Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht, and De Hoogstraat Rehabilitation, Utrecht; University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Groningen.
Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht, and De Hoogstraat Rehabilitation, Utrecht.
J Rehabil Med. 2023 Feb 7;55:jrm00369. doi: 10.2340/jrm.v55.2531.
Self-regulation, participation and health-related quality of life are important rehabilitation outcomes. The aim of this study was to explore associations between these outcomes in a multi-diagnostic and heterogenic group of former rehabilitation patients.
This cross-sectional survey used the Self-Regulation Assessment (SeRA), Utrecht Scale for Evaluation of Rehabilitation-participation (USERParticipation) and the Patient-Reported-Outcome-Measurement-System (PROMIS) ability and PROMIS satisfaction with participation in social roles, and the EuroQol-5L-5D and PROMIS-10 Global Health. Regression analyses, controlling for demographic and condition-related factors, were performed.
Respondents (n = 563) had a mean age of 56.5 (standard deviation (SD) 12.7) years. The largest diagnostic groups were chronic pain disorder and brain injury. In addition to demographic and condition-related factors, self-regulation subscales explained 0-15% of the variance in participation outcome scores, and 0-22% of the variance in HRQoL outcome scores. Self-regulation subscales explained up to 22% of the variance in satisfaction subscales of participation (USER-Participation and PROMIS) and the mental health subscale of the PROMIS-10. Self-regulation subscales explained up to 11% of the restriction and frequency subscales of participation (USER-Participation) and the physical health subscale of the PROMIS-10.
Self-regulation is more strongly associated with outcomes such as satisfaction with participation and mental health compared with outcomes such as restrictions in participation and physical health.
自我调节、参与和与健康相关的生活质量是重要的康复结果。本研究的目的是探索在一个多诊断和异质的前康复患者群体中，这些结果之间的关联。
本横断面调查使用了自我调节评估量表（SeRA）、乌得勒支康复参与评估量表（USERParticipation）和患者报告的结果测量系统（PROMIS）能力和 PROMIS 对参与社会角色的满意度，以及欧洲五维健康量表-5 维度（EQ-5D-5D）和 PROMIS-10 全球健康。进行了回归分析，控制了人口统计学和病情相关因素。
受访者（n=563）的平均年龄为 56.5（标准差（SD）12.7）岁。最大的诊断组是慢性疼痛障碍和脑损伤。除了人口统计学和病情相关因素外，自我调节分量表解释了参与结果评分的 0-15%的方差，以及健康相关生活质量评分的 0-22%的方差。自我调节分量表解释了参与的满意度分量表（USER-Participation 和 PROMIS）和 PROMIS-10 的心理健康分量表的 0-22%的方差。自我调节分量表解释了参与的限制和频率分量表（USER-Participation）和 PROMIS-10 的身体健康分量表的 0-11%的方差。
与参与的限制和身体健康等结果相比，自我调节与参与的满意度和心理健康等结果的相关性更强。
