Centre for Health Science Research, University of Salford, Frederick Road, Salford, UK.
Directorate of Prosthetics, Orthotics and Podiatry, University of Salford, Frederick Road, Salford, UK.
J Foot Ankle Res. 2017 Mar 6;10:12. doi: 10.1186/s13047-017-0193-6. eCollection 2017.
Up to 50% of people with rheumatoid arthritis (RA) have foot symptoms at diagnosis, hence early foot health intervention is recommended and this should include patient education. This study identifies, for the first time, the foot health education (FHE) needs of people with RA.
An online survey of people with RA ( = 543) captured quantitative data in relation to the aims, methods of delivery, content, timing and accessibility of FHE.
The majority concurred about the aims of FHE. Verbal delivery and websites were the most common methods. Written and verbal FHE were perceived to be the most effective methods. The point of diagnosis was the preferred time to receive it. Lack of access to FHE included minimal focus on foot health during consultations by both health practitioners and patients with RA. Participant gender, age, disease duration and living situation had a statistically significant influence on the results.
Foot health education is rarely considered within the medical consultation. There is a lack of patient and/or health professional awareness of this need with a detrimental impact on foot health. Patients require health professionals to identify their foot education health needs. Tailored foot health education should begin at initial diagnosis.
多达 50%的类风湿关节炎（RA）患者在诊断时就有足部症状，因此建议早期进行足部健康干预，这应包括患者教育。本研究首次确定了 RA 患者的足部健康教育（FHE）需求。
一项针对 RA 患者（共 543 人）的在线调查，针对 FHE 的目的、交付方式、内容、时间和可及性，收集了与目标相关的定量数据。
大多数人对 FHE 的目的表示认同。口头传达和网站是最常见的方法。书面和口头 FHE 被认为是最有效的方法。诊断时是接受 FHE 的首选时间。无法获得 FHE 包括健康从业者和 RA 患者在就诊时很少关注足部健康。参与者的性别、年龄、疾病持续时间和生活状况对结果有统计学上的显著影响。
足部健康教育在医疗咨询中很少被考虑。患者和/或健康专业人员对此需求缺乏认识，对足部健康产生不利影响。患者需要健康专业人员来确定他们的足部教育健康需求。应在初始诊断时开始进行个性化的足部健康教育。
