Illness perceptions in patients receiving rheumatology rehabilitation: association with health and outcomes at 12 months

BMC Musculoskeletal Disorders

Research Article

Elin Fjerstad¹  Ida Løchting²  Andrew M Garratt³ 

[1] National Resource Centre for Rehabilitation in Rheumatology (NRRK), Department of Rheumatology, Diakonhjemmet Hospital, P.O. Box 23, 0319, Vinderen, Oslo, Norway;National Resource Centre for Rehabilitation in Rheumatology (NRRK), Department of Rheumatology, Diakonhjemmet Hospital, P.O. Box 23, 0319, Vinderen, Oslo, Norway;Communication- and Research Unit for Musculoskeletal Disorders (FORMI), Oslo University Hospital, P.O. Box 4950, 0424, Ullevaal, Nydalen, Oslo, Norway;National Resource Centre for Rehabilitation in Rheumatology (NRRK), Department of Rheumatology, Diakonhjemmet Hospital, P.O. Box 23, 0319, Vinderen, Oslo, Norway;Norwegian Knowledge Centre for the Health Services, P.O. Box 7004, St Olavs plass, N-0130, Oslo, Norway;

关键词: Rehabilitation;    Rheumatic diseases;    Illness perceptions;   

DOI  :  10.1186/1471-2474-14-28

 received in 2012-09-21, accepted in 2013-01-12,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundIllness perceptions have been found to change over time and following health care. Hence, addressing illness perceptions alongside existing health care interventions may be important for the sustainment of health gains following rehabilitation. The aim of this study was to measure the illness perceptions of patients receiving inpatient rheumatology rehabilitation and assess the association with aspects of health and outcomes at baseline, discharge and 12 months.MethodsPatients with a rehabilitation stay of one week or more at three institutions in Norway in 2009 were invited to participate in the study. At baseline, discharge and 12 months, patients completed The Rheumatic Disease Illness Perception Questionnaire (RD-IPQ) which includes aspects of illness perceptions important to patients with rheumatic diseases. Stepwise regression analysis was used to assess associations between RD-IPQ scores and different aspects of health at baseline and follow-up after controlling for other aspects of health and sociodemographic variables.ResultsFor the 134 patients included in the study, baseline RD-IPQ scores had a mean of 58.2 (SD 14.9) on a 0–100 scale, where 100 is the worst possible. Scores showed improvement after the rehabilitation stay which were maintained at 12 months. RD-IPQ scores were positively associated with health and outcomes. At baseline RD-IPQ scores were statistically significant in explaining variation in pain, physical function and SF-36 mental health scores. Baseline RD-IPQ scores were significant in explaining fatigue, pain, SF-36 role limitations and social function scores following rehabilitation and at 12 months.ConclusionIllness perceptions as measured by the RD-IPQ were associated with health and outcomes as measured by rheumatology-specific and generic instruments. The consideration of illness perceptions as a component of rehabilitation may be important in achieving desired outcomes.

【 授权许可】

Unknown   
© Loechting et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.