Behavioral Aspects of Arthritis and Rheumatic Disease Self-Management
作者:
Julie J. Keysor,
Shannon S. Currey,
Leigh F. Callahan,
期刊:
Disease Management & Health Outcomes
(ADIS Available online 2001)
卷期:
Volume 9,
issue 2
页码: 89-98
ISSN:1173-8790
年代: 2001
出版商: ADIS
关键词: Arthritis, treatment;Patient education;Pharmacoeconomics;Rheumatic disorders, treatment
数据来源: ADIS
摘要:
Chronic diseases such as arthritis and related conditions have no ‘cure’, and thus require ongoing management. The long term nature of chronic disease gives the individual a crucial role, if not the most crucial role, in managing their condition. Day-to-day self-management is extremely important in achieving optimal health outcomes, and indeed, people with arthritis use a variety of strategies to relieve symptoms or manage disease consequences.This review identifies and discusses 6 different domains of arthritis self-management behaviors:medical management;joint protection strategies;physical activity and exercise;topical applications;complementary and alternative strategies; andstress and mind/body practices.Conceptualizing arthritis self-management in this manner enables a discussion of a range of practices that may be used to manage arthritis conditions.The literature on several established arthritis self-management programs that are designed to improve either self-care and/or exercise behaviors is also reviewed. Despite evidence of cost containment and improved health outcomes, these programs reach only a small percentage of people with arthritis who may benefit from them.Clinical intervention for people with arthritis may be enhanced if self-management is approached from a broad perspective and, if established, self-management programs are integrated into clinical interventions.
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