Lindroth Y, Bauman A, Barnes C, McCredie M, Brooks P M
Department of Rheumatology, Royal North Shore Hospital, Sydney, Australia.
Br J Rheumatol. 1989 Feb;28(1):7-12. doi: 10.1093/rheumatology/28.1.7.
The benefits of patient education for those with chronic arthritis are well documented. Informed patients should practice self care more often, and may show reduced disability from their disease. An important question relates to maintenance of the knowledge and skills acquired in educational programmes. This prospective study evaluated an education programme for people with rheumatoid arthritis (RA) and osteoarthritis (OA). The intervention group participated in a comprehensively planned six session behaviourally based programme. A questionnaire was given to 100 patients and 95 matched but non-random controls before the programme, 1 month later, and at 3 and 12 months. The intervention group demonstrated improvements in knowledge, self-reported health behaviour and disability scores at 12 months, compared to the controls. No differences were reported in symptoms, compliance with therapy, pain perception, and locus of control.
针对慢性关节炎患者开展患者教育的益处已有充分记录。有知识的患者应更频繁地进行自我护理，且其疾病导致的残疾程度可能会降低。一个重要问题涉及教育项目中所获知识和技能的维持情况。这项前瞻性研究评估了一项针对类风湿性关节炎（RA）和骨关节炎（OA）患者的教育项目。干预组参加了一个经过全面规划的、基于行为学的六节课程项目。在项目开始前、1个月后、3个月和12个月时，向100名患者和95名匹配但非随机的对照组发放了问卷。与对照组相比，干预组在12个月时知识、自我报告的健康行为和残疾评分方面有改善。在症状、治疗依从性、疼痛感知和控制点方面未报告有差异。
