摘要
目的探讨系统性硬化症(SSc)患者的生活质量水平,并分析其相关影响因素。方法选取2018年2月至2019年8月在我院就诊的76例SSc患者,调查患者SF-36生活质量评价量表评分情况,并对影响SSc患者生活质量的因素进行分析。结果SSc患者躯体功能评分为(66.48±23.99)分,生理职能评分为(61.21±23.24)分,躯体疼痛评分为(63.26±32.31)分,总体健康评分为(69.18±22.34)分,精力评分为(68.46±23.12)分,社会功能评分为(62.18±23.27)分,情感职能评分为(69.51±32.68)分,精神健康评分为(69.48±23.25)分;本次对76例SSc患者研究发现,生活质量较高者有53例,占比为69.74%(53/76),生活质量较低者有23例,占比为30.26%(23/76);生活质量较低患者的间质性肺病、雷诺现象、吸烟史、罗德曼皮肤评分(MRSS)(≥23分)、指端溃疡、关节受累、肌肉受累、食管吞咽功能障碍占比均明显高于生活质量较高患者,差异有统计学意义(P<0.05);经多因素logistic回归分析发现,间质性肺病、雷诺现象、吸烟史、MRSS评分(≥23分)、指端溃疡、关节受累、肌肉受累、食管吞咽功能障碍均为导致SSc患者生活质量较低的独立危险因素(P<0.05)。结论间质性肺病、雷诺现象、吸烟史等均为导致SSc患者生活质量较低的危险因素,医护人员可通过正确的生活指导、劝解戒烟,并对原发病进行积极治疗,减少食管吞咽功能障碍的发生率,通过对慢性病患者进行管理,促进其采取健康的生活方式,降低人群中慢性病发生的危险因素,控制慢性病发病率及病死率,可提高SSc患者的生活质量。
Objective To explore the living quality of patients with systemic sclerosis(SSc)and analyze its related factors.Methods We selected 76 cases of SSc patients who were treated in our hospital from February 2018 to August 2019 to investigate the SF-36 living quality evaluation scale scores of the patients,and the factors affecting the living quality of SSc patients were analyzed.Results The physical function score of SSc patients was(66.48±23.99)points,the physiological function score was(61.21±23.24)points,the physical pain score was(63.26±32.31)points,the general health score was(69.18±22.34)points,the vitality score was(68.46±23.12)points,the social function score was(62.18±23.27)points,the emotional role score was(69.51±32.68)points,and the mental health score was(69.48±23.25)points.This study of 76 cases of SSc patients found that 53 cases had a higher living quality,accounting for 69.74%(53/76),and 23 cases had a lower living quality,accounting for 30.26%(23/76).The proportion of interstitial lung disease,Raynaud's phenomenon,smoking history,modified rodman skin score(MRSS)(≥23 points),finger ulcers,joint involvement,muscle involvement,and esophageal swallowing dysfunction of patients with lower living quality were significantly higher than those of patients with higher living quality,and the differences were statistically significant(P<0.05).Multivariate logistic regression analysis showed that the interstitial lung disease,Raynaud's phenomenon,smoking history,MRSS score≥23 points,finger ulcers,joint involvement,muscle involvement,and muscle involvement were all the independent risk factors leading to lower living quality in SSc patients(P<0.05).Conclusion The interstitial lung disease,Raynaud's phenomenon,and smoking history,etc.were all the risk factors leading to lower living quality in SSc patients.Medical staff can reduce the incidence rate of esophageal swallowing dysfunction through correct life guidance,persuasion to quit smoking,and actively treat the primary disease.By managing patients with chronic diseases,they can promote a healthy lifestyle and reduce the risk factors for the occurrence of chronic diseases in crowds,controlling the incidence rate and mortality of chronic diseases,which can improve the living quality of SSc patients.
作者
李姗
陈江艳
廖竹君
LI Shan;CHEN Jiang-yan;LIAO Zhu-jun
出处
《护理实践与研究》
2020年第14期28-30,共3页
Nursing Practice and Research
关键词
系统性硬化症
生活质量
影响因素
Systemic sclerosis
Quality of life
Influencing factors
