Cammarata Michael, Sangrar Ruheena, Harris Jocelyn E, Richardson Julie, Vrkljan Brenda
Faculty of Health Science, School of Rehabilitation Science, Institute for Applied Health Sciences, McMaster University, Hamilton, Canada.
Occup Ther Health Care. 2020 Jul;34(3):202-229. doi: 10.1080/07380577.2020.1719451. Epub 2020 Jan 28.
Using the International Classification of Functioning, Disability, and Health, this scoping review mapped environmental barriers and facilitators that can influence driving with arthritis. A search of research databases located 2445 studies from which 19 were included. The predominant diagnosis researched was rheumatoid arthritis. The most common facilitators were vehicle adaptations (e.g., supplemental mirrors, seat cushions). Barriers included a lack of knowledge among clinicians to address behind-the-wheel concerns and nonuse/abandonment of such adaptions. Results highlight key clinical and research opportunities to support drivers with arthritis.
本综述性研究采用《国际功能、残疾和健康分类》，梳理了可能影响关节炎患者驾驶的环境障碍和促进因素。通过检索研究数据库，共找到2445项研究，其中19项被纳入。研究的主要诊断疾病为类风湿性关节炎。最常见的促进因素是车辆改装（如辅助后视镜、座垫）。障碍包括临床医生缺乏解决驾驶相关问题的知识，以及这些改装设备未被使用或被弃用。研究结果凸显了支持关节炎患者驾驶的关键临床和研究机会。
