自我报告和基于绩效的结果之间的不一致:心理社会因素的贡献
Helen Razmjou1,2, Susan Robarts1,2, Suzanne Denis1,2
1Sunnybrook Health Sciences Centre, Canada.
Journal of health psychology
|May 27, 2024
概括
心理社会因素,如避免恐惧,显著影响骨关节炎患者如何感知他们的身体残疾,影响治疗方法. 了解这些因素是改善关节炎护理的关键.
科学领域:
- 整形外科 整形外科 整形外科
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 部和膝盖的骨关节炎 (OA) 通常会导致身体残疾.
- 患者报告的功能与客观措施之间的不一致性在OA中经常被观察到.
- 人们越来越认识到心理社会因素在治疗诸如OA之类的慢性疾病方面的重要性.
研究的目的:
- 研究心理社会因素对部或膝盖骨关节炎患者感知和观察到的身体残疾之间的差异的影响.
- 确定与这种不一致相关的特定心理社会领域.
- 为建立一个更全面的OA管理方法提供信息.
主要方法:
- 横截面研究设计. 截面研究设计.
- 包括121名正在接受关节形手术评估的患者.
- 利用心理社会结果措施,患者自我报告的功能尺度和基于绩效的测试.
主要成果:
- 避免恐惧的信念和积极的影响与自我报告的功能和基于表现的结果之间的不一致性密切相关.
- 年龄,性别和OA严重程度与行走能力的不一致性相关.
- 心理社会因素极大地影响了OA患者对疼痛和功能限制的感知.
结论:
- 避免恐惧和积极影响是影响部和膝盖OA感知到身体残疾的关键心理社会因素.
- 对关节炎护理的整体方法应该将患者的心理社会状况与临床和人口因素相结合.
- 解决心理社会因素可能会改善骨关节炎患者感知障碍的管理.
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