Archontissa M Kanavaki, Alison Rushton, Elizabeth Hale, Rainer Klocke, Abhishek Abhishek, Joan L Duda
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引用次数: 0
Abstract
Living with knee and hip osteoarthritis (OA) means living with pain and difficulty in movement. Given the beneficial effects of physical activity (PA) and reduction of sedentary behaviour (SB), these behaviours need to be understood in the context of individuals' daily lives and sense of well-being. Twelve individuals (age: 43-79 years; 67% female) with knee and/or hip OA purposively selected (e.g., age, OA duration, OA severity) participated in semi-structured interviews. Data was analysed using inductive thematic analysis. PA and SB were narrated as multifaceted experiences with two overarching themes, PA negotiations (valuing mobility, the burden of osteoarthritis, keep going, the feel-good factor), SB negotiations (the joy of sitting, a lot is too bad, the osteoarthritis confines), and two overlapping themes (the life context, finding a balance). Physical and psychological aspects of PA and SB experiences were interwoven. Participants valued mobility and were proactively trying to preserve it by keeping active. A constant negotiation among the OA burden, the need to enjoy life and life circumstances was underlying PA behaviour. Prescription and encouragement of a physically active lifestyle in this population should be linked to mobility-related personal values and sense of well-being, while addressing concerns around OA-safety and normalizing PA trade-offs.
患有膝关节和髋关节骨关节炎(OA)意味着要忍受疼痛和行动不便。鉴于体育锻炼(PA)和减少久坐行为(SB)的有益效果,需要结合个人的日常生活和幸福感来理解这些行为。我们有针对性地选择了 12 名膝关节和/或髋关节 OA 患者(年龄:43-79 岁;67% 为女性)(如年龄、OA 持续时间、OA 严重程度)进行了半结构化访谈。采用归纳式主题分析法对数据进行分析。PA 和 SB 被描述为多方面的经历,其中有两个首要主题,即 PA 协商(重视活动能力、骨关节炎的负担、坚持下去、感觉良好的因素)、SB 协商(坐着的快乐、很多事情太糟糕、骨关节炎的束缚),以及两个重叠主题(生活环境、找到平衡)。活动量和可持续运动体验的生理和心理方面相互交织。参与者重视行动能力,并积极主动地通过保持运动来维护行动能力。在运动疗法行为的背后,是对 OA 负担、享受生活的需要和生活环境之间的不断协商。在这一人群中,规定和鼓励体育锻炼的生活方式应与与行动相关的个人价值观和幸福感联系起来,同时解决与 OA 安全相关的问题,并使体育锻炼的权衡正常化。
期刊介绍:
Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.