Taal E, Rasker J J, Seydel E R, Wiegman O
Patient Educ Couns. 1993 May;20(2-3):63-76. doi: 10.1016/0738-3991(93)90122-d.
A study was performed in 86 patients with rheumatoid arthritis (RA) to assess their health problems, the problems they experience in adhering to health recommendations and the relationships of these problems with self-efficacy and social support. Feeling dependent, disability and pain were the most important health related problems. The results showed self-efficacy to be related to the subjective experience of health status as measured by DUTCH-AIMS. Social emotional support was not related to health status, and contrary to what we expected social instrumental support was positively related to health status. The majority of the patients (55%) experienced adherence problems with health recommendations. These problems were not related to functional incapacity, pain or other aspects of health status but to the patient's self-efficacy expectations about coping with arthritis. Our conclusion is that to improve the self-management of disability and pain and adherence to health recommendations, patient education should be aimed at strengthening self-efficacy expectations in which social emotional support might be a motivating factor.
对86名类风湿性关节炎（RA）患者进行了一项研究，以评估他们的健康问题、在遵循健康建议方面遇到的问题，以及这些问题与自我效能感和社会支持的关系。感到依赖、残疾和疼痛是最重要的与健康相关的问题。结果显示，自我效能感与通过荷兰关节炎影响测量量表（DUTCH-AIMS）衡量的健康状况主观体验相关。社会情感支持与健康状况无关，与我们的预期相反，社会工具性支持与健康状况呈正相关。大多数患者（55%）在遵循健康建议方面存在问题。这些问题与功能丧失、疼痛或健康状况的其他方面无关，而是与患者应对关节炎的自我效能期望有关。我们的结论是，为了改善残疾和疼痛的自我管理以及对健康建议的遵循，患者教育应旨在增强自我效能期望，其中社会情感支持可能是一个激励因素。
