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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Arthritis-specific health beliefs related to aging among older male patients with knee and/or hip osteoarthritis.
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Arthritis-specific health beliefs related to aging among older male patients with knee and/or hip osteoarthritis.

机译：与年龄较大的膝关节和/或髋关节骨关节炎男性患者的衰老相关的特定于关节炎的健康观念。

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BACKGROUND: Disease-specific beliefs may impact patients' perceptions of the efficacy of various treatment options, thus, it is important to understand these beliefs. We examined the relationship between patients' demographic characteristics and arthritis-specific beliefs related to aging. METHODS: We performed a cross-sectional survey of 591 elderly primary care patients, who had symptomatic osteoarthritis (OA) of the knee and/or hip, at the Louis Stokes VA Medical Center in Cleveland, Ohio. Data were collected on age, race, educational level, income, and whether patients agreed or disagreed with four statements regarding aging and arthritis. We also assessed OA symptom severity using the Western Ontario McMaster Universities Index (WOMAC) and depressive symptoms using the Geriatric Depression Scale. We used logistic regression analyses to examine relationships between patients' age, race, and educational level and arthritis-specific health beliefs, while adjusting for OA symptom severity, radiographic confirmation of OA, OA joint burden, depressive symptoms, and income. RESULTS: Patients 70 years old or older, as compared to patients 50-59 years old, were more likely to believe that: arthritis is a natural part of growing old; people should expect that when they get older, they won't be able to walk as well, and people should expect to live with pain as they grow older. CONCLUSION: Among older, male veterans, health beliefs regarding the relationship between aging and arthritis vary by age. Clinicians should consider these differences when discussing treatment strategies with their patients with knee and/or hip OA.
机译：背景：特定疾病的信念可能会影响患者对各种治疗方案功效的看法，因此，了解这些信念非常重要。我们检查了患者的人口统计学特征与与衰老相关的特定于关节炎的信念之间的关系。方法：我们在俄亥俄州克利夫兰的路易斯斯托克斯弗吉尼亚州医疗中心对591名患有膝关节和/或髋关节症状性骨关节炎（OA）的老年初级保健患者进行了横断面调查。收集有关年龄，种族，教育程度，收入以及患者是否同意或不同意关于衰老和关节炎的四项陈述的数据。我们还使用西安大略麦克马斯特大学指数（WOMAC）评估了OA症状的严重程度，并使用了老年抑郁量表评估了抑郁症状。我们使用逻辑回归分析来检查患者的年龄，种族和教育水平与特定于关节炎的健康观念之间的关系，同时调整OA症状的严重程度，OA的影像学确诊，OA关节负担，抑郁症状和收入。结果：与50-59岁的患者相比，70岁或以上的患者更有可能相信：关节炎是变老的自然部分;人们应该期望，随着年龄的增长，他们也将无法走路，人们应该随着年龄的增长而痛苦。结论：在老年男性退伍军人中，关于衰老与关节炎之间关系的健康观念因年龄而异。临床医师在与膝和/或髋骨OA患者讨论治疗策略时应考虑这些差异。

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