Lorig K R, Mazonson P D, Holman H R
Department of Medicine, Stanford University, California.
Arthritis Rheum. 1993 Apr;36(4):439-46. doi: 10.1002/art.1780360403.
To determine the effects of the Arthritis Self-Management Program 4 years after participation in it.
Valid self-administered instruments were used to measure health status, psychological states, and health service utilization.
Pain had declined a mean of 20% and visits to physicians 40%, while physical disability had increased 9%. Comparison groups did not show similar changes. Estimated 4-year savings were $648 per rheumatoid arthritis patient and $189 per osteoarthritis patient.
Health education in chronic arthritis may add significant and sustained benefits to conventional therapy while reducing costs.
确定参与关节炎自我管理项目4年后的效果。
使用有效的自填式工具来测量健康状况、心理状态和医疗服务利用情况。
疼痛平均下降了20%，看医生的次数减少了40%，而身体残疾增加了9%。对照组未显示出类似变化。估计每位类风湿性关节炎患者4年节省648美元，每位骨关节炎患者节省189美元。
慢性关节炎的健康教育可能会在降低成本的同时，为传统治疗带来显著且持续的益处。
