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Osteoarthritis: Patient Expectations about Future Pain, Stiffness and Function

机译：骨关节炎：患者对未来疼痛，僵硬和功能的期望

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Objectives: The aim of the present study was to examine the difference between osteoarthritis patients' self-reported assessments of current pain, stiffness and physical function and their expectations of these symptoms in one and five years' time, and to determine the significant predictors of positive expectations. Methods: Eighty patients completed ratings of baseline assessments and one- and five-year expectations of pain, stiffness and physical function using the Western Ontario and McMaster Osteoarthritis Index (WOMAC). Measures of illness perceptions, coping styles, health values, satisfaction, quality of life, optimism, self-esteem and moods were also collected at baseline. Agreement between patients' current assessment and expectations were calculated using intra-class correlations (ICCs). Paired-sample t-tests were conducted to look at differences between assessments. Univariate logistic regressions were then performed to identify the variables significantly associated with positive expectations of pain, stiffness and function. Significant variables (p<0.05) were entered into a forward stepwise multivariate logistic regression to identify unique independent predictors of positive expectations for each of the WOMAC subscales. Results: Differences were found between current assessments and expectations, with the majority of patients being positive about future symptoms. There were some differences between the predictors for one- and five-year expectations, with current assessments of health status only affecting five-year expectations. Conclusions: It is necessary to investigate further the variables that may contribute to positive expectations in osteoarthritis patients in order to manage the condition more effectively.
机译：目的：本研究的目的是检查骨关节炎患者在一年和五年时间内自我报告的当前疼痛，僵硬和身体功能评估与对这些症状的期望之间的差异，并确定这些因素的重要预测指标积极的期望。方法：80名患者使用Western Ontario和McMaster骨关节炎指数（WOMAC）完成了基线评估的评分以及对疼痛，僵硬和身体功能的1年和5年期望。在基线时还收集了疾病知觉，应对方式，健康价值观，满意度，生活质量，乐观，自尊和情绪的测量。使用组内相关性（ICC）计算患者当前评估与期望之间的一致性。进行配对样本t检验以查看评估之间的差异。然后进行单变量逻辑回归，以识别与积极期望疼痛，僵硬和功能显着相关的变量。将重要变量（p <0.05）输入到正向逐步多元logistic回归中，以识别每个WOMAC分量表的积极期望的独特独立预测因子。结果：目前的评估结果与期望值之间存在差异，大多数患者对未来症状持肯定态度。对一年和五年期望的预测因素之间存在一些差异，目前对健康状况的评估仅影响对五年期望的预测。结论：有必要进一步调查可能有助于骨关节炎患者积极期望的变量，以便更有效地治疗该疾病。

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