Patomella Ann-Helen, Kottorp Anders, Tham Kerstin
Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden.
Scand J Occup Ther. 2008 Sep;15(3):184-92. doi: 10.1080/11038120802087600.
The aim of this study was to explore and describe awareness of driving disability in people with driving difficulties after stroke. The study comprised a consecutive sample of 38 participants with stroke who showed difficulties in a technically advanced, interactive driving simulator. Driving ability in the simulator was measured using Performance Analysis of Driving Ability (P-Drive). Awareness of driving disability was measured using a modified version of Assessment of Awareness of Disability (AAD), measuring the discrepancy between observed driving actions and self-reported disability after a driving evaluation in a simulator. A majority of the participants (n = 36) demonstrated driving ability that was below the cut-off criterion for P-Drive. Furthermore, a majority of the items measuring awareness of driving disability were scored low, indicating that participants with stroke who did not pass a driving evaluation also had limited awareness of driving disability. A General Linear Model analysis indicated that awareness of driving disability and cognitive screening outcome explained 74% of the variance in driving ability. This study indicated that a majority of the people with stroke who fail a driving evaluation also have limited awareness of their disability, which indicates the need to address awareness in driving evaluations.
本研究的目的是探索和描述中风后存在驾驶困难的人群对驾驶障碍的认知情况。该研究纳入了38名中风患者的连续样本，这些患者在技术先进的交互式驾驶模拟器中表现出驾驶困难。使用驾驶能力性能分析（P-Drive）来测量模拟器中的驾驶能力。使用残疾认知评估（AAD）的修改版本来测量对驾驶障碍的认知，该版本测量在模拟器中进行驾驶评估后观察到的驾驶行为与自我报告的残疾之间的差异。大多数参与者（n = 36）的驾驶能力低于P-Drive的截止标准。此外，大多数测量驾驶障碍认知的项目得分较低，这表明未通过驾驶评估的中风患者对驾驶障碍的认知也有限。一般线性模型分析表明，驾驶障碍认知和认知筛查结果解释了驾驶能力方差的74%。这项研究表明，大多数未通过驾驶评估的中风患者对自身残疾的认知也有限，这表明在驾驶评估中需要关注认知问题。
