Classificação da funcionalidade em pessoas com zumbido: proposta de uma matriz com base na CIF

Abstract

The assessment of people with tinnitus is considered a major challenge among health professionals. Much is discussed about research documentation processes and their reproducibility since this constitutes an international and multidisciplinary challenge that involves different perspectives and languages. The use of the ICF in the care of patients with tinnitus, although still little understood, is already a consensus among the main research groups in Europe. The objective of this study was to propose an international matrix to assess the functional status of people with tinnitus, based on the International Classification of Functioning – ICF. To enable the survey of functionality indicators, two assessment instruments were selected, the Tinnitus Handicap Inventory for assessing psychosocial aspects and the World Health Organization Disability Assessment Schedule WHODAS 2.0, in the reduced version with 12 items for assessing performance and, through the relationship between both components carry out the functionality assessment. For the classification of the state of functionality, each instrument was linked to the components of the ICF that resulted in the Matrix of International Classification of the Functioning of people with Tinnitus. The THI proved to be an instrument with a reflective structure that makes it possible to measure the repercussions of Tinnitus in the individual's life through the assessment of mental functions, while the WHODAS 2.0 revealed a formative structure, compatible with the theoretical model proposed by the ICF, and that enables the measurement of performance related to Activity Limitations and Participation Restrictions resulting from this health condition. The construction of a matrix for classifying the functionality of people with tinnitus is an instrument that will enable a biopsychosocial and alphanumeric assessment based on the ICF, which can be used internationally.