Martin Lynda J, Griffith Siân M
Department of Rheumatology, East Surrey Hospital, Redhill, Surrey, UK.
Musculoskeletal Care. 2006 Mar;4(1):1-11. doi: 10.1002/msc.19.
To determine whether we meet perceived need, in terms of appropriate supportive health services (physiotherapy, occupational therapy, chiropody and footwear, surgery, education and information), of patients aged 60 years and over with rheumatoid arthritis (RA).
A cross-sectional survey.
123 patients attending rheumatology outpatient clinics.
The response rate was 82% (99/123). Of the respondents 78% had one or more perceived needs. Respondents were more likely to express a need for chiropody or footwear (46%), education about RA (29%), or physiotherapy (22%) than for occupational therapy (7%) or surgery (6%). Further analysis compared this group with the 'non-needy' group. There was a correlation between high disease activity scores and high anxiety scores and greater perceived need for additional health services.
There was significant unmet demand for chiropody and footwear, education about RA, physiotherapy, occupational therapy and surgery. It is possible that strategies to reduce anxiety and improve control of active inflammatory disease may reduce demand for supportive services in certain patients.
确定60岁及以上类风湿关节炎（RA）患者对于适当的支持性健康服务（物理治疗、职业治疗、足病治疗及鞋类、手术、教育与信息）的需求是否得到满足。
横断面调查。
123名就诊于风湿病门诊的患者。
应答率为82%（99/123）。在应答者中，78%有一项或多项感知到的需求。与职业治疗（7%）或手术（6%）相比，应答者更有可能表示需要足病治疗或鞋类（46%）、关于RA的教育（29%）或物理治疗（22%）。进一步分析将该组与“无需求”组进行了比较。高疾病活动评分与高焦虑评分之间存在相关性，且对额外健康服务的感知需求更大。
对于足病治疗及鞋类、关于RA的教育、物理治疗、职业治疗和手术存在显著未满足的需求。降低焦虑并改善对活动性炎症性疾病的控制的策略可能会减少某些患者对支持性服务的需求。
