, CBM databases. Two researchers
extracted and linked the concept with ICF through standard link rules independently. Finally, 116 researches
were recalled, including 177 function assessment index non-redundantly. The concepts linked with ICF in
116 second categories. Of these, 66 categories were considered most relevant to CHF (identified in at least
5% of the studies), of which 25 were related to body functions, two were related to body structure, 31
were related to activities and participation, eight were related with environmental factors. The six most
frequently identified categories were heart function (n=90), cardiovascular system structure (n=49), blood
vessel function (n=43), respiratory function (n=41), motor tolerance function (n=40) and walking (n=40).
Conclusion: In conclusion, the broad variety of ICF categories identified in this study reflects the heterogeneity
of functional differences found in CHF and underlines the potential value of the ICF as a framework to capture
an individualâ??s functioning. The current results in combination with further clinical researches and Delphi
survey will provide the scientific basis for defining the CHF-ICF core sets. It is conducive to the follow-up
development of individualized, detailed and dynamic treatment and nursing interventions for patients with
CHF based on comprehensive evaluation.
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