國際健康功能與身心障礙分類——護理發展的必要認知

The WHO's International Classification of Functioning, Disability, and Health (ICF): Essential Knowledge for Nurses

我國近年來人口快速老化，老人及長期照護需求亦隨之增加，而護理專業因應此發展需求應對相關照護新知有一充分的了解與準備。依我國「身心障礙者權益保障法」之規定，身心障礙人口的鑑定與分類在2012年後將依據世界衛生組織的國際健康功能與身心障礙分類（InternationalClassification of Functioning, Disability and Health,ICF）實施，未來護理照護對象亦將受此之分類變革而有所改變，本文因此將介紹ICF的基本概念及運用，並以一案例套用ICF之分類代碼使用情形，希望能讓護理人員對ICF有所認識並將其應用在臨床工作上，以提供適當的護理服務措施。

Taiwan's increasingly aging population has increased demand for elderly and long-term care dramatically. Professional competency based on the latest information and best-practice techniques is essential for nurses to provide high-quality care. As of 2012, the Protection Act for the Rights and Interests of Disabled Citizens requires that healthcare providers evaluate level of disability according to the WHO's International Classification of Functioning, Disability and Health (ICF). Professional nurses thus must fully understand the ICF. This article introduces ICF concepts as well as its development, coding system, core sets, and application. We also introduce a case situation to illustrate ICF coding methodology. This article is intended to raise awareness of the ICF evaluation approach and facilitate its quick and proper application in clinical work and guidance on best-practice nursing interventions.