Maggs F M, Jubb R W, Kemm J R
Rheumatology Department, University Hospital Birmingham NHS Trust.
Br J Rheumatol. 1996 Aug;35(8):775-7. doi: 10.1093/rheumatology/35.8.775.
Consecutive new attendees at a rheumatology clinic were randomly allocated to one of three groups. All groups received routine care, but one received no other intervention, one an educational booklet on arthritis and one the booklet plus instruction from a health professional. Prior to intervention, all groups had similar knowledge. Nottingham Health Profile (NHP) and Health Assessment Questionnaire (HAQ) score. After 6 weeks, the knowledge score was significantly increased in both groups given the booklet, but not in the control group. The group instructed by a health professional showed no greater increase than the group given the booklet alone. Increased knowledge was not associated with improved clinical status and no group showed a significant change in NHP or HAQ scores. Nearly all patients said they found the booklet useful.
在一家风湿病诊所，连续前来就诊的新患者被随机分配到三个组中的一组。所有组都接受常规护理，但一组不接受其他干预，一组收到一本关于关节炎的教育手册，另一组收到手册并接受健康专业人员的指导。干预前，所有组的知识水平、诺丁汉健康量表（NHP）和健康评估问卷（HAQ）得分相似。6周后，收到手册的两组知识得分显著提高，而对照组没有。由健康专业人员指导的组与仅收到手册的组相比，知识得分提高幅度并无更大。知识增加与临床状况改善无关，且没有一组的NHP或HAQ得分有显著变化。几乎所有患者都说他们觉得手册很有用。
