Poole Janet L, Chiappisi Heather, Cordova Jennifer Schukar, Sibbitt Wilmer
Occupational Therapy Graduate Program, Department of Pediatrics, MSC09 5240, University of New Mexico, Albuquerque, NM 87131-0001, USA.
Am J Occup Ther. 2007 May-Jun;61(3):280-9. doi: 10.5014/ajot.61.3.280.
The purpose of this study was to examine quality of life (QOL) in American Indian and White women with and without rheumatoid arthritis.
This cross-sectional study included 64 women in four groups: American Indians with rheumatoid arthritis, healthy American Indians, Whites with rheumatoid arthritis, and healthy Whites. Participants received evaluations of pain, joint motion, hand function, daily task performance, community participation, and QOL.
There was a significant difference in QOL between the participants with rheumatoid arthritis and the healthy control groups but not between the American Indian and White groups. Current health and emotional-social function related to QOL in all groups. Dexterity also correlated with QOL in the two groups with rheumatoid arthritis. Performance of daily activities correlated with 0OL in all groups except the healthy White groups. Community participation did not correlate with COL.
The findings suggest that rheumatoid arthritis in American Indian and White women does affect COL and that QOL does not seem to be influenced by ethnicity. Factors that related to QOL also were similar for both groups with rheumatoid arthritis.
本研究旨在调查患有和未患类风湿性关节炎的美国印第安女性和白人女性的生活质量（QOL）。
这项横断面研究纳入了64名女性，分为四组：患类风湿性关节炎的美国印第安人、健康的美国印第安人、患类风湿性关节炎的白人以及健康的白人。参与者接受了疼痛、关节活动、手部功能、日常任务表现、社区参与和生活质量的评估。
患类风湿性关节炎的参与者与健康对照组之间的生活质量存在显著差异，但美国印第安人和白人组之间没有差异。当前健康状况和情感社会功能与所有组的生活质量相关。灵活性也与两组患类风湿性关节炎患者的生活质量相关。除健康白人组外，日常活动表现与所有组的生活质量相关。社区参与与生活质量无关。
研究结果表明，美国印第安女性和白人女性患类风湿性关节炎确实会影响生活质量，而且生活质量似乎不受种族影响。对于两组患类风湿性关节炎的患者，与生活质量相关的因素也相似。
