时间标签：数据日期 2026-10-31 · 生成时间 2026-11-01 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/10/28–2026/10/31 ｜ 情报发生日期 2026-10-31
研究问题
Despite the well-established clinical benefits of pulmonary rehabilitation, outcome evaluation remains largely focused on physiological measures, exercise performance, symptom scores, and quality-of-life indicators (, ).；The ICF framework offers an opportunity to bridge this gap by providing a standardized language and measurement structure capable of capturing multidimensional rehabilitation outcomes.；Nevertheless, there remains a need for large-scale, real-world analyses examining the applicability of ICF-based assessments in pulmonary rehabilitation settings.
方法
The national pilot was conducted between March and October 2023 and included 1,797 patients across five rehabilitation profiles.；The cohort had a mean age of 68.7 ± 10.8 years, providing a clear later-life and healthy-aging context for the analysis.；Because the secondary dataset did not provide the detailed age-stratified clinical variables needed for age-specific subgroup analyses, the study focuses on the overall cohort and does not make age-group-specific causal inferences.；Changes in ICF qualifier scores between baseline and follow-up assessments were analyzed to evaluate functional changes in functioning observed over the course of the rehabilitation episode.
核心结论
Seventy-five participants (75%) were aged 65 years or older, indicating that the study population was predominantly situated in later adulthood.；Between the initial and final assessments, significant changes were observed across most body function categories.；The largest reductions in impairment severity were noted for musculoskeletal functions, particularly muscle power (b730; median qualifier 3 → 1, adjusted p < 0.0001), muscle endurance (b740; 3 → 2, adjusted p < 0.0001), and joint mobility (b710; 3 → 1, adjusted p < 0.0001). ‖ 结论：The findings of this retrospective secondary analysis suggest that ICF-based assessments may be useful for describing functioning across multiple domains during inpatient rehabilitation.
局限
Reductions in limitations were also observed in self-care activities such as washing, dressing, and personal care, as well as in carrying out daily routines and looking after one’s health.；This likely reflects the low prevalence of baseline limitations in these categories, producing a ceiling effect that limited the possibility of detecting meaningful change.；The relative stability of environmental factors also suggests that changes in functioning observed during rehabilitation should be interpreted within the wider social and service context, including access to medications, assistive products, family support, and caregiver assistance.
对本项目的价值
★☆☆☆☆ 血管老化提供可影像量化、可短期读取的中间终点，适合做机制到临床的桥接。
全文来源
PMC JATS 全文（正文 31,916 字符，已过标题/DOI 逐字归属校验）
原文题录
- 英文标题：Functional changes during inpatient pulmonary rehabilitation in Poland: an ICF-based analysis of functioning relevant to healthy aging and public health.
- 期刊与标识：Front Public Health · PMID 42947856 · DOI 10.3389/fpubh.2026.1949234
A 级证据分级：A 级（同行评议人体研究）
本文属人体研究证据，但需注意：观察性或小样本干预的结论不等于已证实临床获益；效应量与长期安全性仍需更大规模、更长随访的试验验证。
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