Abstract
To describe the socio-demographic profile and analyze the occupational performance of users of a specialized rehabilitation service according to the International Classification of Functioning, Disability, and Health (ICF) model. Documentary and exploratory study, in which the medical records from 97 patients treated between 2013 and 2015, were assessed using the Canadian Occupational Performance Measure (COPM). The age range of the patients was 14-83 years (average of 48.4 years), the majority being women (57.7%), married (43.3%), and retired (39.2%). Most patients had less than eight years of schooling (42.3%); 80.4% were sedentary; 12.4% smokers and 19.6% regularly consumed alcoholic beverages. Rotator cuff syndrome, stroke, and upper limb fracture were the most frequent diagnoses. The mean of occupational performance was 4.28 points (SD=1.84), and performance satisfaction was 4.43 points (SD=2.41). There were difficulties in self-care activities, functional mobility, productive activities and leisure and recreational activities. Regarding the components of the ICF, the Mobility domain obtained the highest number of categories cited by the users. In contrast, the Personal Care domain received the highest number of complaints. The occupational performance of the patients presented more limitations in self-care and productive activities. The application of ICF to classify activities identified specific demands in five domains, Mobility, and Personal care being the most frequent. These results allow directing health actions towards the real needs of the patients and structuring professional practice.
Highlights
O elevado percentual de pacientes com doenças do sistema osteomuscular identificados nesta pesquisa pode estar associado à realização de tarefas de vida diária ou ao perfil ocupacional
Atividades que representam dificuldades de desempenho ocupacional relatadas pelos pacientes, de acordo com os domínios da Canadian Occupational Performance Measure (COPM)
Atividades que representam dificuldades de desempenho ocupacional relatadas pelos pacientes, de acordo com os domínios e componentes da Clasificación Internacional del Funcionamiento (CIF)
Summary
The occupational performance of the patients presented more limitations in self-care and productive activities. Objetivo Describir el perfil socio demográfico y analizar el desempeño ocupacional de los usuarios de un servicio de rehabilitación de acuerdo con el Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud (CIF). A Política Nacional de Saúde da Pessoa com Deficiência enfatiza o entendimento da deficiência à luz da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) como parte ou expressão de ALVES -DESEMPENHO OCUPACIONAL EM UM SERVIÇO DE REABILITAÇÃO uma condição de saúde, ampliando a abordagem e a discussão da funcionalidade humana (2,3). A aplicação prática da CIF pode ocorrer em diferentes áreas e com diversos objetivos e tem como pressuposto permitir uma comunicação padronizada entre os profissionais acerca de aspectos que interferem na saúde e na funcionalidade do indivíduo (3-5). O objetivo deste estudo foi descrever o perfil sociodemográfico e analisar o desempenho ocupacional de usuários do setor de Terapia Ocupacional de um serviço especializado em reabilitação, de acordo com o modelo da CIF
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