Figaro M Kathleen, Russo Pamela Williams, Allegrante John P
Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37212, USA.
Health Psychol. 2004 May;23(3):324-9. doi: 10.1037/0278-6133.23.3.324.
Despite greater disability from knee osteoarthritis among Blacks, Whites are 3-5 times more likely to have total knee replacement (TKR). The authors explored whether beliefs among Blacks about arthritis and surgery contribute to this disparity. Ninety-four Blacks, ages 50 to 89, with knee arthritis underwent semistructured qualitative interviews regarding disability, beliefs about arthritis, beliefs about TKR, and treatment preferences. Content analyses yielded 6 themes: preference for natural remedies, negative expectations of surgery, beliefs about God's control, preference for continuing in their current state, relationships with specialists, and fear of surgery or death. Given its high levels of disability, this cohort had low expectations of TKR. Culturally sensitive educational programs might improve patient altitudes and beliefs regarding TKR, ultimately increasing appropriate usage.
尽管黑人因膝关节骨关节炎导致的残疾程度更高，但白人进行全膝关节置换术（TKR）的可能性是黑人的3至5倍。作者探讨了黑人对关节炎和手术的看法是否导致了这种差异。94名年龄在50至89岁之间患有膝关节关节炎的黑人接受了关于残疾、对关节炎的看法、对TKR的看法以及治疗偏好的半结构化定性访谈。内容分析得出了6个主题：对自然疗法的偏好、对手术的负面期望、对上帝掌控的信念、对维持现状的偏好、与专科医生的关系以及对手术或死亡的恐惧。鉴于该队列的残疾程度较高，他们对TKR的期望较低。具有文化敏感性的教育项目可能会改善患者对TKR的态度和信念，最终增加其合理使用率。
