School of Human Movement Studies, University of Queensland, Blair Drive, St Lucia, QLD 4072, Australia.
Int J Behav Med. 2012 Sep;19(3):298-307. doi: 10.1007/s12529-011-9168-3.
Although there are recommendations for the management of osteoarthritis (OA), little is known about how people with OA actually manage this chronic condition.
The aims of this study were to identify the non-pharmacological and pharmacological therapies most commonly used for the management of hip or knee OA, in a community-based sample of adults, and to compare these with evidence-based recommendations.
A questionnaire was mailed to 2,200 adult members of Arthritis Queensland living in Brisbane, Australia. It included questions about OA symptoms, management therapies, and demographic characteristics.
Of the 485 participants (192 men, 293 women) with hip or knee OA who completed the questionnaire, most had mild to moderate symptoms. Ninety-six percent of participants (aged 27-95 years) reported using at least one non-pharmacological therapy, and 78% reported using at least one pharmacological therapy. The most common currently used non-pharmacological strategy was range-of-motion exercises (men 52%, women 61%, p = 0.05) and the most common frequently used pharmacological strategy was glucosamine/chondroitin (men 51%, women 60%, ns). For the most highly recommended strategies, 65% of men and 54% of women had never attended an information/education course (p = 0.04), and fewer than half (46% of women and 42% of men, p = 0.03) were frequent users of anti-inflammatory agents.
The findings suggest that many people with knee or hip OA do not follow the most highly endorsed of the Osteoarthritis Research Society International recommendations for management of OA. Health professionals should be encouraged to recommend evidence-based therapies to their patients.
尽管有针对骨关节炎（OA）管理的建议，但对于患有 OA 的人如何实际管理这种慢性疾病，人们知之甚少。
本研究的目的是确定在基于社区的成年人样本中，最常用于髋或膝关节 OA 管理的非药物和药物治疗方法，并将其与基于证据的建议进行比较。
向澳大利亚布里斯班的关节炎昆士兰 2200 名成年会员邮寄了一份问卷。它包括关于 OA 症状、管理疗法和人口统计学特征的问题。
在完成问卷的 485 名髋或膝关节 OA 参与者（192 名男性，293 名女性）中，大多数人有轻度至中度症状。96%的参与者（年龄在 27-95 岁之间）报告使用了至少一种非药物治疗方法，78%报告使用了至少一种药物治疗方法。目前最常用的非药物策略是运动范围练习（男性 52%，女性 61%，p=0.05），最常用的药物策略是氨基葡萄糖/软骨素（男性 51%，女性 60%，无统计学差异）。对于最受推荐的策略，65%的男性和 54%的女性从未参加过信息/教育课程（p=0.04），不到一半（女性 46%，男性 42%，p=0.03）是抗炎药物的频繁使用者。
研究结果表明，许多患有膝或髋关节炎的人没有遵循骨关节炎研究协会国际（Osteoarthritis Research Society International）最受推崇的 OA 管理建议。应鼓励卫生专业人员向患者推荐基于证据的治疗方法。
