Turner A P, Barlow J H, Buszewicz M, Atkinson A, Rait G
Interdisciplinary Research Centre in Health, Coventry University, Coventry, UK.
Arthritis Rheum. 2007 Mar 15;57(2):267-71. doi: 10.1002/art.22537.
Beliefs about the causes of osteoarthritis (OA) have been examined infrequently. The purpose of this study was to provide insight into patients' beliefs about the causes of OA in a primary care population.
This study involved 31 individuals with OA who were purposively sampled to reflect age, sex, and self-efficacy scores from the intervention arm of a randomized controlled trial examining the effectiveness of an arthritis self-management program in primary care. Participants took part in face-to-face interviews. Data were analyzed using interpretative phenomenologic analysis.
A total of 31 patients with OA (17 [55%] men) with a median age of 68 years (range 56-84 years) were recruited. OA and painful joints were considered to be an inevitable aspect of aging rather than an indication of disease. Participants attributed the cause of OA to multiple factors, the most commonly reported being wear and tear.
Insight into beliefs about the causes of OA among older people may help explain attitudes towards the uptake of health care among this group of patients.
关于骨关节炎（OA）病因的看法很少被研究。本研究的目的是深入了解基层医疗人群中患者对OA病因的看法。
本研究纳入了31名骨关节炎患者，这些患者是从一项随机对照试验的干预组中按年龄、性别和自我效能得分进行目的性抽样选取的，该试验旨在检验一项关节炎自我管理项目在基层医疗中的有效性。参与者参加了面对面访谈。采用解释性现象学分析对数据进行分析。
共招募了31例骨关节炎患者（17例[55%]为男性），中位年龄为68岁（范围56 - 84岁）。OA和关节疼痛被认为是衰老不可避免的一部分，而非疾病的表现。参与者将OA的病因归因于多种因素，最常提到的是磨损。
深入了解老年人对OA病因的看法可能有助于解释该组患者对接受医疗保健的态度。
