ICF在视力障碍康复中应用的Scoping综述OA

Objective To review the application of the International Classification of Functioning,Disability and Health(ICF)in the field of visual impairment(Ⅵ)rehabilitation. Methods Literature related to ICF and Ⅵ rehabilitation was retrieved from PubMed,Web of Science,CNKI,Wanfang Data,and VIP from inception to May,2026.Standards and policy documents related to Ⅵ published before May,2026 were retrieved from the National Standards Full-text Disclosure System of the Standardization Administra-tion of China,the China Disabled Persons'Federation and the Chinese Government Portal.Following PRISMA-ScR,based on the three-dimensional ICF framework,an integrated analysis was conducted from the dimensions of theory,practice and policy. Results A total of 17 articles involving 2 648 participants,and four domestic Ⅵ assessment standards and one guideline were included.At the theoretical level,domestic Ⅵ standards showed the highest alignment with the ICF dimen-sion of body functions,while the coverage of the activities and participation dimension was uneven,and the cov-erage of the environmental factors dimension was the weakest.At the practical level,the ICF was primarily used for developing assessment tools,conducting clinical evaluations,implementing interventions and exploring ser-vice models.At the policy level,the overall orientation of domestic special education and medical insurance pay-ment aligned with the ICF concept of whole person rehabilitation,yet specific implementation rules remained to be formulated. Conclusion ICF provides a comprehensive and systematic approach for integrating the Ⅵ rehabilitation system in Chi-na,demonstrating significant application value in standard construction,clinical practice optimization and policy refinement.