类风湿性关节炎患者的社会参与:疾病感知是否起作用?
Alexandra Husivargova1, Vladimira Timkova1, Zelmira Macejova2
1Department of Social and Behavioural Medicine, Faculty of Medicine, Pavol Jozef Safarik University.
概括
疾病感知显著影响类风湿性关节炎 (RA) 患者的社会参与. 针对负面疾病感知的干预措施可以改善RA患者的社会参与.
科学领域:
- 类风湿病学 类风湿病学
- 心理学 心理学 心理学
- 社会科学 社会科学 社会科学
背景情况:
- 社会参与对于诸如类风湿性关节炎 (RA) 等慢性疾病的健康结果至关重要.
- 影响RA患者社会参与的因素仍未得到充分研究.
- 了解这些因素对于改善患者的福祉和生活质量至关重要.
研究的目的:
- 研究疼痛,疲劳,焦虑,抑郁和疾病感知与RA患者的社会参与之间的关联.
- 在分析中控制临床和社会人口统计学变量.
- 检查疾病感知在物理/心理因素和社会参与之间扮演的调解角色.
主要方法:
- 157名RA患者填写了验证的问卷,评估了社会参与,疾病感知,焦虑,抑郁和功能状态.
- 用多个线性回归分析来确定社会参与的重要预测因素.
- 进行了调解分析,以探索各种因素通过疾病感知对社会参与的间接影响.
主要成果:
- 疾病感知 (β = .42) 和功能残疾 (β = .21) 与社会参与有显著的关联.
- 当考虑心理痛苦时,疼痛 (β = .24) 和疲劳 (β = -.24) 显示出相关性.
- 疾病感知调解了疼痛,疲劳,焦虑和抑郁之间的关系,解释了对社会参与的间接影响的65%-98%.
结论:
- 疾病感知在调解疼痛,疲劳,焦虑和抑郁对RA社会参与的影响方面发挥着重要作用.
- 专注于修改负面疾病观念的心理干预措施可以增强RA患者的社会参与.
- 解决疾病感知是改善风湿性关节炎患者的社会参与和生活质量的潜在治疗目标.
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