The International Classification of Functioning, Disabilities, and Health categories rated as necessary for care planning for older patients with heart failure: a survey of care managers in Japan

BMC Geriatrics

Hiroko Togino¹  Naoya Goto²  Makiko Naka³  Yukiko Nakano⁴  Toshiro Kitagawa⁴  Takayuki Hidaka⁴  Hiroaki Kimura⁵  Kana Kanai⁶  Shigehito Shiota⁶  Naoki Mio⁶  Mariko Mochizuki⁷  Hiroyuki Ochikubo⁷  Yasuki Kihara⁸ 

[1] Department of Nursing, Hiroshima University Hospital, Hiroshima, Japan;Division of Clinical Support, Department of Rehabilitation, Hiroshima University Hospital, Hiroshima, Japan;Heart Failure Center, Hiroshima University Hospital, Hiroshima, Japan;Heart Failure Center, Hiroshima University Hospital, Hiroshima, Japan;Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan;Heart Failure Center, Hiroshima University Hospital, Hiroshima, Japan;Department of Rehabilitation Medicine, Hiroshima University Hospital, Hiroshima, Japan;Heart Failure Center, Hiroshima University Hospital, Hiroshima, Japan;Division of Clinical Support, Department of Rehabilitation, Hiroshima University Hospital, Hiroshima, Japan;Hiroshima Care Manager Association, Hiroshima, Japan;Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan;

关键词: ICF;    Care manager;    Heart failure;   

DOI  :  10.1186/s12877-021-02647-3

来源: Springer

【 摘 要 】

BackgroundEstablishing an information-sharing system between medical professionals and welfare/care professionals may help prevent heart failure (HF) exacerbations in community-dwelling older adults. Therefore, we aimed to identify the ICF categories necessary for care managers to develop care plans for older patients with HF.MethodsA questionnaire was administered to 695 care managers in Hiroshima, Japan, on ICF items necessary for care planning. We compared the care managers according to their specialties (medical qualifications and welfare or care qualifications). Furthermore, we created a co-occurrence network using text mining, regarding the elements necessary for collaboration between medical and care professionals.ResultsThere were 520 valid responses (74.8%). Forty-nine ICF items, including 18 for body functions, one for body structure, 21 for activities and participation, and nine for environmental factors, were classified as “necessary” for making care plans for older people with HF. Medical professionals more frequently answered “necessary” than care professionals regarding the 11 items for body functions and structure and three items for activities and participation (p < 0.05). Medical–welfare/care collaboration requires (1) information sharing with related organisations; (2) emergency response; (3) a system of cooperation between medical care and non-medical care; (4) consultation and support for individuals and families with life concerns, (5) management of nutrition, exercise, blood pressure and other factors, (6) guidelines for consultation and hospitalisation when physical conditions worsen.ConclusionsOur findings showed that 49 ICF categories were required by care managers for care planning, and there was a significant difference in perception between medical and welfare or care qualifications qualifications.

【 授权许可】

CC BY