参与支持的骨关节炎自我管理计划后与赋权相关的因素:一项探索性研究
Karin Sturesdotter Åkesson1, Eva Ekvall Hansson1, Teresa Pawlikowska2
1Department of Health Sciences, Health Science Centre, Box 157, SE-221 00, Lund, Sweden.
Osteoarthritis and cartilage open
|April 8, 2024
概括
在3个月的支持性关节炎自我管理计划 (SOASP) 后,赋权增加了,但这些收益并没有长期持续. 增强能力与更好的结果相关,而单独生活或在基线经常炼时的改善较小.
科学领域:
- 类风湿病学 类风湿病学
- 健康心理学 心理健康心理学
- 初级保健研究研究初级保健研究
背景情况:
- 骨关节炎 (OA) 显著影响患者的生活质量.
- 自主管理计划旨在使患者有能力管理他们的病情.
- 了解影响赋权的因素对于计划的有效性至关重要.
研究的目的:
- 确定与3个月的支持性骨关节炎自我管理计划 (SOASP) 后患者赋权变化相关的因素.
- 评估SOASP后赋权的长期发展轨迹.
主要方法:
- 瑞典初级医疗保健中一项队列研究的探索性分析.
- 无变线性回归模型评估了人口统计,患者报告的结果和赋权变化之间的关联.
- 在3个月和9个月后进行了后续评估.
主要成果:
- 赋权从基线显著改善到3个月 (p < 0.001).
- 3个月后自我报告的增强能力与更大的增强能力相关 (p=0.008).
- 独自生活 (p=0.005) 和基线体育活动>120分钟/周 (p=0.047) 与较少的赋权改善有关.
结论:
- 自我报告的授权是改善SOASP后授权的关键因素.
- 对单独生活或从事高水平体育活动的个人可能需要有针对性的支持.
- 在OA自我管理计划之后,长期维持授权的策略需要进一步调查.
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