Mindfulness and its Application for Older Adults with Chronically Painful Osteoarthritis

R. Marks
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Abstract

Osteoarthritis, a chronic condition resulting in considerable disability, particularly in later life, not only impacts life quality significantly and severely, but is associated with intense bouts of chronic pain and pain flares. The first aim of this review article was to summarize, synthesize, and examine the research base concerning the nature of osteoarthritis, followed by evidence that mindfulness as applied to aging adults with this condition, is likely to be highly efficacious for improving their life quality and joint status in general. A second aim was to provide directives for health educators and others who work or are likely to work with this population at this time and in the near future in the event no effective cure or approach is forthcoming. The article specifically focuses on examining the idea and possible efficacy of various forms of mindfulness as an adjunctive intervention strategy for minimizing arthritis disability, and for fostering independence and life quality. To this end, the author attempted to include a broad overview of all relevant articles published in the English language on the topic, rather than any systematic review. Collectively, these data reveal that while more research may be helpful, mindfulness practiced widely in Asia for many centuries-may be a useful intervention strategy for older adults in the community diagnosed as having osteoarthritis. They specifically suggest health educators and others working with people diagnosed as having osteoarthritis can safely recommend this approach to most people with this condition with the expectation that consistent practices will be protective in multiple ways, as well as heightening their life quality and overall health status.
正念及其在老年慢性疼痛性骨关节炎中的应用
骨关节炎是一种慢性疾病,会导致相当大的残疾,特别是在晚年,不仅严重影响生活质量,而且与剧烈的慢性疼痛和疼痛发作有关。这篇综述文章的第一个目的是总结、综合和检查有关骨关节炎性质的研究基础,其次是证据表明正念应用于患有这种疾病的老年人,可能对改善他们的生活质量和关节状况非常有效。第二个目标是,在目前和不久的将来,如果没有有效的治疗或方法,为卫生教育工作者和其他在这一人群中工作或可能与之工作的人提供指导。这篇文章特别侧重于研究各种形式的正念作为一种辅助干预策略的想法和可能的效果,以最大限度地减少关节炎残疾,并促进独立性和生活质量。为此,作者试图对所有以英语发表的关于该主题的相关文章进行广泛的概述,而不是进行任何系统的审查。总的来说,这些数据表明,虽然更多的研究可能是有帮助的,但正念在亚洲广泛实践了几个世纪,对于社区中被诊断患有骨关节炎的老年人来说,可能是一种有用的干预策略。他们特别建议健康教育工作者和其他与骨关节炎患者一起工作的人可以安全地向大多数患有这种疾病的人推荐这种方法,期望持续的做法将在多种方面起到保护作用,并提高他们的生活质量和整体健康状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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