Cornelissen P G, Rasker J J, Valkenburg H A
Department of Epidemiology, Erasmus University, Rotterdam, The Netherlands.
Ann Rheum Dis. 1988 Feb;47(2):150-6. doi: 10.1136/ard.47.2.150.
One hundred and two rural patients and 100 urban patients with rheumatoid arthritis and osteoarthrosis and 203 age and sex matched controls were visited in their homes to evaluate their problems, needs, and expectations. Although one would expect disability to affect the mobility of a person, it was found that rural patients were more mobile than their urban counterparts despite the same degree of functional disability. They were more content with their lot, even though their circumstances were less favourable. Both groups of patients had little contact with their general practitioners, social workers, or district nurses, and lacked information about their disease and the availability of financial grants or home adaptations. The main problem for the individual patient was not pain, but the frustration of being unable to do things they used to do and of dependency on others.
研究人员走访了102名患有类风湿性关节炎和骨关节炎的农村患者、100名城市患者以及203名年龄和性别匹配的对照对象，以评估他们的问题、需求和期望。尽管人们通常认为残疾会影响人的行动能力，但研究发现，尽管两组患者的功能残疾程度相同，但农村患者比城市患者的行动能力更强。尽管农村患者的处境更不利，但他们对自己的命运更满意。两组患者与他们的全科医生、社会工作者或社区护士的接触都很少，并且缺乏关于自身疾病以及财政补助或家庭改造方面的信息。对于个体患者来说，主要问题不是疼痛，而是无法做过去能做的事情以及依赖他人所带来的挫折感。
