类风湿性关节炎患者对长期强化动态运动计划（RAPIT计划）的依从性和满意度。

Adherence and satisfaction of rheumatoid arthritis patients with a long-term intensive dynamic exercise program (RAPIT program).

作者信息

Munneke Marten, de Jong Zuzana, Zwinderman Aeilko H, Jansen Annemarie, Ronday H Karel, Peter Wilfred F H, Boonman Dies C G, van den Ende Cornelia H M, Vliet Vlieland Theodora P M, Hazes Johanna M W

机构信息

Leiden University Medical Center, Department of Physical Therapy and Occupational Therapy, Leiden, The Netherlands.

出版信息

Arthritis Rheum. 2003 Oct 15;49(5):665-72. doi: 10.1002/art.11382.

DOI:10.1002/art.11382

PMID:14558052

Abstract

OBJECTIVE

To evaluate adherence and satisfaction of patients with rheumatoid arthritis (RA) in a long-term intensive dynamic exercise program.

METHODS

A total of 146 RA patients started an intensive (strength and endurance training for 75 minutes, twice a week, for 2 years) exercise program (Rheumatoid Arthritis Patients In Training) aimed at improving physical fitness. Program attendance and satisfaction were examined. Additional assessments at baseline were done to find possible predictors of attendance.

RESULTS

Median (interquartile range) age and disease duration of the patients were 54 (45-61) and 5 (3-10) years, respectively. After 2 years, 118 (81%) patients still participated in an exercise class. The median attendance rate of all patients was 74%. Low attendance was weakly associated with high disease activity, low functional ability, and low quality of life at baseline but not with the severity of joint damage at baseline. At the end, 78% of all participants would (strongly) recommend the program to other RA patients.

CONCLUSION

Adherence and satisfaction of RA patients with an intensive dynamic exercise program over a prolonged time can be high. Disease severity parameters do not strongly predict the compliance of participants in an intensive exercise program.

摘要

目的

评估类风湿关节炎（RA）患者在长期强化动态运动项目中的依从性和满意度。

方法

共有146例RA患者开始了一项强化运动项目（类风湿关节炎患者训练项目），旨在提高身体素质，该项目包括力量和耐力训练，每周两次，每次75分钟，持续2年。对项目参与情况和满意度进行了检查。在基线时进行了额外评估，以寻找可能的参与预测因素。

结果

患者的年龄中位数（四分位间距）和病程分别为54（45 - 61）岁和5（3 - 10）年。2年后，118例（81%）患者仍参加运动课程。所有患者的出勤率中位数为74%。低出勤率与基线时的高疾病活动度、低功能能力和低生活质量弱相关，但与基线时的关节损伤严重程度无关。最后，78%的参与者会（强烈）向其他RA患者推荐该项目。