类风湿性关节炎患者的疾病活动与生活质量之间的关系:网络分析
Ruo-Wei Ma1, Lin Zhu1, Ming-Hui Zhang1
1School of Nursing, Anhui Medical University, Hefei, China.
PeerJ
|August 27, 2025
概括
疾病活动显著影响类风湿性关节炎 (RA) 患者的生活质量 (QoL),特别是身体功能. 抑郁症症状改变了 RA 患者的 QoL 网络结构.
科学领域:
- 关节病学
- 精神病学
- 网络分析
背景情况:
- 类风湿性关节炎 (RA) 显著影响患者的生活质量 (QoL).
- 抑郁症状在 RA 中很常见,并与较低的 QoL 相关.
- 网络分析提供了一种新的方法来理解RA中的复杂关系.
研究的目的:
- 通过网络分析,研究 RA 患者的疾病活性与 QoL 之间的关系.
- 为了比较患有抑郁症状和没有抑郁症状的RA患者的QOL网络结构.
主要方法:
- 使用SF-36,HADS和DAS28来分别测量QOL,抑郁症状和疾病活动.
- 使用网络分析可视化和比较QOL结构.
- 根据抑郁症状的存在将424名RA患者分成组进行比较分析.
主要成果:
- 疾病活动与身体功能 (PF) 域的QOL有很强的关联 (边缘重量=0. 237).
- 在患有抑郁症状和没有抑郁症状的 RA 患者之间观察到 QoL 网络结构的显著差异 (M = 0. 274, P = 0. 029).
- 在QoL网络中的特定边缘强度也在各组之间存在差异.
结论:
- 疾病活动是 RA 的关键决定性因素,特别是影响身体功能.
- 抑郁症状的存在显著改变了 RA 患者的 QoL 网络结构.
- 网络分析提供了有关 RA 的多面性质的宝贵见解.
相关概念视频
Rheumatic Heart Disease IV: Nursing Management
37
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
37
The JAK-STAT Signaling Pathway
9.2K
Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as SH2...
9.2K
Factors Affecting Illness
4.4K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.4K
Rheumatic Heart Disease III: Medical Management
32
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
32
Genome-wide Association Studies-GWAS
14.1K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
14.1K
Rheumatic Heart Disease I: Introduction
39
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
39


