Long J A, Husted J A, Gladman D D, Farewell V T
University of Toronto Rheumatic Disease Unit and the Psoriatic Arthritis Clinic, The University Health Network, Toronto Western Hospital, Ontario, Canada.
J Rheumatol. 2000 Apr;27(4):958-66.
To investigate whether patient satisfaction with health is a distinct aspect of clinical or health status in a sample of patients with psoriatic arthritis (PsA).
One hundred sixty-nine consecutive outpatients attending the University of Toronto PsA Clinic completed the Arthritis Impact Measurement Scales II (AIMS2), which includes both a global rating of patient satisfaction with health and a scale that assesses satisfaction with functioning in 12 health domains. Clinical, laboratory, and radiological assessments of function, pain, inflammation, and damage were also performed according to a standard protocol.
Logistic regression analysis indicated that the AIMS2 global ratings of patient satisfaction with health were not associated with traditional clinical measures of inflammation and damage, but were associated with American College of Rheumatology (ACR) functional class and number of fibromyalgia tender points. Patient satisfaction was also related to annual family income and use of retinoids or corticosteroids. Similarly, linear regression analysis showed that scores on the AIMS2 satisfaction scale were unrelated to traditional clinical measures of inflammation and damage, with the exception of total number of actively inflamed joints. ACR functional class, annual family income, and comorbidity were also related to scores on the satisfaction scale.
Patient satisfaction with health appears to be relatively independent of traditional clinical measures of physical functioning, pain, and disease status.
在一组银屑病关节炎（PsA）患者样本中，调查患者对健康的满意度是否是临床或健康状况的一个独特方面。
169名连续就诊于多伦多大学PsA诊所的门诊患者完成了关节炎影响测量量表II（AIMS2），该量表包括患者对健康的总体满意度评分以及一个评估在12个健康领域功能满意度的量表。还根据标准方案对功能、疼痛、炎症和损伤进行了临床、实验室和放射学评估。
逻辑回归分析表明，AIMS2中患者对健康的总体满意度评分与炎症和损伤的传统临床指标无关，但与美国风湿病学会（ACR）功能分级和纤维肌痛压痛点数有关。患者满意度还与家庭年收入以及维甲酸或皮质类固醇的使用情况有关。同样，线性回归分析显示，AIMS2满意度量表得分与炎症和损伤的传统临床指标无关，但与活动性炎症关节总数除外。ACR功能分级、家庭年收入和合并症也与满意度量表得分有关。
患者对健康的满意度似乎相对独立于身体功能、疼痛和疾病状态的传统临床指标。
