Worldwide, lung cancer remains the predominant cause of cancer cases and deaths and poses significant health challenges, with surgical resection being a key treatment. Post-surgery, patients often experience functional impairments. This study aimed to develop a comprehensive ICF version for assessing the functional profile and disability in lung cancer patients post-thoracic surgery undergoing pulmonary rehabilitation using the ICF and WHODAS 2.0 tool. We analyzed the correlation between the ICF Core Set and WHODAS 2.0 data to understand the impact on daily functioning. This study included 50 patients (23 F, 27 M) from the Clinic of Thoracic Surgery and Respiratory Rehabilitation in Lodz. Essential ICF codes were determined using the Delphi method, and assessments were conducted on the third day post-operation. Statistical analyses included various tests with α = 0.05. The results showed no impairments in voice functions (b310), respiration rates (b4400), and diaphragm functions (b4451), but there were significant issues with chest pain (b28011), respiratory muscle functions (b445), exercise tolerance (b455), and muscle endurance (b740). In Activities and Participation and Environmental Factors, most codes were not problematic, except for employment (d845, d850) and atmospheric pressure (e2252). Significant correlations were found between mobility limitations (d410, d460) and self-care (d510, d540) with the WHODAS 2.0 results. The comprehensive ICF Core Set effectively described the functional profile of post-surgery patients, confirming its utility and highlighting the impact of disability on daily functioning.
在全球范围内，肺癌仍是癌症发病与死亡的主要原因，构成重大健康挑战，其中手术切除是关键治疗手段。术后患者常出现功能障碍。本研究旨在基于《国际功能、残疾和健康分类》（ICF）及《世界卫生组织残疾评估量表2.0》（WHODAS 2.0），构建一套综合性ICF核心分类集，用于评估接受胸外科手术并参与肺康复的肺癌患者术后功能状况及残疾水平。通过分析ICF核心分类集与WHODAS 2.0数据的相关性，以探究其对日常功能的影响。研究纳入罗兹市胸外科与呼吸康复诊所的50例患者（女性23例，男性27例）。采用德尔菲法确定关键ICF编码，并于术后第三天进行评估。统计分析涵盖多种检验方法，设定显著性水平α=0.05。结果显示：发声功能（b310）、呼吸频率（b4400）及膈肌功能（b4451）未见明显损伤，但胸痛（b28011）、呼吸肌功能（b445）、运动耐量（b455）及肌肉耐力（b740）存在显著问题。在活动与参与及环境因素维度中，除就业相关项目（d845、d850）和大气压力（e2252）外，多数编码未显现明显障碍。研究发现移动功能（d410、d460）与自我照料（d510、d540）的限制与WHODAS 2.0评估结果存在显著相关性。综合性ICF核心分类集能有效描述术后患者的功能特征，证实了其应用价值，并凸显了残疾对日常功能的影响。
肿瘤(癌症)患者之家