在风湿性关节炎患者中,笑声,虚弱和抑郁之间存在关联
Mochihito Suzuki1, Toshihisa Kojima1,2, Kenya Terabe1
1Department of Orthopedic Surgery and Rheumatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
International journal of rheumatic diseases
|January 30, 2024
概括
风湿性关节炎患者的笑声频率与较低的脆弱性和抑郁症有关. 管理疾病活动和预防虚弱可能会提高类风湿性关节炎患者的生活质量.
科学领域:
- 类风湿病学 类风湿病学
- 老年学是一门学科.
- 精神病体医学是一种精神病体医学.
背景情况:
- 类风湿性关节炎 (RA) 是一种慢性自身免疫性疾病,影响关节和整体健康.
- 虚弱和抑郁症是RA患者的重要并发症,影响疾病的结果.
- 积极的心理因素,如笑声在RA管理中的作用是未被充分探索的.
研究的目的:
- 为了研究笑声频率与疾病活动,虚弱和类风湿性关节炎 (RA) 患者的抑郁症之间的关联.
- 为了确定影响RA队列中笑声频率的因素.
- 了解RA中心理和身体健康指标之间的相互作用.
主要方法:
- 一项前性队列研究,涉及240名RA患者 (2021年3月至2022年6月).
- 患者被分为四个笑声频率组:每日,每周,每月,很少/从来没有.
- 使用Kihon检查清单 (KCL) 评估虚弱;使用贝克抑郁 inventory (BDI-II) 评估抑郁症.
- 差异分析和多变量物流分析用于比较组并确定相关因素.
主要成果:
- 更高的笑声频率与Kihon检查清单 (KCL) 对虚弱和贝克抑郁 inventory (BDI-II) 对抑郁的得分明显较低相关 (p < .001).
- 多变量分析证实了独立的关联:较低的KCL得分 (OR:0.81) 和较低的BDI-II得分 (OR:0.91) 与更频繁的笑声有关.
- 类风湿性关节炎疾病的活性通常受到控制,有70.7%的患者缓解.
结论:
- 虚弱和抑郁与风湿性关节炎患者的笑声频率降低有显著的关联,即使控制了疾病活动.
- 针对脆弱性预防的干预措施,以及疾病活动管理,可以促进RA患者更好的幸福感和更频繁的笑声.
- 鼓励积极的心理社会因素可能是全面的RA护理中宝贵的辅助.
关键词:
抑郁 抑郁症 抑郁症 抑郁症 是一种脆弱 脆弱 脆弱 脆弱 脆弱哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈患者报告的结果.类风湿性关节炎 类风湿性关节炎更多相关视频
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