Mahmud T, Comer M, Roberts K, Berry H, Scott D L
Department of Rheumatology, King's College Hospital, London.
Clin Rheumatol. 1995 Nov;14(6):627-30. doi: 10.1007/BF02207927.
We evaluated the effectiveness of current strategies for educating patients in routine clinical practice in three related studies. (1) A study of overall knowledge in 100 patients with rheumatoid arthritis (RA) and osteoarthritis (OA) showed knowledge of diagnosis and treatment effects were high (86% and 83% respectively) but only a minority (37%) were well informed about side effects. (2) Patients' detailed knowledge of drug therapy was assessed in 50 RA and OA patients. Between 56%-92% knew why drugs were given, their use and their likely effects. But many patients were unaware of the main adverse reactions and also how to avoid or limit them. (3) The relationship of patient education to overall disease management was evaluated in 89 RA patients with 5-10 years disease duration using validate guidelines for specialist care. Those patients who had been give inadequate education about drug therapy had a reduced level of overall care. Although education is considered important by patients, it is often inadequate, and this is associated with a less effective overall treatment.
我们在三项相关研究中评估了当前在常规临床实践中对患者进行教育的策略的有效性。（1）一项针对100名类风湿性关节炎（RA）和骨关节炎（OA）患者的总体知识研究表明，他们对诊断和治疗效果的知晓率较高（分别为86%和83%），但只有少数人（37%）充分了解副作用。（2）在50名RA和OA患者中评估了他们对药物治疗的详细知识。56%至92%的患者知道用药原因、用法及其可能的效果。但许多患者不知道主要的不良反应以及如何避免或限制这些反应。（3）使用经过验证的专科护理指南，对89名病程为5至10年的RA患者评估了患者教育与整体疾病管理之间的关系。那些在药物治疗方面接受教育不足的患者，其整体护理水平较低。尽管患者认为教育很重要，但往往并不充分，这与整体治疗效果较差有关。
