Vision, attention, and self-reported driving behaviors in community-dwelling stroke survivors
Vision, attention, and self-reported driving behaviors in community-dwelling stroke survivors
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DOI：
10.1053/apmr.2002.31179
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发表时间：
2002-04-01
影响因子：
4.3
通讯作者：
Mennemeier, M
中科院分区：
文献类型：
--
作者：
Fisk, GD;Owsley, C;Mennemeier, M
目的：阐明社区中风幸存者的视力、注意力、驾驶状态和自我报告的驾驶行为之间的关系。设计：横断面设计，比较中风幸存者与未中风的老年人的视觉测量、注意力测量和自我报告的驾驶行为。地点：大学医院的康复中心。参与者：50 名中风幸存者和 105 名没有神经或视力障碍的老年人。干预措施：无适用。主要结果指标：视力、对比敏感度、周边视力、有用视野 (UFOV)、行为注意力不集中测试和驾驶习惯调查问卷。结果：与视力和神经系统健康状况良好的老年人相比，中风幸存者的对比敏感度、周边视力和 UFOV 受损。驾驶中风幸存者通常比非驾驶者的注意力障碍较少。与未患中风的老年人相比，恢复驾驶的中风幸存者报告称，在挑战驾驶条件方面存在困难，开车较少，并且更多地依赖其他人进行交通。结论：这些结果表明，对于驾驶很重要的视力和注意力在中风幸存者中往往受到损害。这些缺陷的严重程度可能会影响驾驶状态和驾驶行为。恢复驾驶的中风幸存者会策略性地限制自己的驾驶机会并依赖他人进行交通，这表明他们可能会刻意地自我调节自己的驾驶行为。
Objective: To elucidate the relationships among vision, attention, driving status, and self-reported driving behaviors in community-dwelling stroke survivors.Design: A cross-sectional design to compare stroke survivors to older adults without stroke on visual measures, attentional measures, and self-reported driving behaviors.Setting: Rehabilitation center at a university hospital.Participants: Fifty stroke survivors and 105 older adults without neurologic or visual impairment.Interventions: Not applicable.Main Outcome Measures: Visual acuity, contrast sensitivity, peripheral vision, useful field of view (UFOV), Behavioral Inattention Test, and a driving habits questionnaire.Results: Stroke survivors had impaired contrast sensitivity, peripheral vision, and UFOV compared with older adults in good visual and neurologic health. Driving stroke survivors typically had less attentional impairment than nondrivers. Stroke survivors who returned to driving reported difficulty in challenging driving conditions, drove less, and relied more on other people for transportation than older adults without stroke.Conclusions: These results suggest that vision and attention, both of which are important for driving, are often impaired in stroke survivors. The severity of these deficits could be an influence on driving status and driving behavior. Stroke survivors who return to driving strategically limit their driving exposure and rely on others for transportation, which suggests that they may deliberately self-regulate their driving behavior.