Perceptions of joint pain and feeling well in older people who reported being healthy: a qualitative study
Perceptions of joint pain and feeling well in older people who reported being healthy: a qualitative study
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DOI：
10.3399/bjgp10x515106
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发表时间：
2010-08-01
影响因子：
5.9
通讯作者：
Ong, Bio Nio
中科院分区：
文献类型：
--
作者：
Grime, Janet;Richardson, Jane C.;Ong, Bio Nio
老年人通常认为骨关节炎是正常衰老的一部分，尽管关节疼痛，但他们认为自己很健康。专业人士对此看法不一。一个问题是，看到骨关节炎作为一个结果的'磨损'导致限制运动，以避免进一步wear.AimTo探讨奠定的健康和关节疼痛的看法，以及他们的影响咨询医疗保健专业人员和采取exercise.Design的研究定性，纵向研究。设置一般做法在北Midlands. Methods半结构化的采访与27名老年人谁报告的联合问题，但自认为健康。连续11个月发送日记单，记录健康和环境的变化。NVivo 8为专题数据分析提供了便利。结果潮湿的一个关键因素是能够继续日常角色和活动。“磨损”被用来分类关节炎，这是老年的正常部分。突然出现的严重的新关节症状不一定归因于“磨损性”关节炎，并且可能导致专业咨询。不限制体力活动以防止受影响关节的进一步磨损。保持关节移动的是很重要的，以保持independent.ConclusionProfessionals应探讨患者的想法和关注他们的联合问题，以个别定制的解释和建议。患者可能会接受促进独立的建议，但建议需要纳入患者现有的生活和应对关节疼痛的方式。
BackgroundOlder people often view osteoarthritis as a part of normal ageing and see themselves as healthy despite painful joints. Professionals have mixed views about this. One concern is that seeing osteoarthritis as a result of 'wear and tear' leads to restricting exercise in order to avoid further wear.AimTo explore lay perceptions of wellness and joint pain, and their implications for consulting healthcare professionals and taking exercise.Design of studyQualitative, longitudinal study. Setting General practice in the North Midlands.MethodSemi-structured interviews with 27 older people who reported a joint problem but rated themselves as healthy. Diary sheets were sent for 11 consecutive months to record changes in health and circumstances. Thematic data analysis was facilitated by NVivo 8. Results A key element of wetness was being able to continue with everyday roles and activities. 'Wear and tear' was used to categorise arthritis that is a normal part of old age. New joint symptoms that came on suddenly and severely were not necessarily attributed to 'wear and tear' arthritis, and were likely to lead to a professional consultation. Physical activity was not restricted to prevent further wear of affected joint(s). Keeping joints mobile was important in order to maintain independence.ConclusionProfessionals should explore patients' ideas and concerns about their joint problem, in order to individually tailor explanations and advice. Patients are likely to be receptive to recommendations that promote independence, but advice needs to be set into patients' existing ways of living and coping with joint pain.