運用國際健康功能與身心障礙分類模式於乳癌個案之復健治療

The Application of International Classification of Functioning, Disability and Health (ICF) Model in the Rehabilitation of Breast Cancer Survivors

近年來因為乳癌治療技術的進步和國內四癌篩檢的推廣，雖然目前已有不錯的疾病治癒率，但是對於乳癌個案來說，高存活率並不代表同時擁有良好的生活品質，因此本文主要探討套用「國際健康功能與身心障礙分類系統（International Classifi cation of Functioning,Disability and Health,ICF）」的架構，建立以病人為中心的全方位乳癌復健治療模式，透過復健專業協助病人回歸健康生活、避免治療併發症產生、進而提升乳癌個案日常生活活動與工作參與的表現。本文將以ICF模式的五個面向（身體結構/功能、活動、參與、個人與環境因素），來介紹各種復健治療理論對於乳癌個案的介入模式，包括徒手淋巴引流、加壓治療法、日常生活功能訓練、工作強化、職業重建、能量保留策略、生物回饋治療、正念治療以及輔具與輔助科技的運用；以增進乳癌存活個案能夠擁有良好的生活品質與健康的生活型態。

With the progression of therapy techniques and the popularization of cancer screenings, the cure rate and mortality rate of breast cancer have improved greatly in the recent years. However, prolonged survival rate is definitely not equal to achieving a sound quality-of life among breast cancer survivors. The purpose of this article is to use the conceptual framework of the International Classification of Functioning, Disability and Health (ICF) model to construct a patient-centered comprehensive rehabilitation programs for breast cancer survivors. We adopted fi ve dimensions of the ICF model (i.e., body structure/function, activities, participation, personal, and environmental factors) to introduce the different rehabilitation theory programs, such as manual lymphatic drainage, compression therapy, training in activities of daily living, work hardening, vocational reconditioning, energy conservation, biofeedback therapy, mindfulness, and application of assistive technologies, in aiding breast cancer survivors to maintain a better quality-of life and healthier lifestyle.