Better Management of Patients with Osteoarthritis: Development and Nationwide Implementation of an Evidence-Based Supported Osteoarthritis Self-Management Programme
Better Management of Patients with Osteoarthritis: Development and Nationwide Implementation of an Evidence-Based Supported Osteoarthritis Self-Management Programme
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DOI：
10.1002/msc.1085
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发表时间：
2015-06-01
影响因子：
1.3
通讯作者：
Dahlberg, Leif E.
中科院分区：
文献类型：
--
作者：
Thorstensson, Carina A.;Garellick, Goran;Dahlberg, Leif E.
背景。信息和运动是骨关节炎的核心治疗方法。自我管理和应对疾病的策略对于获得益处至关重要。我们开发了一个支持骨关节炎自我管理计划，由训练有素的物理治疗师提供，以促进患者和医疗保健的依从性。该方案结合了同行和医疗保健专业人员提供的信息，以及个人适应的锻炼。物理治疗师接受了培训，以提供和评估该计划。在3个月和12个月的随访中评估患者对该方案的依从性和满意度。来自瑞典320个不同护理中心的20200名连续患者的数据显示，97%的患者参加了理论课程，83%的患者自愿参加了可选的个人锻炼项目。94%的患者将干预评价为良好或非常好。三个月后，62%的人报告说他们每天都会使用在课程中学到的东西，91%的人报告说他们每周都会使用。12个月后分别为37%和72%。支持骨关节炎自我管理方案在临床实践中是可行的，似乎对患者有用和可接受。(C) 2014年作者。由John Wiley & Sons Ltd出版的《肌肉骨骼护理》。
Background. Information and exercise are core treatments of osteoarthritis. Self-management and coping strategies with the disease are crucial to gain benefits. We developed a supported osteoarthritis self-management programme, delivered by trained physiotherapists, to facilitate patient and healthcare compliance. The programme combined peer-and healthcare professional-delivered information, and individually adapted exercise.Methods. Physiotherapists were trained to deliver and evaluate the programme. Patient-reported compliance and satisfaction with the programme was assessed at three-and 12-month follow-ups.Results. Data from 20,200 consecutive patients in 320 different care centres in Sweden showed that 97% attended the theory sessions and 83% volunteered for the optional individual exercise programme. The intervention was rated as good or very good by 94% of patients. After three months, 62% reported daily use of what they had learned during the course, and 91% reported weekly use. Corresponding numbers after 12 months were 37% and 72%.Conclusions. The supported osteoarthritis self-management programme is feasible in clinical practice, and seems useful and acceptable to patients. (C) 2014 The Authors. Musculoskeletal Care published by John Wiley & Sons Ltd.