关键词: 肺疾病, 慢性阻塞性；国际功能、残疾和健康分类；综合评估；德尔菲技术

Abstract: Background　The health management of chronic obstructive pulmonary disease（COPD） requires comprehensive and individualized treatment based on the whole person assessment，so as to improve the patients' physiological and psychological status and long-term compliance to healthy behaviors. Objective　To establish a comprehensive assessment system for COPD based on the International Classification of Functioning，Disability and Health （ICF），to offer a reference for the development of integrated intervention options involving physiology，psychology，functioning and social participation for such patients. Methods　From April to August，2019，we constructed a questionnaire based on the comprehensive ICF core set for COPD，and used it to carry out a two-round email-based survey with experts（in fields of clinical diagnosis and treatment，clinical nursing，nursing management，nursing education，pulmonary rehabilitation and psychological therapy related to COPD） using the Delphi technique，then in accordance with the survey results，we improved it and developed the final version. Results　The response rate and Cr were 100.0%（21/21） and 0.836，respectively，for the first round of survey，and were 95.2%（20/21） and 0.845，respectively，for the second round of survey. The Kendall's coefficient of concordance were 0.209 and 0.271 for indices and subindices. The average importance value of indices ranged from 3.55-4.90. The variation coefficients of indices ranged from 0.061-0.297，and full mark rate was 15%-90%. The Comprehensive ICF-COPD Assessment System consists of 4 indices，including physical and mental functions，body structure，activities and participation，and environmental factors，and 53 subindices. Conclusion　The development of Comprehensive ICF-COPD Assessment System is scientific and rational，which could ensure the comprehensiveness of the assessment content before the formulation of rehabilitation intervention plan.

Key words: Pulmonary disease, chronic obstructive；International Classification of Functioning, Disability and Health；Comprehensive assessment；Delphi technique?