城乡老年膝骨性关节炎患者生活质量、自我效能及关节症状的现状及对比分析  

The Quality of Life, Self-Efficacy and Arthritis Symptoms in Elderly Patients with Knee Osteoarthritis in Rural and Urban Areas: 296 Cases Reported for Comparative Analysis

作　　者：陈冬梅[1] 汪凤兰[1] 王玉静[1] 邢凤梅[1] 宋乔艳 冷莎莎[2] 张明杰[1] 王芳[1] 

机构地区：[1]河北联合大学护理与康复学院,河北唐山063000 [2]西安交通大学第二附属医院,陕西西安710000

出　　处：《现代预防医学》2015年第6期1020-1022,共3页Modern Preventive Medicine

基　　金：国家社科基金资助项目(13BRK005);河北联合大学大学生创新创业训练计划项目(X2014109)

摘　　要：目的探讨城乡老年膝骨关节炎(Knee Osteoarthritis,KOA)患者生活质量、自我效能及关节炎症状,并进行对比分析。方法采用整群抽样随机抽取了唐山市3个社区及4个行政村的KOA患者。应用一般情况调查表、关节炎生活质量测量量表(AIMS2-SF)、关节炎自我效能量表(8个条目版)(ASES-8)、骨关节炎指数评估表(WOMAC)对296例老年KOA患者进行生活质量、自我效能及关节症状的调查。结果城乡老年KOA患者生活质量总体得分的均数为(70.88±14.24)分,农村患者生活质量评分为(68.82±16.94)分,城市为(72.89±10.68)分,城乡比较差异有统计学意义(P<0.05)。WOMAC指数得分为(35.13±14.27)分,城乡比较差异无统计学意义(P>0.05)。自我效能水平的平均得分(4.60±1.45)分,农村为(3.99±1.44)分,城市为(5.20±1.20)分,城乡比较差异有统计学意义(P<0.05)。相关分析显示,自我效能与生活质量各维度呈明显正相关,WOMAC指数与生活质量各维度呈明显负相关。结论老年KOA患者生活质量处在中等水平,城市好于农村;关节炎自我效能感处在中等偏下水平,城市患者自我效能感优于农村;关节炎症状方面城乡基本以中度为主。生活质量与自我效能及WOMAC指数密切相关。建议加强对KOA患者的早期干预指导,延缓病情进展,并进行自我效能感的培训,以提高患者的生活质量。Objective This study was to learn the status of quality of life, self-efficacy and arthritis severity in elderly patients with knee osteoarthritis（KOA） in urban and rural areas. Methods A total of 296 KOA patients were surveyed with arthritis impact measurement scales-2 short form（AIMS2-SF）, arthritis self-efficacy for 8 items（ASES-8） and Western Ontario and Mc Master Universities asteoarthritis index（WOMAC） for the status of their life quality, self-efficacy and arthritis symptoms. Results The average score of AIMS2-SF was 70.88. The urban patients achieved significantly higher score in the AIMS2-SF（mean 72.89）compared with that of the rural patients（mean 68.82, P〈0.05）. The average score of WOMAC was 35.13, and there was no significant difference between urban and rural patients. The average score of self-efficacy was 4.60, with higher score in urban patients（mean 5.20） than that in the rural（mean 3.99, P〈0.05）. The score of AIMS2-SF were positively correlated with self-efficacy and negatively with WOMAC. Conclusion The quality of life and the arthritis self-efficacy in elderly patients with KOA were in a medium level. Knee osteoarthritis was largely on a mild-to-moderate level of severity（84.2%）. The life quality of KOA patients was closely related to self-efficacy and arthritis symptoms. It is suggested that the early interventions should be implemented to delay the progress of KOA and the interventions targeting arthritis self-efficacy may be helpful to improve the quality of life of KOA patients.

关 键 词：城乡 老年患者 膝骨关节炎 生活质量 自我效能 

分 类 号：R684[医药卫生—骨科学]