骨关节炎的自我护理与专业指导护理：基于人群样本的种族差异
Self-care and professionally guided care in osteoarthritis: racial differences in a population-based sample.
作者信息
Albert Steven M, Musa Donald, Kwoh C Kent, Hanlon Joseph T, Silverman Myrna
机构信息
Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, A211 Crabtree, 130 DeSoto St., Pittsburgh, PA 15261, USA.
出版信息
J Aging Health. 2008 Mar;20(2):198-216. doi: 10.1177/0898264307310464.
OBJECTIVE
The aim of this study was to examine the prevalence of self-management practices among older White and African American persons with osteoarthritis. Self-management was defined broadly to include all behaviors adopted to reduce morbidity, whether recommended by physicians or not.
METHODS
A population-based sample of Medicare beneficiaries (N = 551) was recruited. An expanded set of self-management behaviors using structured and open-ended inquiry, along with use of arthritis-specific medications was elicited.
RESULTS
Few differences in self-care behaviors between race groups were found. However, older African American persons were significantly less likely to have prescriptions for nonsteroidal anti-inflammatory agents (NSAIDs) and more likely to use over-the-counter nonprescription analgesics.
DISCUSSION
Older White and African American persons made similar use of self-care strategies to reduce disease morbidity. African Americans without access to prescription pain relievers substituted nonprescription analgesics. A broader view of self-management is valuable for assessing the ways people may move between professionally guided care and self-care.
目的
本研究旨在调查患有骨关节炎的老年白人和非裔美国人自我管理行为的流行情况。自我管理被广泛定义为包括所有为降低发病率而采取的行为，无论是否由医生推荐。
方法
招募了一组基于人群的医疗保险受益人样本（N = 551）。通过结构化和开放式询问引出了一系列扩展的自我管理行为，以及使用特定于关节炎的药物情况。
结果
种族群体之间在自我护理行为方面几乎没有差异。然而，老年非裔美国人开具非甾体抗炎药（NSAIDs）处方的可能性显著较低，而使用非处方非甾体类镇痛药的可能性较高。
讨论
老年白人和非裔美国人在使用自我护理策略以降低疾病发病率方面情况相似。无法获得处方止痛药的非裔美国人用非处方镇痛药替代。对自我管理的更广泛看法对于评估人们在专业指导护理和自我护理之间转换的方式很有价值。
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