论文已发表
注册即可获取德孚的最新动态
IF 收录期刊
Authors Ali SA, Walsh KE, Kloseck M
Received 1 September 2017
Accepted for publication 8 December 2017
Published 22 February 2018 Volume 2018:11 Pages 417—425
DOI https://doi.org/10.2147/JPR.S150578
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Amy Norman
Peer reviewer comments 2
Editor who approved publication: Dr Katherine Hanlon
Introduction: Although there is no cure for osteoarthritis (OA), there are
lifestyle modifications that can mitigate symptoms such as pain, and improve
management of the disease. This information is not always translated to
community-dwelling seniors. Individuals in rural areas often face additional
challenges due to geographic isolation and decreased access to community
services.
Methods: We used qualitative research methodology
(hermeneutic phenomenology) to better understand the lived experiences of urban
and rural community-dwelling seniors diagnosed with OA. We explored their
sources of information about OA, how they manage their OA pain, and how OA
management could be improved in the community. Purposeful sampling was used to
recruit 20 information-rich participants (11 urban, 9 rural) in Ontario,
Canada. All participants were aged >65 and diagnosed with OA.
Semi-structured interviews were conducted, audio recorded, and transcribed
verbatim. NVivo 11 Pro qualitative software was used to code transcripts.
Results: Thematic analysis revealed 9 key themes where 8
were common to urban and rural participants, and 1 was unique to rural
participants. Most significant among the common themes was the description of
the social network as a source of OA information, the trial-and-error approach
used for OA management, and the individual contextualization of OA management.
Our results suggest that there are several common experiences among urban- and
rural-dwelling seniors living with OA, including the desire for support over
time, but also a unique experience to rural-dwelling seniors, namely lack of
access to local care.
Conclusion: These findings can be used to improve
translation of OA information in both urban and rural communities in Canada,
highlighting that common strategies may be effective in different contexts for
this disease.
Keywords: arthritis,
pain, community, phenomenology, qualitative, translation, implementation
摘要视频链接:Osteoarthritis in urban and
rural communities