患者报告的社会风险因子查在风湿病外科患者中
Alissa Chandler1, Mohammed Hamid1, Ziqiao Jiao1
1Washington University School of Medicine, St Louis, Missouri.
ACR open rheumatology
|March 4, 2025
概括
一项新的查工具显示,84%的风湿病患者面临身体不活动和财务压力等社会风险因素 (SRF). 这突显了患者的重大需求和护理障碍.
科学领域:
- 类风湿病学 类风湿病学
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 社会风险因素 (SRF) 显著影响患者的健康结果.
- 对SRF的查对于识别不同患者群体的护理障碍至关重要.
- 风湿病患者经常面临复杂的健康和社会挑战.
研究的目的:
- 试验患者报告的社会风险因子 (SRF) 查工具在类风湿病门诊机构.
- 确定SRF在类风湿病患者中的患病率和分布.
- 评估电子SRF选的可行性.
主要方法:
- 一个电子的SRF查工具被用于类风湿病的门诊患者.
- 患者在8个SRF领域进行了查:财务压力,住房不稳定,粮食不安全,交通需求,身体不活动,社会隔离,压力和抑郁症.
- 数据从2023年1月1日至10月31日收集,并使用描述性统计和多变量后勤回归分析.
主要成果:
- 在483名患者中,有84%的患者至少有一次SRF的查结果呈阳性.
- 身体不活动 (73%) 和社会孤立 (58%) 是最常见的SRF.
- 在医疗补助保险,年龄较小,黑人种族或未婚状态的患者中观察到较高的SRF患病率,而医疗补助保险显著增加了核心SRF报告的几率.
结论:
- 在风湿病外科患者中存在大量的SRF负担,这凸显了患者的重大需求.
- SRF查提供了对患者障碍和潜在的护理差距的详细见解.
- 未来的研究应该探索SRF与临床结果和干预有效性的关联.
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