Li Jun, Zhan Si-yan, Xu Li-ling
Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100083, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2003 Dec;24(12):1132-5.
To evaluate the quality of life of arthritis patients in China.
Patients (n = 1 344) were selected by stratified random sampling according to the economic conditions and the ranking of hospitals, and asked to complete the arthritic self-reported questionnaire of quality of life.
The scores of quality of life were not different between male arthritis and female arthritis in different age groups (P > 0.05). The lower scores of quality of life were reported more often among the women older than 65 years. Those of lower educational level and lower income got fewer scores. Compared to the married and unmarried patients, the divorcees and those who were bereft of their spouses gained low scores (t = 9.310, P = 0.001). Among different occupation groups, the labors and farmers also got lower scores than others (P < 0.05). On the other hand, if the arthritis with better physical conditions, it was more possible that the scores were higher, but to pressed pain index, there were no different scores shown between the second and third grade (mean difference = 4.910, P = 0.765), and to joint swell index, there are no different scores between either the 0 and 1 grade (mean difference = 16.308, P = 0.079) or the 2 and 3 grade (mean difference = 6.643, P = 0.533).
To improve the quality of life of all arthritis patients, enhancing the quality of medical technology and enriching the medical knowledge are evidently necessary. However, it is also important to prefect social security system, to improve the country education and pay attention to life of elderly in order to improve the quality of life of all arthritis patients.
评估中国关节炎患者的生活质量。
根据经济状况和医院排名，采用分层随机抽样法选取患者（n = 1344），并要求他们完成关节炎生活质量自评问卷。
不同年龄组中，男性和女性关节炎患者的生活质量得分无差异（P > 0.05）。65岁以上女性报告的生活质量得分较低。教育水平较低和收入较低的患者得分较少。与已婚和未婚患者相比，离婚者和丧偶者得分较低（t = 9.310，P = 0.001）。在不同职业组中，体力劳动者和农民的得分也低于其他组（P < 0.05）。另一方面，如果关节炎患者身体状况较好，则得分较高的可能性更大，但对于压痛指数，二级和三级之间的得分无差异（平均差异 = 4.910，P = 0.765），对于关节肿胀指数，0级和1级之间（平均差异 = 16.308，P = 0.079）或2级和3级之间（平均差异 = 6.643，P = 0.533）的得分均无差异。
为提高所有关节炎患者的生活质量，显然有必要提高医疗技术水平和丰富医疗知识。然而，完善社会保障体系、提高国民教育水平和关注老年人生活对于提高所有关节炎患者的生活质量也很重要。
