摘要
目的:调查类风湿关节炎(Rheumatoid Arthritis,RA)关节畸形患者伤残接受度现状并分析其影响因素,为制定科学有效的RA关节畸形患者伤残接受度干预方案提供参考。方法:采用便利抽样法,选取2024年11月至2025年3月在宁夏某三级甲等医院风湿免疫科门诊就诊的RA关节畸形患者438例,使用一般资料调查表、伤残接受度量表、视觉模拟量表、健康评估问卷-伤残指数、上肢功能评定表和功能障碍评分进行横断面调查,采用多重线性回归进行影响因素分析。结果:RA关节畸形患者的伤残接受度总分为(81.53±21.30)分,条目均分为(2.55±0.67)分。多重线性回归分析显示,BMI、医疗保险类型、是否规律锻炼、晨僵时长、病情分期、疼痛、疲劳、身体功能以及手功能是影响RA关节畸形患者伤残接受度的因素(P<0.05),共解释总变异度的57.30%。结论:RA关节畸形患者的伤残接受度处于中等水平,医护人员应针对本研究初步探索的影响因素给予针对性的干预措施,以提高其伤残接受度水平。
Objective:To investigate the status of disability acceptance in Rheumatoid Arthritis(RA)joint deformities patients and analyze its influencing factors,aiming to provide a reference for formulating scientific and effective intervention plans of disability acceptance in RA patients with joint deformities.Methods:Convenience sampling was applied to recruit 438 RA joint deformities patients from a rheumatology and immunology outpatient department of a tertiary grade A hospital in Ningxia from November 2O24 to March 2O25.The general information questionnaire,Acceptance of Disability Scale,Visual Analogue Scale,Health Assessment Questionnaire-Disability Index,Disability of the Arm,Shoulder and Hand,and Signals of Functional Impairment were used for cross-sectional survey.Multiple linear regression was used for influencing factor analysis.Results:The disability acceptance score for RA joint deformities patients was 81.53±21.30,The average score of the total items was 2.55±0.67.Multivariate linear regression analysis revealed that BMI,medical insurance.regular exercise,morning stiffness duration,disease stage,pain,fatigue,physical function and hand function were the main influencing factors of disability acceptance(P<O.05),accounting for 57.3O%of the total variance.Conclusion:The disability acceptance of RA joint deformities patients is at a moderate level.Medical staff should provide targeted intervention measures based on the preliminary explored influencing factors in this study to enhance their disability acceptance level.
作者
王东莉
蒋爱华
周蕾
徐薇
周艳萍
包小庆
WANG Dongli;JIANG Aihua;ZHOU Lei;XU Wei;ZHOU Yanping;BAO Xiaoqing(Rheumatology and Immunology Department,General Hospital of Ningxia Medical University,Yinchuan,750004,China)
出处
《中国护理管理》
北大核心
2026年第3期378-383,共6页
Chinese Nursing Management
基金
宁夏自然科学基金项目(2025AAC030886,2025AAC030831)。
关键词
类风湿关节炎
伤残接受度
关节畸形
影响因素
Rheumatoid Arthritis
disability acceptance
joint deformity
influencing factor
