EVALUATION OF DISABILITY AND FUNCTIONING IN WOMEN WITH LOW-RISK PREGNANCY USING WORLD HEALTH ORGANISATION DISABILITY ASSESSMENT SCHEDULE 2.0 (WHODAS 2.0)

Nupur Gupta, Shipra Raj Verma, Nausheen Anis
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Abstract

WHO developed questionnaire to quantify the level of disability and functioning called World Health Organisation Disability Assessment Schedule 2.0 36 item score (WHODAS 2.0) on background of ICF (International Classication of functioning and disability) It has six domains cognition, mobility, selfcare, getting along, life activities and participation. Each domains have variable number of questions and a score from 1 to 5 corresponding to none, mild, moderate, severe and extreme. Our objective was to evaluate disability and functioning in low-risk pregnancy using WHODAS 2.0, 36 item score in late second and third trimesters. The study was prospective observational cohort study on women with low-risk singleton pregnancy in late second and third trimester using World Health Organisation Disability Assessment Schedule 2.0, 36 item score. On comparing the scores of both trimesters and total scores statistically signicant results were obtained p value < 0.001. The rst domain cognition had signicant decrease in scores in third trimester while rest ve domains had an increase in disability in third trimester. Low risk pregnancy causes signicant reduction in functioning and increased disability than that normally perceived.
使用世界卫生组织残疾评估表 2.0(WHODAS 2.0)对低风险妊娠妇女的残疾和功能进行评估
世界卫生组织在 ICF(国际功能和残疾分类cation)的基础上开发了用于量化残疾和功能水平的问卷,名为 "世界卫生组织残疾评估表 2.0"(World HealthOrganisation Disability Assessment Schedule 2.0 36 item score,WHODAS 2.0),包括认知、行动、自理、相处、生活活动和参与六个领域。每个领域都有不同数量的问题,得分从 1 到 5 分,分别对应无、轻度、中度、重度和极重度。我们的目的是在低危妊娠的第二和第三季度,使用 36 个项目的 WHODAS 2.0 分值来评估低危妊娠的残疾和功能情况。该研究是一项前瞻性观察性队列研究,使用世界卫生组织残疾评定量表 2.0,36 项评分标准,对低风险单胎妊娠妇女在妊娠后期的第二和第三个三个月的残疾情况进行评估。将两个孕期的得分与总分进行比较,得出了显著的统计结果,P值小于0.001。rst 认知领域的得分在第三个孕期显著下降,而其他ve 领域的得分在第三个孕期增加。低危妊娠会导致孕妇功能明显降低,残疾程度明显增加。
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