Birtane Murat, Uzunca Kaan, Taştekin Nurettin, Tuna Hakan
Trakya University Medical Faculty Physical Therapy and Rehabilitation Department, Edirne, Turkey.
Clin Rheumatol. 2007 May;26(5):679-84. doi: 10.1007/s10067-006-0359-2. Epub 2006 Aug 2.
Musculoskeletal disorders are the most common causes of deterioration in quality of life (QOL). We in this study aimed to assess (1) the impact of fibromyalgia syndrome (FS) on QOL comparing with that of rheumatoid arthritis (RA) patients and control subjects and (2) the impact of these two musculoskeletal disorders on various components of QOL using SF-36 Health Survey. Thirty-five patients with RA, 30 patients with FS, and 30 voluntary control subjects were included in the study. The groups were comparable in terms of demographic characteristics. QOL was evaluated by using Short-Form (SF)-36 Health Survey in all study participants, and Fibromyalgia Impact Questionnaire (FIQ), which is a specific health-status instrument for FS, was used in FS patients. Physical functioning, physical role, social functioning, bodily pain, general health, vitality, emotional role, and mental health scores were significantly lower in RA and FS patients than in control subjects (p<0.05). The between-groups comparisons revealed that FS patients had significantly lower mental health scores than RA patients (49.87 vs 62.51, respectively), (p<0.001). Total FIQ score correlated significantly with physical functioning, physical role, and bodily pain in FS patients. All parameters of SF-36 Health Survey except for social functioning correlated significantly with some of the variables of FIQ. FS has a negative impact on QOL, like RA. Furthermore, mental health was more severely affected in FS patients when compared with RA patients.
肌肉骨骼疾病是导致生活质量(QOL)下降的最常见原因。我们开展本研究旨在评估:(1)与类风湿关节炎(RA)患者及对照受试者相比,纤维肌痛综合征(FS)对生活质量的影响;(2)使用SF-36健康调查评估这两种肌肉骨骼疾病对生活质量各个组成部分的影响。本研究纳入了35例RA患者、30例FS患者和30名自愿参与的对照受试者。这些组在人口统计学特征方面具有可比性。所有研究参与者均使用简短形式(SF)-36健康调查评估生活质量,FS患者使用纤维肌痛影响问卷(FIQ),这是一种针对FS的特定健康状况工具。RA和FS患者的身体功能、身体角色、社会功能、身体疼痛、总体健康、活力、情感角色和心理健康得分显著低于对照受试者(p<0.05)。组间比较显示,FS患者的心理健康得分显著低于RA患者(分别为49.87和62.51),(p<0.001)。FS患者的FIQ总分与身体功能、身体角色和身体疼痛显著相关。SF-36健康调查中除社会功能外的所有参数均与FIQ的一些变量显著相关。与RA一样,FS对生活质量有负面影响。此外,与RA患者相比,FS患者的心理健康受到的影响更严重。
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