摘要
目的调查广州社区风湿病患者的生命质量状况及其影响因素。方法 2012年10—12月采用整群抽样法从广州市逢源社区及彩虹社区所有居民健康档案中抽取样本,并按档案排列顺序查找记录有疑似风湿病症状但未确诊者及已在各医院风湿科确诊的骨关节炎(OA)、痛风、类风湿关节炎(RA)、骨质疏松症(OP)、强直性脊柱炎(AS)、系统性红斑狼疮(SLE)患者各50例(分为OA组、痛风组、RA组、OP组、AS组、SLE组),同时按随机整群抽样法抽取两社区健康档案中健康人群50例作为对照组。应用健康调查量表(SF-36)作为健康调查问卷进行生命质量评分,SF-36包括:生理功能(PF)、生理职能(RP)、身体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)、情感职能(RE)、心理健康(MH)8个维度;并同时记录性别、年龄、学历(高学历:大专及以上;中低学历:高中及以下)、家庭月收入、就医情况、治疗方式(规范治疗,不规范治疗)、病情活动性、是否达标治疗和月平均治疗费用;分析风湿病患者生命质量的影响因素。结果 6组风湿病患者的性别构成、年龄、学历、家庭月收入、医院就诊情况、治疗方式、病情活动性、达标治疗情况、月平均治疗费用比较,差异均有统计学意义(P<0.05)。各风湿病组及对照组的PF、RP、BP、GH、VT、SF、RE、MH比较,差异均有统计学意义(P<0.05)。OA组、RA组患者的PF、RP、BP维度评分低于SLE组患者(P<0.05);痛风组和OP组患者的PF、BP维度评分低于SLE组患者(P<0.05);SLE组患者的GH、SF维度评分低于OA组、RA组和AS组患者,MH维度评分低于痛风组、RA组和AS组患者(P<0.05);AS组患者的GH维度评分高于痛风组、RA组、OP组和SLE组患者,RE维度评分高于OA组、痛风组和RA组患者(P<0.05)。多元线性逐步回归分析显示,RA的生命质量与学历无相关性(P>0.05);学历、家庭月收入、治疗方式与风湿病患者生命质量呈正�
ObjectiveToinvestigatethequalityoflife（QOL）ofpatientswithrheumaticdiseases（RD）anditsin-fluential factors in Guangzhou communities .Methods Cluster sampling method was used to sample from all the inhabitants of Guangzhou Fengyuan Community and Rainbow Community Health Archives from October to December 2012, according to the file sequence search records of suspected rheumatic symptoms but not definited and had been in osteoarthritis each hospital department of patients with osteoarthritis （OA group）, gout （gout group）, rheumatoid arthritis （RA group）, osteoporosis （OP group）, ankylosing spondylitis （AS group）, systemic lupus erythematosus （SLE group） and healthy subjects （control group）, 50 in each, were enrolled in this study.SF-36 scale was used to perform QOL scores including physiological function （PF）, role physical （RP）, bodily pain （BP）, general health （GH）, vitality （VT）, social function （SF）, role emotional （RE）,＆amp;nbsp;mental health （MH）.Gender, age, educational levels （including high education： college and above; low education： high school or lower ） , family income , medical condition , treatment （ including standard treatment , non-standard treatment ） , dis-ease activity , treatment reaching standard , treatment costs （ average monthly cost ） were recorded; The factors influencing QOL of RD patients.Results There was significant difference in gender , age, educational level, family monthly income, hospital visit, treatment, disease activity, treatment reaching the standard , average monthly cost in 6 groups of rheumatism patients （P〈0.05）.There were differences in PF, RP, BP, GH, VT, SF, RE, MH in control group and the other 6 groups （P〈0.05）.The scores of PF, RP, BP were lower in groups OA, RA than in SLE group （P〈0.05）; Those of PF, BP lower in groups gout, OP than in SLE group （P〈0.05）; Those of GH, SF lower in SLE group than in groups OA , RA, AS, and MH score lower than in groups gout ,
出处
《中国全科医学》
CAS
CSCD
北大核心
2014年第21期2490-2494,共5页
Chinese General Practice
基金
广东省中医药局建设中医药强省2012年度科研课题(20122103)
广州市荔湾区2013年度科技计划项目(20131215072)
关键词
风湿性疾病
问卷调查
社区
生命质量
Rheumaticdiseases
Questionnaires
Community
Qualityoflife
