【正文】
matoid Arthritis例:類風(fēng)濕性關(guān)節(jié)炎 9 ■ System disease with main manifestation in musculoskeletal disorders主要表現(xiàn)在肌肉骨骼的系統(tǒng)性 疾病 ■ Progressive chronic recurring course漸進(jìn)的慢性復(fù)發(fā)過(guò)程 Heatlth Condition (Disorder or Disease) Body Functionsand structures Activities Participation Environmental Factors Personal Factors Bad Eilsen 10 ■ Joint swelling and stiffness關(guān)節(jié)腫脹和僵硬 ■ Mobility restrictions and joint destruction行動(dòng)受限和關(guān)節(jié)損害 ■ General symptoms: fatigue, fever, loss of wheigt一般癥狀:疲乏、發(fā)熱、體重降低 ■ Manifestations in other ans: 其他器官的臨床表現(xiàn) ■ Skin, eyes, lung, heart, central and peripheral nervous system 皮膚、眼睛、肺、心臟、中樞和外周神經(jīng)系統(tǒng) ■ Pain is a central symptom疼痛是最主要的癥狀 Bad Eilsen ICFmodel: Rheumatoid Arthritis類風(fēng)濕性關(guān)節(jié)炎 ICF模型 Rheumatoid Arthritis類風(fēng)濕性關(guān)節(jié)炎 Body Functions + Structures:軀體結(jié)構(gòu)和功能: ?Pain疼痛 ?Impairment of 以下方面的 損害: joint mobility關(guān)節(jié)活動(dòng) Musclular strength肌肉力量 sleep and energy休息與精力 ?Systemic inflammation全身炎癥 ?Joint destruction關(guān)節(jié)損害 Activities: 活動(dòng): ? Mobility: 移動(dòng) : Walking 步行 Using transportation 使用交通工具 Lifting and Carrying objects電梯和傳送工具 Fine hand use精細(xì)手工 ? Self Care:自我管理: Washing oneself自己洗漱 Dressing穿衣 Participation: 參與: ?professional activity and employment職業(yè)活動(dòng)和就業(yè) ?Family relationship家庭關(guān)系 ?munity, social and civic life社區(qū)、社會(huì)和公民生活 ?Recreation and leasure娛樂 ?Religion and spirituality宗教信仰和靈性 ?Political life and citizenship政治生活和公民權(quán)益 Environmental Factors: 環(huán)境因素: ?Products and technology產(chǎn)品和技術(shù) ?Support and relationship支持和關(guān)系 Family friends, colleagues家庭、朋友和同事 ?Attitudes: 態(tài)度 leadership behavior at work工作中的領(lǐng)導(dǎo)行為 ?Services, systems and policies服務(wù)、制度和政策 Health and pension insurance健康和養(yǎng)老保險(xiǎn) ? Personal Factors:個(gè)人因素 ?age and sex年齡和性別 ?health behabior健康行為 ?coping abilities應(yīng)對(duì)能力 ?other mental or physical impairments (orbiditiy) 其他的精神和身體損傷(合并癥) Bad Eilsen Body Functions and Structures:身體結(jié)構(gòu)和功能: ? Mobility of joints: neutral zero method 關(guān)節(jié)活動(dòng)性:中間零度法 ? Pain:疼痛 ? Visual analog scale (VAS) 010 視覺模擬評(píng)分法 ? 0 = no pain, 10 = unbearable pain 0=沒有疼痛, 10=難以忍受的疼痛 ? Disease activity:疾病活動(dòng)度: ? Disease activity score (DAS28)疾病活動(dòng)評(píng)分 (DAS28) ? Number of swollen joints腫脹關(guān)節(jié)的數(shù)量 ? Number of tender joints脆弱關(guān)節(jié)的數(shù)量 ? ESR (erythrocyte sedimentation rate)紅細(xì)胞沉降率 ? Self estimation of disease activity疾病活動(dòng)自我評(píng)估 12 0 – 2,6 3,2 3,2 – 5,1 5,1 Remission 緩 解 Low 低度 Moderate中等 Severe activity 嚴(yán)重 Bad Eilsen ICFmodel: Rheumatoid Arthritis類風(fēng)濕性關(guān)節(jié)炎 ICF模型 Rheumatoid Arthritis 類風(fēng)濕性關(guān)節(jié)炎 Body Functions + Structures:軀體結(jié)構(gòu)和功能: ?Pain疼痛 ?Impairment of 以下方面的 損害: joint mobility關(guān)節(jié)活動(dòng) Musclular strength肌肉力量 sleep and energy休息與精力 ?Systemic inflammation全身炎癥 ?Joint destruction關(guān)節(jié)損害 Activities: 活動(dòng): ? Mobility: 移動(dòng) : Walking 步行 Using transportation 使用交通工具 Lifting and Carrying objects電梯和傳送工具 Fine hand use精細(xì)手工 ? Self Care:自我管理: Washing oneself自己洗漱 Dressing穿衣 Participation: 參與: ?professional activity and employment職業(yè)活動(dòng)和就業(yè) ?Family relationship家庭關(guān)系 ?munity, social and civic life社區(qū)、社會(huì)和公民生活 ?Recreation and leasure娛樂 ?Religion and spirituality宗教信仰和靈性 ?Political life and citizenship政治生活和公民權(quán)益 Environmental Factors: 環(huán)境因素: ?Products and technology產(chǎn)品和技術(shù) ?Support and relationship支持和關(guān)系 Family friends, colleagues家庭、朋友和同事 ?Attitudes: 態(tài)度 leadership behavior at work工作中的領(lǐng)導(dǎo)行為 ?Services, systems a