与风湿性疾病患者的感知尊严相关的痛苦相关的因素
Virginia Pascual-Ramos1, Irazú Contreras-Yáñez1, Maximiliano Cuevas-Montoya1
1From the Department of Immunology and Rheumatology. Instituto Nacional de Ciencias Médicas y Nutrición Salvador-Zubirán (INCMyN-SZ), Mexico City, Mexico.
概括
与感知尊严 (DPD) 相关的痛苦影响了超过四分之一的风湿病患者. 心理健康并发症和较低的生活质量在这个人群中显著预测了DPD.
科学领域:
- 类风湿病学 类风湿病学
- 精神病体医学是一种精神病体医学.
- 患者报告的结果
背景情况:
- 失去感知到的尊严是慢性疾病中痛苦的重要来源.
- 与感知尊严 (DPD) 相关的痛苦在风湿性疾病 (RMD) 中没有得到充分研究.
- 之前的观察表明,在26.9%的墨西哥RMD患者中,DPD.
研究的目的:
- 调查与感知尊严 (DPD) 相关的痛苦相关的因素.
- 了解患有类风湿性疾病 (RMDs) 的患者中DPD的患病率和预测因素.
主要方法:
- 截面研究于2022年2月至9月进行.
- 包括400名患有RMD的患者完成患者报告的结果和类风湿性评估.
- 用于识别与DPD相关的因素的多变量回归分析,通过患者尊严库存得分来定义.
主要成果:
- 在包括的400名患者中,DPD在26.8%的患者中被发现.
- 与DPD相关的因素包括过去的精神健康并发症 (OR: 4.680),免疫抑制药物数量 (OR: 1.683),以及WHOQOL-BREF上的较低的身体 (OR: 0.937) 和情绪 (OR: 0.895) 健康评分.
结论:
- DPD在大量RMD患者中普遍存在.
- 精神健康并发症,疾病活动/严重性和患者的生活质量与DPD有关.
- 调查结果强调了需要在RMD患者护理中解决尊严的问题.
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