Lehtomäki Katja, Ryhtä Iina, Peltonen Jaana, Stolt Minna
Department of Nursing Science, University of Turku, Turku, Finland.
Tyks General medicine, Western area of responsibility, The Wellbeing Services County of Southwest Finland, Turku, Finland.
Musculoskeletal Care. 2025 Mar;23(1):e70053. doi: 10.1002/msc.70053.
Physical activity is beneficial for patients with rheumatoid arthritis (RA). However, little is known about how healthcare professionals counsel and support patients with RA to be physically active.
This study aims to explore nurses' and physiotherapists' perceptions of delivering physical activity counselling for patients with RA during routine follow-up appointments.
A mixed-methods convergent parallel design was employed, using survey and interview data from nurses and physiotherapists (n = 9) at a rheumatology outpatient clinic. Statistical and inductive content analyses were conducted. COREQ guidelines were followed.
Nurses and physiotherapists perceived physical activity counselling to be central in the overall RA care. They considered it partly challenging as delivering effective counselling requires understanding the specific characteristics of RA and tailoring advice to the individual patient's needs. In general, they focused on motivating patients to be physically active by demonstrating the benefits of physical activity. However, they also reported a lack of awareness regarding the content discussed during each other's appointments, highlighting issues with information sharing between professionals.
Physical activity counselling is multidimensional, constitutes part of professional competence and requires extensive knowledge of RA and physical activity recommendations. Future interventions are needed to enhance nurses' and physiotherapists' competence in delivering physical activity counselling.
体育活动对类风湿关节炎（RA）患者有益。然而，对于医护人员如何为RA患者提供咨询并支持其进行体育活动，我们知之甚少。
本研究旨在探讨护士和物理治疗师在常规随访预约期间为RA患者提供体育活动咨询的看法。
采用混合方法收敛平行设计，使用来自一家风湿病门诊的护士和物理治疗师（n = 9）的调查和访谈数据。进行了统计和归纳内容分析。遵循COREQ指南。
护士和物理治疗师认为体育活动咨询在整体RA护理中至关重要。他们认为这部分具有挑战性，因为提供有效的咨询需要了解RA的具体特征并根据个体患者的需求定制建议。总体而言，他们通过展示体育活动的益处来专注于激励患者进行体育活动。然而，他们也报告说对彼此预约期间讨论的内容缺乏认识，凸显了专业人员之间信息共享的问题。
体育活动咨询是多维度的，是专业能力的一部分，需要对RA和体育活动建议有广泛的了解。未来需要进行干预，以提高护士和物理治疗师提供体育活动咨询的能力。
