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首页> 外文期刊>Rehabilitation Research and Practice >Knowledge of Knee Osteoarthritis and Its Impact on Health in the Middle East: Are They Different to Countries in the Developed World? A Qualitative Study
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Knowledge of Knee Osteoarthritis and Its Impact on Health in the Middle East: Are They Different to Countries in the Developed World? A Qualitative Study

机译：了解膝关节骨关节炎及其对中东健康的影响：它们与发达世界各国不同吗？定性学

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Knowledge of knee osteoarthritis (OA) and its management options affects adherence to treatment, symptoms, and function. Many sociocultural differences exist between Jordan, as a representative of the Middle East, and the developed world which might influence the knowledge of the pathology and its impact on health. Objectives. To explore the knowledge of the pathology and the experience of people diagnosed with knee OA living in Jordan. Methods. Qualitative study design using a triangulation method of both focus groups and in-depth semistructured interviews. Fourteen participants were included (13 females and one male). One focus group and seven in-depth semistructured interviews were conducted. Discussions were audiotaped and transcribed. Framework analysis was used, and data were mapped to the International Classification of Functioning, Disability and Health framework. Results. The themes are as follows: (1) body functions and structures included two subthemes: physical changes and psychological impact; (2) activity limitation and participation restriction included three subthemes: factors influencing the activities, cultural and social perspectives to activity limitation, and participation restriction; (3) personal factors included three subthemes: knowledge and personal interpretation of disease process, knowledge of management options to relief symptoms, and influence of personal factors on activity and participation; and (4) environmental factors included three subthemes: service delivery process, ineffective communication across the care pathway, and facilitators and barriers. Conclusions. Knowledge of the disease was lacking as a consequence of inappropriate service delivery and culture. Activity limitations and participation restrictions are similar in Jordan to other cultures in addition to limitations in religious, employment, and transportation activities. The results demonstrate that the effect of knee OA varies among different cultures and highlight the role of healthcare professionals worldwide in understanding the impact of culture on health. They also increase the awareness of healthcare professionals, specifically in Jordan, on the limitations in delivered services and the importance of education.
机译：膝关节骨关节炎（OA）的知识及其管理选择会影响依从性治疗，症状和功能。约旦之间存在许多社会文化差异，作为中东代表，以及可能影响病理学知识及其对健康影响的发达国家。目标。探讨病理学的知识和诊断膝关节患者居住在约旦的人们的经验。方法。定性研究设计使用焦点小组的三角测量方法和深入的半系统访谈。包括十四名参与者（13名女性和一个男性）。进行了一个焦点组和七个深入的半系统面试。讨论是录音和转录。使用框架分析，数据映射到国际运作，残疾和健康框架的国际分类。结果。主题如下：（1）身体功能和结构包括两个次节：物理变化和心理影响; （2）活动限制和参与限制包括三个次节：影响活动，文化和社会视角的因素，对活动限制以及参与限制; （3）个人因素包括三个次节：疾病过程的知识和个人解释，对浮雕症状的管理选择知识，以及个人因素对活动和参与的影响; （4）环境因素包括三个次节：服务交付过程，关心途径的无效沟通，以及促进者和障碍。结论。由于服务交付和文化不适当地，缺乏对疾病的知识。除宗教，就业和运输活动的限制外，约旦与其他文化相似，活动局限和参与限制也类似。结果表明，膝关节OA的影响在不同的文化中变化，突出了全世界医疗保健专业人员了解文化对健康影响的作用。他们还提高了医疗保健专业人员的认识，特别是在约旦，了解提供服务的局限性和教育的重要性。

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