对膝关节骨关节炎和超重患者实施综合生活方式干预的决定因素:一种定性研究
Priya Gharbaran1, Nuria Ej Jansen1, Inge Merkelbach2
1General Practice, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
BMJ open
|January 28, 2026
概括
结合生活方式干预 (CLI) 可以帮助膝关节骨关节炎 (OA) 患者减肥. 改善CLI需要增加量身定制的炼,增强教练的专业知识,并解决财务和GP信任障碍,以获得更好的结果.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 实施科学 实施科学
背景情况:
- 生活方式的改变,包括营养和体育活动,对于管理膝关节关节炎 (OA) 和超重至关重要.
- 自2019年以来,荷兰已为符合条件的患者提供退款的综合生活方式干预 (CLI).
- 了解实施决定因素是优化对膝关节骨质炎和超重个体的CLI有效性的关键.
研究的目的:
- 确定患者和医疗保健专业人员 (HCP) 对影响CLI实施的决定因素的观点.
- 探索影响膝关节OA和超重生活方式干预措施的障碍和促进因素.
主要方法:
- 用半结构面试对23名膝关节骨质炎和超重患者进行定性研究.
- 此外,还采访了16名医疗保健工作者,包括全科医生和生活方式教练.
- 文字转录是使用实施研究综合框架 (CFIR) 编码的.
主要成果:
- 促进者包括项目认可,社会支持和积极的参与者-教练关系.
- 障碍包括缺乏运动组件,财务限制,GP的怀疑以及对OA特定需求的教练专业知识的限制.
- 在调整该计划以适应不同参与者的健康素养和知识水平方面也出现了挑战.
结论:
- 提高CLI实施需要一个定制的炼组件和改进的生活方式教练的专业知识.
- 解决财务障碍和通过教育和成果沟通建立GP信任是必不可少的.
- 根据个体需求定制CLI对于治疗膝关节骨质炎和超重症的长期有效性和可持续性至关重要.
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