Rheumatoid arthritis patients' experiences of wearing therapeutic footwear - a qualitative investigation.
Rheumatoid arthritis patients' experiences of wearing therapeutic footwear - a qualitative investigation.
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DOI：
10.1186/1471-2474-8-104
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发表时间：
2007-11-01
影响因子：
2.3
通讯作者：
Ravey MI
中科院分区：
文献类型：
--
作者：
Williams AE;Nester CJ;Ravey MI
专业的“治疗”鞋被推荐给患有类风湿性关节炎（RA）等疾病的患者，作为减少足部疼痛、改善足部健康和增加全身活动能力的有益干预措施。然而，许多患者选择不穿这种鞋。以前研究报告中的建议已经得到执行，但对改善这种状况影响甚微。本研究的目的是探讨类风湿关节炎患者的经验，这种鞋，以确定影响他们选择穿或不穿的因素。10名女性和3名男性RA和穿着专业鞋的经验，从四个国家卫生服务矫形服务招募。半结构化的采访进行了参与者自己的家。一个诠释学现象学分析的成绩单进行了确定主题。分析揭示了女性和男性群体的两个主题。这些是参与者对他们的鞋子的感觉以及他们对参与提供鞋子的从业者的体验。此外，女性参与者还透露了更多的主题。这些是关于他们的脚的感觉，与鞋子相关的行为，以及他们对什么会改善他们的体验的感觉。与任何其他干预专家治疗鞋取代的东西，通常是穿，是一个人的身体形象的一部分。它对女性患者的情绪和活动产生的负面影响比以前承认的要多得多，这影响了她们的行为。患者与转诊和配药医生的咨询是患者/医生关系中的关键时刻，有可能影响患者是否选择穿鞋子。
Specialist 'therapeutic' footwear is recommended for patients with diseases such as rheumatoid arthritis (RA) as a beneficial intervention for reducing foot pain, improving foot health, and increasing general mobility. However, many patients choose not to wear this footwear. Recommendations from previous studies have been implemented but have had little impact in improving this situation. The aim of this study was to explore RA patients' experiences of this footwear to ascertain the factors which influence their choice to wear it or not. Ten females and three males with RA and experience of wearing specialist footwear were recruited from four National Health Service orthotic services. Semi-structured interviews were carried out in the participants own homes. A hermeneutic phenomenological analysis of the transcripts was carried out to identify themes. The analysis revealed two main themes from both the female and male groups. These were the participants' feelings about their footwear and their experiences of the practitioner/s involved in providing the footwear. In addition, further themes were revealed from the female participants. These were feelings about their feet, behaviour associated with the footwear, and their feelings about what would have improved their experience. Unlike any other intervention specialist therapeutic footwear replaces something that is normally worn and is part of an individual's body image. It has much more of a negative impact on the female patients' emotions and activities than previously acknowledged and this influences their behaviour with it. The patients' consultations with the referring and dispensing practitioners are pivotal moments within the patient/practitioner relationship that have the potential to influence whether patients choose to wear the footwear or not.
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影响因子：
5.4
作者：
STREET, RL
通讯作者：
STREET, RL
影响因子：
27.4
作者：
VIDIGAL, E;JACOBY, RK;KIRKUP, J
通讯作者：
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影响因子：
2.7
作者：
MICHELSON, J;EASLEY, M;HELLMANN, D
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HELLMANN, D
影响因子：
3.2
作者：
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通讯作者：
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影响因子：
1.5
作者：
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通讯作者：
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