用多维健康评估问卷对炎症性关节炎患者进行焦虑查
Sadia Tasnim Islam1, Joseph Descallar2, David Martens3
1S.T. Islam, MD, Department of Rheumatology, Liverpool Hospital, Liverpool; sadia91.ti@gmail.com.
The Journal of rheumatology
|July 3, 2023
概括
多维健康评估问卷 (MDHAQ) 有效地选类风湿性关节炎 (RA) 和牛皮性关节炎 (PsA) 患者的焦虑. 该工具在常规临床实践中为医院焦虑和抑郁量表 (HADS) 提供了有价值的替代方案.
科学领域:
- 类风湿病学 类风湿病学
- 精神病学是一个精神病学.
- 临床评估 临床评估
背景情况:
- 焦虑是风湿性关节炎 (RA) 和牛皮性关节炎 (PsA) 患者的常见并发症.
- 对焦虑的查对于在风湿病学环境中全面的患者管理至关重要.
- 多维健康评估问卷 (MDHAQ) 是一种在风湿病学实践中使用的综合工具.
研究的目的:
- 评估多维健康评估问卷 (MDHAQ) 在被诊断为RA和PSA的患者中对焦虑的查的有效性.
- 将MDHAQ的表现与医院焦虑和抑郁量表 (HADS) 的表现进行比较,这是用于焦虑查的验证参考标准.
主要方法:
- 一组由183名RA或PSA患者组成的队列在例行诊所访问期间完成了MDHAQ和HADS.
- 该研究评估了MDHAQ对焦虑查的两个具体项目.
- 进行了统计分析,包括灵敏度,特异性和一致性 (kappa统计),以比较MDHAQ的性能与8或更高的HADS-焦虑 (HADS-A) 评分.
主要成果:
- 这项研究包括183名参与者 (68.9%的RA,31.1%的PsA),其中39.3%的查结果基于HADS-A.A.对焦虑呈阳性.
- 与HADS-A.相比,MDHAQ在识别焦虑患者方面表现出69.9%的灵敏度和73.6%的特异性.
- 在MDHAQ和HADS之间观察到焦虑查的实质性协议 (80.9%的协议,kappa=0.59).
结论:
- 在RA和PSA患者的焦虑查中,MDHAQ的表现与HADS相似.
- 使用MDHAQ进行焦虑查可以简化临床实践,通过将此评估与临床状况的常规监测和纤维肌痛和抑郁症等其他疾病的查进行整合,从而简化临床实践.
- 该MDHAQ提供了一个实用和有效的工具,以提高在类风湿病护理中的焦虑检测.
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