类风湿性关节炎患者自我感知负担的决定因素:一个横截面研究
Yuping Tang1, Yinghui Zhang2, Lei Shi1
1Department of Rheumatology and Immunology, The Second Hospital of Shanxi Medical University, Taiyuan, 030001, China.
Advances in rheumatology (London, England)
|September 27, 2025
概括
类风湿性关节炎患者经历中等程度的自我感知负担 (SPB),受到日常生活活动,婚姻状况和收入的影响. 了解这些因素对于改善患者护理和公共卫生战略至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 公共卫生 公共卫生
- 慢性疾病的心理社会方面
背景情况:
- 类风湿性关节炎 (RA) 是一种慢性自身免疫性疾病,影响患者的生活质量.
- 自我感知负担 (SPB) 是影响RA管理的重要心理社会方面.
- 有限的数据存在于当前的SPB状态及其决定因素在特定地区的RA患者.
研究的目的:
- 评估类风湿性关节炎 (RA) 患者自我感知负担 (SPB) 的患病率和严重程度.
- 确定影响RA患者中SPB的关键因素.
- 为 RA 管理提供有针对性的干预措施和医疗保健策略.
主要方法:
- 一项涉及太原市第三级医院104名RA患者的横截面研究.
- 通过问卷收集数据:一般信息,自我感知负担量表 (SPBS),日常生活活动量表 (ADL) 和社会支持评分量表 (SSRS).
- 使用多变量线性回归分析来确定SPB的预测因素.
主要成果:
- 较大比例的RA患者 (40.38%) 报告中度SPB (平均得分为29.10±10.27).
- 最大的负担与担心护理人员的情绪影响有关.
- 关键的SPB预测因素包括婚姻状况 (β=0.19),ADL (β=-0.26) 和家庭月收入 (β=-0.30).
结论:
- 关节炎患者经历中等程度的自我感知负担.
- 日常生活活动,婚姻状况和经济因素显著影响RA患者的SPB.
- 研究结果强调需要综合护理,解决RA患者的心理社会和经济方面的问题.
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