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持续的屏蔽行为在COVID-19后一年:一项对炎症性关节炎患者的纵向研究的结果
Melissa Sweeney1, Lewis Carpenter2, Savia de Souza3
1Health Psychology Section, Health Psychology Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, Guy's Hospital, 5thFloor, Bermondsey Wing, Great Maze Pond, London, UK. Melissa.sweeney@kcl.ac.uk.
许多炎症性关节炎患者在流行后继续不必要的屏蔽. 心理健康,特别是抑郁症,显著增加了持续屏蔽的几率,影响了患者的福祉和自我管理.
科学领域:
- 类风湿病学 类风湿病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在COVID-19大流行期间,建议炎症性关节炎 (IA) 患者进行屏蔽.
- 尽管风险降低,但疫情后的持续屏蔽对IA患者构成重大心理和身体健康挑战.
研究的目的:
- 为了确定疫情限制放松后IA患者中持续屏蔽的比例和原因.
- 为了确定与IA患者长期屏蔽行为相关的因素.
主要方法:
- 一项为期12个月的前性研究在COVID-19大流行期间跟踪了IA的参与者.
- 在不同的时间点计算了屏蔽比例.
- 回归分析和赔率比率评估了屏蔽与药物,心理健康和风险感知之间的关联.
主要成果:
- 在2021年,93.5%的IA患者参与了一些屏蔽,其中43%的屏蔽大部分或全部时间.
- 以前被认为具有高风险的药物与更高的屏蔽率没有显著的相关性 (OR=1.60,p=0.29).
- 2020年6月增加的抑郁症状与2021年6月更高的屏蔽几率有关 (OR=1.07,p=0.03).
结论:
- 2021年IA患者中持续屏蔽的高率加剧了患者和专业人员的压力.
- 社会隔离与屏蔽有关,与较差的精神和身体健康和自我管理困难有关.
- 临床医生必须认识到这一趋势,以更好地支持经历长期屏蔽的IA患者.
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