Palmer Deborah, El Miedany Yaser
Darent Valley Hospital Dartford, Kent.
Br J Nurs. 2010;19(15):965, 968-71. doi: 10.12968/bjon.2010.19.15.77692.
The recent introduction of patient-reported outcome measures (PROMs) assessment into rheumatology practice has changed the way patients suffering from inflammatory arthritis are assessed. This article describes a cross-sectional study of 102 rheumatoid arthritis (RA) patients that was undertaken to evaluate the construct of helplessness in patients with RA, its correlation with other disease activity parameters, and its sensitivity to change following biologic therapy. The study also set out to explore the possibility of including a self-helplessness measurement, using the modified Rheumatology Attitude Index (mRAI), as part of the holistic patient assessment in standard clinical practice. Assessment of self-helplessness was shown to be significantly correlated with both psychological as well as functional status measures. The mRAI index is a highly useful and predictive tool for clinical use that is responsive to change in the patients' clinical condition. As part of the PROMs questionnaire, this scale can be applied in a manner similar to other indicators of disease activity status, and is as easy to administer and interpret in standard clinical practice.
近期将患者报告结局测量（PROMs）评估引入风湿病学实践，改变了对炎性关节炎患者的评估方式。本文描述了一项针对102例类风湿关节炎（RA）患者的横断面研究，该研究旨在评估RA患者的无助感结构、其与其他疾病活动参数的相关性以及生物治疗后其对变化的敏感性。该研究还着手探讨在标准临床实践中将使用改良风湿病态度指数（mRAI）进行自我无助感测量纳入整体患者评估的可能性。自我无助感评估显示与心理及功能状态测量均显著相关。mRAI指数是一种对临床使用非常有用且具有预测性的工具，对患者临床状况的变化有反应。作为PROMs问卷的一部分，该量表可以以类似于疾病活动状态其他指标的方式应用，并且在标准临床实践中易于实施和解读。
