包头地区类风湿关节炎患者生活质量及其影响因素分析  

Analysis of the quality of life of patients with rheumatoid arthritis and its influential factors in Baotou Area

作　　者：杨荣[1] 闫慧明[1] 王永福[1] 

机构地区：[1]包头医学院风湿免疫研究所,内蒙古包头014010

出　　处：《中国当代医药》2013年第9期174-176,179,共4页China Modern Medicine

摘　　要：目的分析类风湿关节炎患者生活质量的主要影响因素,为提高类风湿关节炎患者生活质量提供依据。方法采用国际通用的评价生活质量的SF-36量表对491例类风湿关节炎患者进行生活质量的调查,同时调查患者的社会经济情况、文化情况,以及患者的个人特征和患病的一般情况。用t检验、χ2检验和逐步回归对每一种影响因素分别进行分析,找出主要影响因素。结果单因素分析显示,患者性别、文化程度、职业、婚姻状况、医疗费用负担形式、反应疾病的活动程度与生活质量的各领域或大多数领域均有关系。多因素分析显示,对患者生活质量的主要影响因素是文化程度、医疗费用、职业和婚姻状况。结论类风湿关节炎患者由于长期病痛的折磨以及治疗的花费,使他们的生活质量明显降低。遏制过高的医疗费用,改善医疗水平,提高人民的健康教育水平,保持心情愉快,是提高类风湿关节炎患者生活质量的关键。Objective To analyze the main influential factors of the quality of life （QOL） of patients with rheumatoid arthritis （RA）, and provide a basis for the improvement of RA patients＂ QOL. Methods The SF-36 scale evaluating the QOL internationally was adopted to survey 491 RA patients as well as their social and economic status, cultural situa- tion, personal characteristics, and general condition of diseases. Each influential factor was analyzed by t-test, variance analysis, and stepwise regression in order to find out the principal ones. Results On univariate analysis, gender, educa- tional level, occupation, marital status, medical expense form, and active level reflecting the disease were related with all or most areas of the QOL. Further multivariate analysis was performed, and the main factors influencing the QOL were educational level, medical expense, occupation, and marital status. Conclusion Due to long-term torture by dis- ease and medical expense in RA patients, their QOL obviously decreased. The key to better RA patients＂ QOL is through curbing exorbitant medical cost, improving medical care level and people＇ s health education level, and main- taining a good mood.

关 键 词：类风湿关节炎 生活质量评价 生活质量 影响因素 

分 类 号：R593.2[医药卫生—内科学]