El valor predictivo de la autoeficacia en la evolución de la artritis reumatoide y su relación con el dolor y la función

IF 1.2 Q4 RHEUMATOLOGY Reumatologia Clinica Pub Date : 2023-11-03 DOI:10.1016/j.reuma.2023.02.007
Raquel Cantero-Téllez , Ana Martin Mateos , César Cuesta García , Leire Cruz Gambero , Santiago Garcia Orza , Kristin Valdes
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Abstract

Background and objectives

Rheumatoid arthritis (RA) primarily affects the upper limbs and can cause disturbances in the performance of daily activities. The main objective of this study was to establish the relationship between self-efficacy, pain intensity, and duration of symptoms in patients with RA and analyse how each influences functional disability, and to determine the predictive value of self-efficacy over the other variables.

Methods

Cross-sectional study with a sample of 117 women diagnosed with RA. The endpoints were the visual analogue scale (VAS), Quick-DASH questionnaire and the Spanish scale of self-efficacy in rheumatic diseases.

Results

The most significant model for function (R2 = 0.35) includes function and pain, therefore, there is a relationship between self-efficacy, pain intensity, and upper limb functionality.

Discussion and conclusions

Our results agree with previous studies where a relationship between self-efficacy and functional disability is established, as well as self-efficacy and its relationship with physical functions, demonstrating that a low level of self-efficacy implies a decrease in functionality; however, no variable is more predictive than another.

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自我效能感对类风湿关节炎演变的预测价值及其与疼痛和功能的关系
背景与目的类风湿性关节炎(RA)主要影响上肢,可引起日常活动障碍。本研究的主要目的是建立RA患者的自我效能感、疼痛强度和症状持续时间之间的关系,分析每种因素如何影响功能残疾,并确定自我效能感对其他变量的预测价值。方法对117例RA患者进行横断面研究。终点为视觉模拟量表(VAS)、Quick DASH问卷和西班牙风湿病自我效能量表。结果最显著的功能模型(R2=0.35)包括功能和疼痛,因此,自我效能感、疼痛强度和上肢功能之间存在关系。讨论和结论我们的结果与先前的研究一致,在先前的研究中,自我效能感和功能残疾之间建立了关系,以及自我效能感及其与身体功能的关系,表明低水平的自我效能感意味着功能下降;然而,没有哪个变量比其他变量更具预测性。
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来源期刊
Reumatologia Clinica
Reumatologia Clinica RHEUMATOLOGY-
CiteScore
2.40
自引率
6.70%
发文量
105
审稿时长
54 days
期刊介绍: Una gran revista para cubrir eficazmente las necesidades de conocimientos en una patología de etiología, expresividad clínica y tratamiento tan amplios. Además es La Publicación Oficial de la Sociedad Española de Reumatología y del Colegio Mexicano de Reumatología y está incluida en los más prestigiosos índices de referencia en medicina.
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