Clark M S, Smith D S
Rehabilitation and Ageing Studies Unit, Repatriation General Hospital, Adelaide, Daw Park, SA, Australia.
Clin Rehabil. 1997 May;11(2):162-70. doi: 10.1177/026921559701100210.
To examine the effect of abnormal illness behaviour (AIB) on rehabilitation outcome following stroke.
A longitudinal design, with assessments on admission to and discharge from rehabilitation, and six and 12 months after discharge.
The study was undertaken in the rehabilitation unit at Repatriation General Hospital, in Adelaide, South Australia.
Ninety-four 12-month stroke survivors who had undergone an inpatient rehabilitation programme.
AIB was assessed using the Illness Behaviour Questionnaire. Additional psychological measurements comprised the Zung Self-Rating Depression Scale, General Health Questionnaire, and a visual analogue mood scale. Functional ability was assessed with the Australian ADL Index, and lifestyle activities with the Frenchay Activities Index.
Cluster analysis of discharge data was used to define a rule for identifying patients with AIB. AIB was apparent in nearly 30% of patients at discharge, and persisted for 12 months. Patients with AIB scored more poorly than non-AIB patients on functional, social and psychological indicators.
AIB emerged as a key determinant of long-term disability. It is important to consider why AIB develops during rehabilitation, and how to identify patients at risk.
探讨异常疾病行为（AIB）对中风后康复结局的影响。
纵向设计，在康复入院时、出院时以及出院后6个月和12个月进行评估。
该研究在南澳大利亚阿德莱德遣返总医院的康复科进行。
94名接受过住院康复计划的中风幸存者，病程12个月。
使用疾病行为问卷评估AIB。其他心理测量包括zung自评抑郁量表、一般健康问卷和视觉模拟情绪量表。功能能力用澳大利亚日常生活活动指数评估，生活方式活动用法恩斯沃思活动指数评估。
对出院数据进行聚类分析，以确定识别AIB患者的规则。近30%的患者在出院时出现AIB，并持续12个月。AIB患者在功能、社会和心理指标上的得分低于非AIB患者。
AIB是长期残疾的关键决定因素。重要的是要考虑AIB在康复过程中为何会出现，以及如何识别有风险的患者。
