Che Hasan Muhammad Kamil, Stanmore Emma, Todd Chris
Kulliyyah (Faculty) of Nursing, International Islamic University Malaysia, Kuantan, Malaysia.
School of Health Sciences and Manchester Academic Health Science Centre (MAHSC), Jean McFarlane Building, University Place, University of Manchester, Manchester, United Kingdom.
Front Public Health. 2021 Jan 20;8:612413. doi: 10.3389/fpubh.2020.612413. eCollection 2020.
Functional limitationscommonly affect patients with knee osteoarthritis (OA) which reduces quality of life. The Enabling Self-management and Coping with Arthritic Pain using Exercise (ESCAPE-pain) is an evidence-based programme identified to be suitable for adaptation for the Malaysian health care system. It is important to understand the acceptance from a sociocultural context of the ESCAPE-pain programme from the perspectives of patients with knee OA and healthcare professionals. This qualitative study aims to explore the perspectives of stakeholders to inform the adaptation of the ESCAPE-pain programme into the Malaysian health care system. Semi-structured interviews using interview guides were conducted with 18 patients with knee OA and 14 healthcare professionals including nurses, physiotherapists, occupational therapists, medical doctors, and orthopedic surgeons. The data were transcribed and analyzed using framework analysis. The findings show that patients and healthcare professionals positively accept the programme into their daily living activities and recommend some modifications related to the Malaysian context. This study also highlights strategies to adopt when providing ESCAPE-pain to patients with knee OA. The findings reveal how sociocultural considerations could facilitate uptake and engagement with the ESCAPE-pain programme for home exercise among patients with knee osteoarthritis. These findings may benefit t patients with knee OA in the Malaysian healthcare system, although future research is recommended.
功能受限通常会影响膝骨关节炎（OA）患者，进而降低生活质量。“通过运动实现自我管理与应对关节炎疼痛”（ESCAPE-pain）是一项循证计划，经认定适合改编以适用于马来西亚医疗保健系统。从膝骨关节炎患者和医疗保健专业人员的角度，了解ESCAPE-pain计划在社会文化背景下的接受度很重要。这项定性研究旨在探讨利益相关者的观点，为将ESCAPE-pain计划改编纳入马来西亚医疗保健系统提供参考。使用访谈指南对18名膝骨关节炎患者和14名医疗保健专业人员进行了半结构化访谈，这些专业人员包括护士、物理治疗师、职业治疗师、医生和骨科医生。数据经转录后使用框架分析法进行分析。研究结果表明，患者和医疗保健专业人员积极接受该计划并将其纳入日常生活活动中，同时建议针对马来西亚的情况进行一些修改。本研究还强调了向膝骨关节炎患者提供ESCAPE-pain时应采用的策略。研究结果揭示了社会文化因素如何促进膝骨关节炎患者接受ESCAPE-pain计划并参与家庭锻炼。尽管建议开展进一步研究，但这些研究结果可能会使马来西亚医疗保健系统中的膝骨关节炎患者受益。
