Daltroy L H, Liang M H
Department of Medicine, Harvard Medical School, Boston, MA.
Health Educ Q. 1993 Spring;20(1):3-16. doi: 10.1177/109019819302000103.
Health education research in arthritis and musculoskeletal disease experienced extraordinary growth in the 1980s. In this article we discuss opportunities for health education in arthritis and musculoskeletal disease, and the effectiveness of evaluated programs to influence knowledge, behavior, and health status of persons with arthritis. Additionally, we review developments in theory and trends in research that we expect to be influential in the next decade. Educational opportunities for primary prevention of arthritis are limited. However, a large variety of organized programs, planned according to commonly accepted principles of education, psychology, and psychotherapy, and applied consistently by personnel with some kind of training, have been able to produce desirable changes in knowledge, behavior, and health outcome in arthritis patients, over and above the medical treatment and incidental education to which they have already been exposed. As a result, national dissemination of programs and standards for arthritis patient education is in progress. In the next decade, researchers will increasingly turn to new populations and methods of delivery, investigation of conditions less well studied, such as osteoporosis, education of patients in generic communication and coping skills, and development of arthritis-specific applications of theory, especially in areas such as social support, control and helplessness, cognitive processing, and pain management.
20世纪80年代，关节炎与肌肉骨骼疾病领域的健康教育研究取得了显著增长。在本文中，我们将探讨关节炎与肌肉骨骼疾病健康教育的机会，以及已评估项目在影响关节炎患者的知识、行为和健康状况方面的有效性。此外，我们还将回顾理论发展和研究趋势，我们预计这些理论和趋势将在未来十年产生影响。关节炎一级预防的教育机会有限。然而，根据教育、心理学和心理治疗的普遍接受原则规划，并由经过某种培训的人员持续实施的大量有组织的项目，除了关节炎患者已经接受的医疗治疗和附带教育之外，还能够在他们的知识、行为和健康结果方面产生理想的变化。因此，全国范围内的关节炎患者教育项目和标准的推广正在进行中。在未来十年，研究人员将越来越多地转向新的人群和传播方法，研究较少研究的疾病状况，如骨质疏松症，对患者进行一般沟通和应对技能的教育，以及开发关节炎特定的理论应用，特别是在社会支持、控制和无助感、认知加工和疼痛管理等领域。
