Ryan Sarah, Hassell A B, Dawes P T, Kendall Sally
Staffordshire Rheumatology Centre, Haywood Hospital, Stoke-on-Trent.
Musculoskeletal Care. 2003 Sep;1(2):108-18. doi: 10.1002/msc.46.
To identify factors that patients perceive as influencing control in living with rheumatoid arthritis.
A sample of 40 patients with rheumatoid arthritis were randomly recruited from an outpatient population and partook in an in depth, qualitative interview by one researcher to identify control perceptions. The data were analysed utilizing Colaizzi's procedural steps.
Four major categories were identified that positively influenced control perceptions: The reduction of physical symptoms. Social support matching perceived need. The provision of information. The nature of the clinical consultation. Three components were identified in relation to social support: Remaining involved in family activities. Ongoing support from family members. Achieving a balance between support needs and support provision.
The categories identified can be influenced by practitioners enabling patients with RA to obtain perceived control over their condition.
确定患者认为会影响类风湿关节炎生活中自我控制感的因素。
从门诊患者中随机招募40名类风湿关节炎患者，由一名研究人员进行深入的定性访谈，以确定自我控制感。数据采用科莱齐的程序步骤进行分析。
确定了四个对自我控制感有积极影响的主要类别：身体症状的减轻。与感知需求相匹配的社会支持。信息的提供。临床咨询的性质。与社会支持相关的三个组成部分：继续参与家庭活动。家庭成员的持续支持。在支持需求和支持提供之间取得平衡。
所确定的类别可受到从业者的影响，使类风湿关节炎患者能够获得对自身病情的感知控制。
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