Arvidsson Susann, Arvidsson Barbro, Fridlund Bengt, Bergman Stefan
Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden.
Health Qual Life Outcomes. 2008 Nov 11;6:98. doi: 10.1186/1477-7525-6-98.
Many factors are proposed to be associated with health-related quality of life. Knowledge of health factors associated to development of a good health-related quality of life could be of use in clinical practice and public health work. The aim of this study was to investigate the associations between suggested health factors and health-related quality of life at baseline and in an eight-year follow up in subjects with and without chronic musculoskeletal pain in a cohort from a general population.
The study was designed as a longitudinal study in a Swedish general population (N = 1 849) with a postal questionnaire at baseline 1995 and at follow up 2003. Subjects were divided into two groups, according to their response about chronic musculoskeletal pain at baseline. Health-related quality of life was assessed by the SF-36 together with suggested health factors. The associations between SF-36 subscales and suggested health factors were estimated by OR and 95% CI calculated by multivariable logistic regressions, with adjustment for all health factors, age, sex and baseline SF-36 values.
Although subjects without chronic musculoskeletal pain reported better health-related quality of life than subjects with chronic pain, similar health factors were found to be associated to higher scores in SF-36 at baseline and predicted a better outcome in the eight-year follow up. The most consistent finding was a better health outcome in the eight-year follow up for subjects that were feeling rested after sleep. Other factors that in some aspects predicted a better outcome were belonging to higher socioeconomic group, being a native Swede, having emotional support, having good sleep structure, never being or being a former smoker, and regularly drinking alcohol.
The most important health factor in subjects with and without chronic musculoskeletal pain was feeling rested after sleep, but also emotional support, sleep structure, smoking and alcoholic habits appears to be important components. These health factors could be important to address in clinical work with painful musculoskeletal disorders. Since several health factors are common in both subjects with and without pain there could be a common strategy to be formed in public health programmes.
许多因素被认为与健康相关生活质量有关。了解与良好健康相关生活质量发展相关的健康因素可能对临床实践和公共卫生工作有用。本研究的目的是调查在一个来自普通人群的队列中，有和没有慢性肌肉骨骼疼痛的受试者在基线时以及八年随访中，建议的健康因素与健康相关生活质量之间的关联。
该研究设计为对瑞典普通人群（N = 1849）进行的纵向研究，在1995年基线时和2003年随访时通过邮寄问卷进行。根据受试者在基线时对慢性肌肉骨骼疼痛的回答将其分为两组。通过SF - 36以及建议的健康因素评估健康相关生活质量。通过多变量逻辑回归计算OR和95%CI来估计SF - 36子量表与建议健康因素之间的关联，并对所有健康因素、年龄、性别和基线SF - 36值进行调整。
尽管没有慢性肌肉骨骼疼痛的受试者报告的健康相关生活质量比有慢性疼痛的受试者更好，但在基线时发现类似的健康因素与SF - 36得分较高相关，并预测在八年随访中有更好的结果。最一致的发现是，睡眠后感觉休息良好的受试者在八年随访中有更好的健康结果。在某些方面预测有更好结果的其他因素包括属于较高社会经济群体、是瑞典本地人、有情感支持、有良好的睡眠结构、从不吸烟或曾经吸烟以及经常饮酒。
有和没有慢性肌肉骨骼疼痛的受试者中最重要的健康因素是睡眠后感觉休息良好，但情感支持、睡眠结构、吸烟和饮酒习惯似乎也是重要组成部分。这些健康因素在肌肉骨骼疼痛性疾病的临床工作中可能很重要。由于有疼痛和无疼痛的受试者中都有几个常见的健康因素，因此在公共卫生项目中可能可以形成一个共同的策略。
