Zaĭtseva T V, Bagirova G G
Ter Arkh. 2000;72(12):38-41.
To study quality of life (QL) in patients with rheumatoid arthritis (RA).
Questionnaire survey (MCA, BIPQ, AIMS, MHAQ) covered 190 RA patients (mean age 47.7 +/- 1.4 years). Many of them were group II invalids. All the patients had slow-progressive polyarthritis, articular and seronegative RA prevailed. Most of the patients had articular and seronegative RA with first-degree activity, x-ray stage II and third-degree deficiency of the articular function.
It is shown that RA patients have subnormal quality of life. Its deterioration was related to clinical parameters: duration of the disease and its activity, invalidity, X-ray stage, articular and locomotor functions, psychological status. Hypochondriac, apathical and neurastenic reactions to the disease occurred most frequently. Euphoric reaction to the disease was a positive factor for QL. Changes in social status were essential for QL in RA patients.
QL is an integral indicator of health status in RA patients. It can be estimated basing on only one questionnaire--AIMS as it includes all the necessary components.
研究类风湿关节炎(RA)患者的生活质量(QL)。
问卷调查(MCA、BIPQ、AIMS、MHAQ)涵盖了190例RA患者(平均年龄47.7±1.4岁)。他们中许多人属于二级伤残。所有患者均患有缓慢进展性多关节炎,以关节型和血清阴性RA为主。大多数患者患有一级活动度、X线II期及关节功能三级缺损的关节型和血清阴性RA。
结果显示,RA患者的生活质量低于正常水平。其恶化与临床参数有关:疾病持续时间及其活动度、伤残程度、X线分期、关节和运动功能、心理状态。对疾病的疑病、淡漠和神经衰弱反应最为常见。对疾病的欣快反应是生活质量的一个积极因素。社会地位的变化对RA患者的生活质量至关重要。
生活质量是RA患者健康状况的一个综合指标。仅基于一份问卷——AIMS就可以进行评估,因为它包含了所有必要的组成部分。