Identification of physical and psychosocial problems associated with diabetic nephropathy using the International Classification of Functioning, Disability and Health Core Set for Diabetes Mellitus

Abstract

The results of this study using the ICF-CS for DM identified the areas for improvement among physical and psychosocial problems in DMN patients with and without HD in contrast to diabetes patients without nephropathy.

Classification of functionality of people with diabetic peripheral neuropathy based on international classification of functioning, disability and health Core set (ICF-CS) of diabetes mellitus

“…This suggest that complications increase in DM patients with age. Tsutsui et al also found the same observations in their study [8]. The subjects with DPN showed more sensory disturbances and urinary dysfunction.…”

“…DPN patients were significantly more likely to experience problems associated with 10 categories out of 18 categories under activity and participation. Tsutsui et al observed almost similar results in his study on DM patients with nephropathy [8]. Patients with diabetes mellitus with and without neuropathy reported that they received support from their family and friends while they suffered from DM or DPN and that became their facilitator.…”

“…However, there is study on use of ICF core set of DM to assess physical and psycho-social problems with diabetic nephropathy [8], whose findings were that DM with nephropathy with haemodialysis experienced more problems in 4 categories of ICF followed by the DM nephropathy without haemodialysis. There are other studies which have been conducted using ICF core set of DM but these studies were validation studies [8,11]. The regression coefficient calculated using a logistic regression is estimated increase in the log odds (odds ratio: OR) of the outcome per unit rise in the value of the exposure.…”

“…ICF-CS for DM was developed by Rouf et al [7]. Tsutsui et al had reported the use of ICF-CS of DM in identifying the physical and psychological symptoms in people with diabetic nephropathy [8]. Though ICF is recommended frame work for assessing health and disability by WHO, its use in clinical practice is limited.…”

Validation of the "Activity and participation" component of ICF Core Sets for stroke patients in Japanese rehabilitation wards

“…For this reason, the ICF research branch proposed and introduced the ICF Core Set for stroke in 2004 to facilitate the use of the ICF in clinical practice (4,5). The ICF Core Set contents (which were developed for particular health conditions and settings) have been validated for several health conditions (6)(7)(8) including stroke (9)(10)(11)(12)(13)(14). In addition, the inter-rater and intra-rater reliability of ICF categories with additional scoring guidelines, as well as the usefulness of ICF categories as outcome measures, have also been determined (15).…”