ICBAS, CINTESIS, University of Porto, Rua Jorge Viterbo Ferreira, 228, 4050-313 Porto, Portugal.
University of Porto, USF Argoncilhe, Portugal.
Geriatr Nurs. 2020 Nov-Dec;41(6):804-811. doi: 10.1016/j.gerinurse.2020.04.005. Epub 2020 Jun 8.
This pilot study used a small randomized trial to examine the feasibility and the impact of an 8-week multicomponent program among Portuguese older adults with osteoarthritis. Participants were identified from the electronic registers from three primary healthcare centers. Thirty-one older adults (50+ years) with osteoarthritis were randomly assigned to experimental (n= 23) and control conditions (n= 8). Acceptance, attendance and retention rates were measured. The effect of the program on physical performance, osteoarthritis symptomatology (pain and stiffness), functionality, physical activity, depression, anxiety and fear of movement were assessed at baseline, posttest, and 4-months. The acceptance rate was 34%, and 90.4% attended all sessions of the program. The posttest retention rate in experimental group was 69.6% and 100% in control group. Findings demonstrated benefits of the Program on physical performance, function, anxiety, and fear of movement among participants. In the future, it will be important to improve the acceptance rate, however, the high attendance rate and observed effects indicate that the program is an attractive and effective intervention for Portuguese older adults with osteoarthritis.
本试点研究采用小型随机试验，考察了一项为期 8 周的多组分方案对葡萄牙骨关节炎老年患者的可行性和影响。参与者是从三个初级保健中心的电子登记册中确定的。31 名患有骨关节炎的老年人（50 岁以上）被随机分配到实验组（n=23）和对照组（n=8）。测量了接受率、出席率和保留率。在基线、后测和 4 个月时评估了该方案对身体表现、骨关节炎症状（疼痛和僵硬）、功能、身体活动、抑郁、焦虑和运动恐惧的影响。接受率为 34%，90.4%的人参加了该方案的所有课程。实验组的后测保留率为 69.6%，对照组为 100%。研究结果表明，该方案对参与者的身体表现、功能、焦虑和运动恐惧有获益。未来，提高接受率将很重要，但是高出席率和观察到的效果表明，该方案对葡萄牙骨关节炎老年患者是一种有吸引力和有效的干预措施。
