Assistive devices: usage in patients with rheumatoid arthritis
Assistive devices: usage in patients with rheumatoid arthritis
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DOI：
10.1007/s10067-008-0989-7
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发表时间：
2009-02-01
影响因子：
3.4
通讯作者：
Vlieland, T. P. M. Vliet
中科院分区：
文献类型：
--
作者：
de Boer, I. G.;Peeters, A. J.;Vlieland, T. P. M. Vliet
我们描述了各种辅助装置的使用情况，并确定了与类风湿性关节炎（RA）患者使用相关的因素。横断面，多中心研究进行了三个门诊风湿病诊所在荷兰。240名RA患者参与了这项研究。主要措施是问卷调查和半结构化访谈，涉及ISO9999类别中21种常见辅助器具的拥有和使用情况，包括矫形鞋、个人护理、移动、家庭和住房适应性。与使用相关的潜在因素包括社会人口变量、健康状况、生活质量、应对策略、自我效能、结果预期和满意度。在240例患者中，213例（89%）拥有一个或多个辅助设备（设备数量中位数3.0，四分位数范围3.0）。从未使用过设备的患者比例在8%的矫形鞋垫和23%的抓杆之间变化。与使用相关的主要因素因类别而异，但共同的决定因素是特定的损伤或残疾、对设备或相关服务的满意度、自我效能和拥有设备的数量。总之，在类风湿性关节炎患者中，拥有器械的比例很高，23%或更少的拥有器械被放弃。总体而言，满意度很高。与使用有关的因素因类别而异，除了拥有的设备数量和与健康状况有关的变量外，还包括对设备或相关服务的满意度或自我效能的各个方面。后一项研究结果强调，需要在每个个案中由开处方的卫生专业人员或供应商对辅助装置的结果进行系统评估。
We describe the usage of various assistive devices and identify factors associated with usage in patients with rheumatoid arthritis (RA). A cross-sectional, multicentre study was performed in three outpatient rheumatology clinics in the Netherlands. Two hundred forty patients with RA participated in the study. The main measures were questionnaires and a semi-structured interview regarding the possession and usage of 21 common assistive devices in the ISO9999 categories orthopaedic footwear, personal care, mobility, household and adaptations for housing. Potential factors associated with usage included sociodemographic variables, health status, quality of life, coping strategies, self-efficacy, outcome expectations and satisfaction. Out of 240 patients, 213 (89%) had one or more assistive devices in possession (median number of devices 3.0, interquartile range 3.0). The proportions of patients never using a device in possession varied between 8% for orthopaedic insoles and 23% for grab bars. The main factors related to usage varied among categories, but common determinants were a specific impairment or disability, satisfaction with the device or related services, self-efficacy and the number of devices in possession. In conclusion, in patients with RA, possession rates are high, with 23% or less of the devices in possession being abandoned. Overall, satisfaction rates were high. Factors associated with usage varied among categories and comprised, apart from the number of devices in possession and variables related to health status, also aspects of satisfaction with the device or related services or self-efficacy. The latter findings underline the need for a systematic evaluation of the outcomes of assistive devices by prescribing health professionals or suppliers in every individual case.