Service de médecine physique et de réadaptation, CHU de Clermont-Ferrand, INRA, université Clermont-Auvergne, Clermont Ferrand, France.
Département de médecine générale, université, Clermont-Auvergne, Clermont-Ferrand, France.
Joint Bone Spine. 2018 Jul;85(4):481-486. doi: 10.1016/j.jbspin.2017.07.007. Epub 2017 Jul 27.
We aimed to explore the motivators for and barriers to regular physical activity in people with knee osteoarthritis.
We performed a cross-sectional, monocentric qualitative study based on 20 semi-structured individual interviews and two focus groups. People with knee osteoarthritis according to American College of Rheumatology criteria were recruited from spa therapy resorts (Royat, France). Data were collected by interviews, which were then transcribed and coded. The analysis was performed according to the researcher triangulation method.
Among the 27 participants (17 women), the mean age was 67years (SD 7.8) and mean body mass index 29.2kg/m (SD 8.2). The motivators for physical activity were physical (well-being, decreased pain, self-perception), personal (lifestyle, psychological well-being), societal (relationships, others' views), and environmental (living). The motivators differed by gender, with the concept of performance predominant for men and others' views for women. The barriers were psychological (fear of pain, lack of motivation) and physical (knee pain, asthenia) and were also potentially related to life events (depression, hospitalization).
The study population had an overall positive idea of the value of physical activity for knee osteoarthritis. The participants expressed beliefs and knowledge generally in line with current recommendations. Compliance with these recommendations remains moderate. An educational support for progressive adapted physical activity and identification of barriers and motivators could help improve adherence.
我们旨在探讨膝关节骨关节炎患者进行规律身体活动的动机因素和障碍因素。
我们开展了一项横断面、单中心的定性研究，基于 20 次半结构式个体访谈和 2 次焦点小组。符合美国风湿病学会标准的膝关节骨关节炎患者从温泉疗养胜地（法国罗亚尔）招募。通过访谈收集数据，然后对访谈内容进行转录和编码。分析采用研究人员三角测量法进行。
在 27 名参与者（17 名女性）中，平均年龄为 67 岁（标准差 7.8），平均体重指数为 29.2kg/m（标准差 8.2）。身体活动的动机因素包括身体方面（健康、疼痛减轻、自我认知）、个人方面（生活方式、心理幸福感）、社会方面（人际关系、他人看法）和环境方面（生活环境）。动机因素因性别而异，男性以表现概念为主导，女性则以他人看法为主导。障碍因素包括心理方面（害怕疼痛、缺乏动力）和身体方面（膝关节疼痛、乏力），还可能与生活事件（抑郁、住院）有关。
研究人群对身体活动对膝关节骨关节炎的价值总体持积极看法。参与者表达的信念和知识通常与当前的建议相符。对这些建议的遵守情况仍处于中等水平。对渐进式适应性身体活动的教育支持以及识别障碍因素和动机因素可以帮助提高依从性。
