Allegrante J P, Kovar P A, MacKenzie C R, Peterson M G, Gutin B
Center for Health Promotion, Teachers College, New York, New York.
Health Educ Q. 1993 Spring;20(1):63-81. doi: 10.1177/109019819302000107.
Walking is an ideal physical activity for patients with osteoarthritis because it can help to improve functional status without exacerbating pain or necessitating an increase in the use of medication. Although patient education programs designed to encourage walking have become increasingly important in the management of this condition, there is no single synthesis or other published source of theory and intervention strategies to guide the practitioner in the development of such programs. This paper describes a hospital-based patient education program designed to enhance the functional capacity of who have osteoarthritis of the knee by encouraging the adoption and maintenance of walking. The paper describes the goals, objectives, process, and impact of the program; the principal theoretical model utilized in the design of the program; and how concepts and intervention strategies from the literatures on patient compliance and patient education, exercise compliance, behavioral psychology, and relapse prevention have been operationalized and integrated in a walking program that we have evaluated for safety and efficacy.
步行对于骨关节炎患者而言是一种理想的体育活动，因为它有助于改善功能状态，而不会加剧疼痛或增加药物使用量。尽管旨在鼓励步行的患者教育项目在这种疾病的管理中变得越来越重要，但尚无单一的综述或其他已发表的理论及干预策略来源，以指导从业者开展此类项目。本文描述了一个以医院为基础的患者教育项目，该项目旨在通过鼓励采用并维持步行来增强膝骨关节炎患者的功能能力。本文介绍了该项目的目标、目的、过程和影响；项目设计中使用的主要理论模型；以及如何将患者依从性与患者教育、运动依从性、行为心理学和复发预防等文献中的概念和干预策略在一个我们已评估其安全性和有效性的步行项目中加以实施和整合。
