Verbrugge L M, Lepkowski J M, Konkol L L
Institute of Gerontology, University of Michigan.
J Gerontol. 1991 Mar;46(2):S71-83. doi: 10.1093/geronj/46.2.s71.
This article studies the excess levels of disability experienced by persons with arthritis, compared to persons without the disease. The data set is the Supplement on Aging (1984 National Health Interview Survey); it has information for a national probability sample of community-dwelling persons ages 55 + (N = 16,148). (1) Arthritis people have more difficulty in physical functions, personal care, and household care than do nonarthritis persons. The excess disability is greatest for physical functions (walking, reaching, stooping, etc.). Disabled arthritis people have especially high degrees of difficulty in physical activities that require endurance and strength. (2) Various models are tested for walking, grasping, shopping, and light housework to show how comorbidity propels disability for arthritis people and to show arthritis' own contribution to disability in the presence of other chronic conditions. Difficulties escalate for arthritis people when they have other concurrent conditions. These models affirm that arthritis has a pronounced effect on physical dysfunctions, but these are not readily translated into personal and household care problems. Apparently, arthritis people often make successful accommodations so their roles and daily activities are not seriously affected by the disease.
本文研究了患有关节炎的人与未患该疾病的人相比所经历的残疾程度过高的情况。数据集为《老龄化补充资料》（1984年全国健康访谈调查）；它包含了年龄在55岁及以上的社区居住者的全国概率样本信息（N = 16,148）。（1）与未患关节炎的人相比，患有关节炎的人在身体功能、个人护理和家庭护理方面有更多困难。身体功能（行走、够物、弯腰等）方面的额外残疾最为严重。残疾的关节炎患者在需要耐力和力量的身体活动中尤其困难。（2）针对行走、抓握、购物和轻度家务等进行了各种模型测试，以展示合并症如何促使关节炎患者出现残疾，以及在存在其他慢性疾病的情况下关节炎自身对残疾的影响。当关节炎患者有其他并发疾病时，困难会加剧。这些模型证实关节炎对身体功能障碍有显著影响，但这些影响并未轻易转化为个人和家庭护理问题。显然，关节炎患者通常能成功适应，因此他们的角色和日常活动不会受到该疾病的严重影响。
