天津医药 ›› 2017, Vol. 45 ›› Issue (9): 994-997.

• 流行病学调查 • 上一篇    下一篇

老年类风湿关节炎患者综合健康功能状况的影响因素分析

龙婷 1,冯蕾 1△,吴雷 1,张杪 1,陈华英 2   

  1. 1 昆明医科大学护理学院(邮编 650500);2 昆明医科大学第一附属医院
  • 收稿日期:2017-04-11 修回日期:2017-06-20 出版日期:2017-09-15 发布日期:2017-09-25
  • 通讯作者: 冯蕾 E-mail:fenglei3017@163.com
  • 基金资助:
    云南省教育厅科学研究基金项目

Analysis of influential factors of comprehensive health function of elderly patients with rheumatoid arthritis

LONG Ting1, FENG Lei1△, WU Lei1, ZHANG Miao1, CHEN Hua-ying2   

  • Received:2017-04-11 Revised:2017-06-20 Published:2017-09-15 Online:2017-09-25

摘要: 摘要:目的 了解老年类风湿关节炎患者的综合健康功能状况,并探讨其影响因素。方法 选取 2014 年 12 月— 2016 年 10 月昆明医科大学第一附属医院收治的 80 例老年类风湿关节炎患者,采用生活质量 SF-36 量表从躯体健 康、精神健康、日常活动能力、社会健康 4 个方面评估患者的综合健康状况。分别采用单因素分析和多因素线性回 归分析患者综合健康功能的影响因素。结果 单因素和多因素分析均显示文化程度较低、职业一般、婚姻不幸、经 济状况差、自费治疗是影响老年类风湿关节炎患者综合健康功能的危险因素(P<0.05)。结论 老年类风湿关节炎 患者均存在日常生活的功能、躯体健康、精神健康、社会健康的问题,而缓解过高的医疗费用,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综合健康的关键。

关键词: 关节炎, 类风湿, 老年人身心健康评价, 健康状况, 危险因素, 生活质量 SF-36 量表

Abstract: Abstract: Objective To understand the status of comprehensive health function impairment in elderly patients with rheumatoid arthritis, and to explore its influencing factors. Methods A total of 80 elderly patients with rheumatoid arthritis were enrolled in the first Affiliated Hospital of Kunming Medical University from December 2014 to October 2016. The quality of life SF-36 score was used to measure the physical health, mental health, daily activities and social health to assess the overall health status of patients. The factors influencing the comprehensive health function of the patients were analyzed by univariate analysis and multivariate linear regression analysis. Results The univariate and multivariate analysis showed that the low level of education, general occupation, marital misfortune, poor economic condition and self-treatment expense were the risk factors affecting the comprehensive health function in elderly patients with rheumatoid arthritis (P<0.05). Conclusion Elderly patients with rheumatoid arthritis have problems of the functions of daily life, physical health, mental health and social health. To alleviate the high medical costs, improve the level of medical treatment, improve the people’s health and education level and maintain a good mood are the key to improve the overall health in patients with rheumatoid arthritis.

Key words: arthritis, rheumatoid, geriatric assessment, health status, risk factors, quality of life SF-36