背景:本研究旨在探索意识,经验,以及骨关节炎(OA)患者对其医疗保健管理的信念,同时评估他们的总体满意度。
方法:在意大利进行了一项横断面在线调查,瑞典,俄罗斯,严格开发基于OA国际准则与医疗保健专业人员和个人与OA。年龄超过40岁的自我报告的髋和/或膝OA的参与者符合资格。分析框架包括描述性分析(评估“推荐”的意识水平,\'可选\',和\'不推荐\'治疗),分析建议的治疗方法和采取的治疗方法,探索信仰,障碍和满意度分析(0-100量表)。
结果:共有401名参与者(平均年龄:59.7,78.3%为女性,28%意大利,49%瑞典人,23%的俄罗斯人)对这项研究做出了贡献。在瑞典,57%-72%的人准确地确定了推荐的治疗方法,在俄罗斯,范围为34%-91%,在意大利,是35%-73%。在意大利(87/81%)和俄罗斯(97/97%),主要建议和采取的治疗方法是口服抗炎药,在瑞典(84/79%)。值得注意的是,只有瑞典就每个人锻炼的有效性达成了共识,而俄罗斯和意大利坚持将射线照相结果作为锻炼的先决条件。平均满意度为59.7(意大利),47.4(瑞典),35.2(俄罗斯)。
结论:这项研究揭示了意识的变化,治疗偏好,三个国家之间的信仰,强调有必要对OA管理进行量身定制的教育,这说明了整个欧洲的地区差异。
BACKGROUND: This study aimed to explore the awareness, experiences, and beliefs of individuals with osteoarthritis (OA) regarding their healthcare management, along with assessing their overall satisfaction levels.
METHODS: A cross-sectional online survey was conducted in Italy, Sweden, and Russia, rigorously developed based on OA international guidelines in collaboration with healthcare professionals and individuals with OA. Participants over 40 years of age with self-reported hip and/or knee OA were eligible. The analytical framework included descriptive analysis (assessment of awareness levels for \'recommended\', \'optional\', and \'not recommended\' treatments), analysis of suggested treatments and taken treatments, exploration of beliefs, barriers and satisfaction analysis (0-100 scale).
RESULTS: A total of 401 participants (mean age: 59.7, 78.3% female, 28% Italian, 49% Swedish, 23% Russian) contributed to the study. In Sweden, 57%-72% accurately identified recommended treatments, while in Russia, the range was 34%-91%, and in Italy, it was 35%-73%. The predominant suggested and taken treatments were oral anti-inflammatory drugs in Italy (87/81%) and Russia (97/97%) and specific exercise in Sweden (84/79%). Notably, only Sweden reached a consensus on the effectiveness of exercise for everyone, while Russia and Italy insisted on radiographic findings as a prerequisite for exercise. Mean satisfaction levels were 59.7 (Italy), 47.4 (Sweden), and 35.2 (Russia).
CONCLUSIONS: This study uncovered variations in awareness, treatment preferences, and beliefs among the three countries, underscoring the necessity for tailored education on OA management that accounts for regional differences across Europe.