Self-management of osteoarthritis.
Self-management of osteoarthritis.
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DOI：
10.1002/art.1790060105
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发表时间：
1993-03
期刊：
影响因子：
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通讯作者：
Sarah E. Hampson;Russell E. Glasgow;Antonette M. Zeiss;Stephen F Birskovich;Lyn S. Foster;Alana Lines
中科院分区：
文献类型：
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作者：
Sarah E. Hampson;Russell E. Glasgow;Antonette M. Zeiss;Stephen F Birskovich;Lyn S. Foster;Alana Lines
骨关节炎是老年人中最普遍的活动受限疾病。除了服用非类固醇抗炎药外，人们还使用各种活动来控制他们的骨性关节炎。这项研究描述了61名60岁或60岁以上的参与者报告的自我管理方法，他们在两次评估中相隔8个月。制定了一份问卷，以评估10种自我管理方法的使用水平，包括低冲击性活动、休息、活动范围练习、放松、热(或冷)、服药、关节保护、按摩、夹板和任何其他活动。在典型的一天，参与者使用大约四项这样的活动来管理骨关节炎症状，而在关节炎比平时更严重的一天，参与者使用的更多。三个自我管理量表是由因素分析建议的活动组(服药、典型管理和糟糕的日子被动管理)形成的，在两个评估中显示出足够的内部一致性和稳定性。这些发现是从发展骨关节炎自我管理的简单测量的重要性，以及所使用的方法子集的显著个体差异的角度来讨论的。
Osteoarthritis is the most prevalent activity-limiting condition among older persons. In addition to, or instead of, taking nonsteroidal anti-inflammatory drugs, people use a variety of activities to manage their osteoarthritis. This study describes the self-management methods reported by 61 participants aged 60 years or older assessed on two occasions 8 months apart. A questionnaire was developed to assess levels of use of 10 self-management methods including low-impact activity, rest, range-of-motion exercises, relaxation, heat (or cold), taking medication, joint protection, massage, splints, and any other activity. On a typical day, participants used about four of these activities to manage osteoarthritis symptoms, and significantly more on a day that their arthritis was worse than usual. Three self-management scales were formed from groups of activities suggested by factor analysis (medication taking, typical management, and worse-day passive management) that demonstrated adequate internal consistency and stability across the two assessments. The findings are discussed in terms of the importance of developing a brief measure of osteoarthritis self-management, and the substantial individual variation in subsets of methods used.