类风湿关节炎患者的功能及生活质量评价。

G Baczyk
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摘要

目的:据报道,类风湿关节炎(RA)影响了波兰0.5-1%的成年人。这种情况在女性中的发病率是男性的两到三倍。大多数疾病发生在40至60岁之间。本研究的目的是评估在波兰波兹纳瓦的类风湿特殊诊所治疗的类风湿关节炎患者的功能和生活质量。具体问题是:类风湿性关节炎患者的功能和生活质量是否取决于人口统计学变量(性别和年龄)和疾病持续时间?材料与方法:研究样本包括168例RA患者,其中女性123例(73.2%),男性45例(26.8%)。为了评估功能和生活质量,采用波兰版关节炎影响测量量表2 (AIMS 2)。根据标准化方法将关节炎影响测量量表2翻译成波兰文(整体评分的内部一致性信度,alpha = 0.78)。AIMS 2评分范围从0-10分,0分代表高功能和生活质量,10分代表低功能和生活质量。结果:结果显示,身体状态和活动能力的AIMS 2平均得分为3.53分,处于生活质量平均测量的中等范围内。生活质量取决于患者的性别。女性在情感领域的得分明显低于男性。最年轻的患者在弯曲和行走方面表现出更高的生活质量评价(4.4)。RA患者的生活满意度在病程超过5年的患者中较高。
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The evaluation of the functioning and of the quality of life of patients with rheumatoid arthritis.

Purpose: It has been reported that Rheumatoid Arthritis (RA) affects 0.5-1% of the adult population in Poland. The condition is two or three times more common among women than among men. The majority of the onsets of disease occur between the ages of 40 and 60. The aim of this study was to assess the functioning and quality of life of patients with Rheumatoid Arthritis treated in Rheumatoid Special Clinic in Poznań, Poland. The specific question was: does the functioning and the quality of life of RA patients depend on demographic variables (gender and age) and duration of the disease?

Material and methods: The study sample consisted of 168 RA patients, including 123 women (73.2%) and 45 men (26.8%). To assess the functioning and the quality of life the Polish version of the Arthritis Impact Measurement Scales 2 (AIMS 2) was applied. The Arthritis Impact Measurement Scales 2 was translated into Polish according to standardized approach (internal consistency reliability for the global score, alpha = 0.78). AIMS 2 scores range from 0-10, with 0 representing high functioning and quality of life, 10 representing poor functioning and quality of life.

Results: The results showed that the mean scores on the AIMS 2 for physical state and mobility was 3.53, which is within the medium section of the average measurement of the quality of life. The quality of life depended on the sex of the patients. Women scored significantly lower in the emotional area than men. Youngest patients demonstrated higher evaluation of quality of life in the area of bending and walking (4.4). Life satisfaction of people with RA is higher among the patients suffering longer than 5 years.

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