摘要
目的研究老年类风湿关节炎（RA）患者的生活质量现状并分析其影响冈素，以探讨提高其生活质量的有效途径。方法描述性研究设计，方便取样，采用自设问卷、自我管理问巷、家庭功能问卷、平均疾病活动度评分（DAS28）、36题健康状况调查量表（SF-36）调查75例老年RA的基本资料、老年RA相关知识和态度、自我管理、家庭功能及生活质量状况。采用单因素相关分析法分析老年RA患者生活质量与影响因素的关系。结果本组老年RA患者SF-36得分（66±12）。SF-36得分与关节功能呈正相关（r=0．705，P〈0．01），与DAS28呈负相关（r=0．712，P〈0．01）；SF-36得分与患者对老年RA加重时症状知识的了解程度、与患者对疾病的态度、与从家人那里得到满意帮助、与能否及时就诊、与自我管理总分呈正相关（r=0．515，0．485，0．540，0．575，0．545，P〈0．01）；与患者对老年RA知识的了解程度、与家庭功能类型、与家人理解患者的感情和情绪呈正相关（r=0．325，0．412，0．363，P〈0．01）；与病程呈负相关（r=-0．312，P〈0．01）。此外，分析还发现，本组患者随着经济状况的降低生活质量有下降的趋势，随着文化程度的增高生活质量有提高的趋势。结论老年RA生活质量现状并不乐观，与DAS28指数、病程、对疾病知识的了解程度、对疾病态度、自我管理、家庭支持及其他因素存在相关性。
Objective To explore an effective way to improve the quality of life of elderly rheumatoid arthritis （RA） patients by a survey about their present living conditions and analyze the effect of some related factors. Methods This was a descriptive study and convenient sampling survey were adopted. Seventyfive elder patients with RA were investigated with self-developed questionnaire, self-mana-gement scale, family function questionnaire, DAS28, 36 question scale health survey questionnaire （SF-36）. The demographic data, elderly RA related knowledge and attitudes, self-management, family function and quality of life were also investigated. Univariate analysis was used to analyze the relationship between the quality of life of elderly RA and the affecting factors. Results The score of SF-36 was （66±12）. The SF-36 scores was associated with joint function （r=0.705, P〈0.01 ）, and DAS28 （r=-0.712, P〈0.01 ）. The SF-36 score was positively associated with the understanding of the deterioration of symptoms, the attitude of patients towards their diseases, satisfactory to the help from their families, the access to medical care and the degree of self- management （r=0.515, 0.485, 0.540, 0.575, 0.545, P〈0.01）; while it was negatively associated with the duration of disease course （r=-0.312, P〈0.01 ）. In addition, this study also discovered that the quality of life declined with the decline .of their economic status, but tended to improve with the increase of education level. Conclusion The life quality of elderly RA patients is not ideaL. It is associated with DAS 28 score, the duration of disease course, the understanding of their diseases, the attitude towards their disease, selfmanagement, family support and other facotrs
出处
《中华风湿病学杂志》
CAS
CSCD
北大核心
2010年第10期694-697,共4页
Chinese Journal of Rheumatology
关键词
关节炎
类风湿
生活质量
影响因素
Arthritis, rheumatoid
Quality of life
Affecting factors
