Contributo para a classificação da funcionalidade na população com mais de 65 anos, segundo a Classificação Internacional de Funcionalidade

Pereira, Carla; Fonseca, César; Escoval, Ana; Lopes, Manuel

doi:10.1016/S0870-9025(11)70008-6

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Resumo

Finalidade

Identificação das categorias da Classificação Internacional da Funcionalidade (CIF), incapacidade e saúde, para a classificação da funcionalidade da população com mais de 65 anos de idade.

Objectivo

Identificar os domínios e as categorias da CIF mais referidos para classificar a população com mais de 65 anos de idade.

Metodologia

Revisão da literatura efectuada na CINAHL (Plus with Full Text, MEDLINE with Full Text). Foram pesquisados artigos científicos publicados em Texto Integral (Fevereiro de 2010), entre 2000/01/01 e 2010/01/31, utilizando o método de PI[C]O e seleccionados 17 artigos do total de 505 encontrados.

Resultados

Foram identificados 252 categorias que caracterizam a funcionalidade da população com mais de 65 anos de idade. Com a frequência de descrição ≥ a 30%, observamos 79 categorias, que se encontram divididas em 3 dos 4 componentes da CIF. No componente das Funções do Corpo, as categorias identificadas foram: Funções mentais globais (b110, b114, b130, b134); Funções mentais específicas (b140, b144, b152, b167); Visão e funções relacionadas (b210); Funções auditivas e vestibulares (b230); Dor (b280); Funções da voz e da fala (b310); Funções do aparelho cardiovascular (b410, b420); Funções dos sistema hematológico e imunológico (b430, b435); Funções do aparelho respiratório (b440); Funções relacionadas com o aparelho digestivo (b510, b525). No Componente das Estruturas do Corpo, as categorias identificadas foram: Estruturas do sistema nervoso (s110); Estruturas do aparelho cardiovascular, do sistema imunológico e do aparelho respiratório (s410, s430); Estruturas relacionadas com o movimento (s760). No componente das Actividades e Participação, as categorias identificadas foram: Experiências sensoriais intencionais (d110); Aprendizagem básica (d155); Aplicação do conhecimento (d160, d166, d170, d175, d177); Tarefas e exigências gerais (d220, d230, d240); Comunicar e receber mensagens (d310, d315); Comunicar e produzir mensagens (d330, d335, d345); Conversação e utilização de dispositivos e de técnicas de comunicação (d350, d360); Mudar e manter a posição do corpo (d410, d415, d420); Transportar, mover e manusear objectos (d430, d440, d445); Andar e deslocar-se (d450, d460, d465); Auto cuidados (d540, d550, d560, d570); Aquisição do necessário para viver (d620); Tarefas domésticas (d640); Relacionamentos interpessoais particulares (d760); Vida comunitária, social e cívica (d910). Na componente dos factores ambientais as categorias mais referidas foram: Produtos e tecnologia (e110, e115, e120, e125, e150); Ambiente natural e mudanças ambientais feitas pelo homem (e260); Apoio e relacionamentos (e310, e315, e320, e355, e360); Atitudes (e410, e415, e420, e450, e455, e465); Serviços, sistemas e políticas (e570, e575, e580).

Conclusões

Os totais de categorias identificadas distribuem-se do seguinte modo: 83 categorias do componente Funções do Corpo (32,93%) em 12 artigos; 30 categorias do componente das Estruturas do Corpo (11,90%) em 7 artigos; 82 categorias do componente das Actividades e Participação (32,53%) em 16 artigos; 57 categorias do componente dos Factores Ambientais (22,61%) em 15 artigos. A identificação desta categoria permite ter uma base de trabalho para iniciar o processo de caracterização da funcionalidade da população com mais de 65 anos no contexto nacional.

Palavras-chave:

Classificação Internacional de Funcionalidade

Incapacidade e Saúde

CIF

População com mais de 65 anos

Abstract

Purpose

Identification of categories of the International Classification of Functioning (ICF), disability and health, for the classification of functioning in the population over 65 years of age.

Objective

To identify the more referred areas and ICF categories to classify the population over 65 years of age.

Methodology

Literature review performed in CINAHL (Plus with Full Text, MEDLINE with Full Text). We searched scientific papers published in Full Text (February 2010) between 01.01.2000 and 31.01.2010, using the IP [C] O. Of 505 articles retrieved, 17 articles were selected because they were the ones who made reference to the most representative ICF categories for the population over 65 years.

Results

We identified 252 categories that characterize the functionality of the population over 65 years of age. With the frequency description of ≥ 30%, 79 categories were observed, which are divided into three of the four ICF components. In the Body Functions component the identified categories were: Global mental functions (b110, b114, b130, b134); Specific mental functions (1–40, b144, b152, b167); Vision and related functions (b210); Hearing and vestibular functions (b230); Pain (b280); Voice and Speech Functions (b310); Cardiovascular functions (b410, b420); Haematological and immunologic functions (b430, b435); Respiratory system functions (b440); Digestive system related functions (b510, b525). In the Body Structures component the identified categories were: Nervous system structures (s110) Cardiovascular, immune and respiratory system structures (s410, s430); Movement related structures (s760). In the Activities and Participation component the identified categories were: Intentional sensory experiences (d110); Basic learning (d155); Knowledge application (d160, d166, d170, d175, d177); Tasks and general demands (d220, d230, d240); Communicate and receive messages (d310, d315); Communicate and produce messages (d330, d335, d345); Conversation and use of communication devices and techniques (d350, d360); Changing and maintaining body position (D410, d415, d420) Transporting, moving and handling objects (d430, d440, d445); Walking and travel (d450, d460, d465); Self care (d540, d550, d560, d570); Providing for the bare necessities of life (d620); Housekeeping (d640); Interpersonal relationships (d760); Community, social and civic life (d910). The most often mentioned categories in the environmental factors component were: Products and Technology (e110, e115, e120, e125, e150); Natural and man-made environmental changes (e260); Support and relationships (e310, e315, e320, e355, e360); Attitudes (e410, e415, e420, e450, e455, e465); Services, systems and policies (e570, e575, e580).

Conclusions

The total of identified categories are distributed as follows: 83 categories of Body Functions component (32.93%); 12 articles, 30 categories of Body Structures component (11.90%); 7 articles, 82 categories of Activities and Participation component (32.53%); 16 articles, 57 categories of Environmental Factors component (22.61%) in 15 articles. The identification of these categories provides a working base to start the population over 65 year's characterization process in the national context.

Keywords:

International Classification of Functioning

Disability and Health

CIF

Population over 65 years

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