"What do you expect? You're just getting older": A comparison of perceived osteoarthritis-related and aging-related health experiences in middle- and older-age adults
"What do you expect? You're just getting older": A comparison of perceived osteoarthritis-related and aging-related health experiences in middle- and older-age adults
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DOI：
10.1002/art.22338
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发表时间：
2006-12-15
期刊：
影响因子：
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通讯作者：
Badley, Elizabeth M.
中科院分区：
文献类型：
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作者：
Gignac, Monique A. M.;Davis, Aileen M.;Badley, Elizabeth M.
Objective.比较具有中度骨关节炎（OA）症状的中老年人与无慢性健康状况的个体的健康体验。健康变化的相似性和差异，这些变化的意义，以及它们的影响进行了检查。对53名女性和37名男性（年龄39-88岁）进行了16个焦点组（10个OA，6个对照组）。OA参与者从从业者办公室和关节炎学会安大略分部招募。其他OA参与者和对照组从社区中心和报纸广告中招募。所有参与者都被问及健康变化，这些变化的影响以及自我管理策略。参与者还完成了标准化的测量，包括人口统计学信息;简表36;西安大略和麦克马斯特大学骨关节炎指数;和手臂，肩膀和手的残疾。据报道，OA组和对照组之间在疼痛、僵硬和疲劳等症状的深度、广度和意义上存在差异，几乎没有重叠。OA通常被视为正常衰老过程的一部分，需要接受，而不是治疗。然而，年轻的OA参与者报告了更多的痛苦和沮丧管理疾病。OA参与者报告了他们的健康对工作、休闲、社交活动和关系的影响，与对照组相比，这些影响被描述为令人不安。本研究通过比较OA患者和对照组的健康经历，阐明了与OA相关的个人和社会因素。它强调了未来研究的方向，可以提高我们对OA患者需求的理解，并有助于将个人的健康状况与更广泛的生活框架联系起来。
Objective. To compare the health experiences of middle- and older-age adults with moderate osteoarthritis (OA) symptoms with experiences of individuals with no chronic health conditions. Similarities and differences in health changes, the meaning of these changes, and their impact were examined.Methods. Sixteen focus groups (10 OA, 6 control) were conducted with 53 women and 37 men (age 39-88 years). OA participants were recruited from practitioners' offices and The Arthritis Society, Ontario Division. Additional OA participants and controls were recruited from community centers and newspaper advertisements. All participants were asked about changes in health, the impact of these changes, and self-management strategies. Participants also completed standardized measures including demographic information; the Short Form 36; Western Ontario and McMaster Universities Osteoarthritis Index; and Disabilities of the Arm, Shoulder and Hand questionnaire.Results. Differences in the depth, breadth, and meaning of symptoms such as pain, stiffness, and fatigue were reported with little overlap between OA and control groups. OA was often seen as part of a normal aging process requiring acceptance, not treatment. However, younger OA participants reported more distress and frustration managing the disease. OA participants reported an impact of their health on work, leisure, social activities, and relationships that was described as upsetting compared with controls.Conclusion. This study illuminates personal and social factors associated with OA by comparing health experiences of individuals with OA and controls. It highlights directions for future research that can improve our understanding of the needs of individuals with OA and can help link individuals' health status to the broader framework of their lives.