Centre of Excellence for Rehabilitation Medicine, UMC Brain Center, University Medical Centre Utrecht, Utrecht University and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
University of Groningen, University Medical Centre Groningen, Centre for Rehabilitation, Groningen, The Netherlands.
Spinal Cord. 2022 Sep;60(9):831-836. doi: 10.1038/s41393-022-00803-z. Epub 2022 Apr 21.
Multicentre longitudinal study.
To assess overall illness perception and specific illness representations at admission and discharge of inpatient spinal cord injury (SCI) rehabilitation, and to detect associations between demographic and injury-related variables, and illness perception.
Seven Dutch SCI-specialised rehabilitation centres.
Participants aged >18 years with a recent SCI were screened for cognitive and emotional illness representations at admission and discharge with the Brief Illness Perception Questionnaire (B-IPQ). Differences between B-IPQ item scores at admission and discharge were analysed with the Wilcoxon signed-rank test. Differences between B-IPQ total scores were analysed with the paired-samples t-test. Associations between B-IPQ total scores and other variables were tested with bivariable and multivariable regression analyses.
B-IPQ results were available for 270 participants at admission (71% male, 59% paraplegia, 83% incomplete) and 119 at discharge (68% male, 50% paraplegia, 78% incomplete). The extent to which people experienced their SCI as a threat was highest for: 'consequences', 'symptom burden' and 'concern' both at admission and discharge. Participants generally experienced less threat at discharge. A more threatening illness perception was significantly associated with older age, complete SCI and a history of cognitive problems at admission. Age and completeness of injury, together, explained 12% of the variance of overall illness perception at admission.
For most individuals, illness perception positively changed during SCI rehabilitation. Measuring illness perception in inpatient rehabilitation could support the identification of specific treatment goals in order to improve adjustment after SCI.
多中心纵向研究。
评估住院脊髓损伤（SCI）康复入院和出院时的整体疾病认知和特定疾病表现，并检测人口统计学和损伤相关变量与疾病认知之间的关联。
7 个荷兰 SCI 专业康复中心。
对最近发生 SCI 的年龄>18 岁的参与者，在入院和出院时使用Brief Illness Perception Questionnaire（B-IPQ）筛查认知和情绪疾病表现。采用 Wilcoxon 符号秩检验分析入院和出院时 B-IPQ 项目得分的差异。采用配对样本 t 检验分析 B-IPQ 总分的差异。采用双变量和多变量回归分析检验 B-IPQ 总分与其他变量之间的关联。
入院时（71%为男性，59%为截瘫，83%为不完全损伤）和出院时（68%为男性，50%为截瘫，78%为不完全损伤），270 名参与者和 119 名参与者可提供 B-IPQ 结果。人们对 SCI 的体验在“后果”、“症状负担”和“担忧”方面，入院和出院时均为威胁最大。参与者在出院时普遍感到威胁较小。更具威胁性的疾病认知与年龄较大、完全性 SCI 和入院时存在认知问题史显著相关。年龄和损伤的完整性，共同解释了入院时整体疾病认知的 12%的差异。
对于大多数人来说，SCI 康复过程中疾病认知有积极的变化。在住院康复中测量疾病认知，可以帮助确定特定的治疗目标，以改善 SCI 后的适应。
