Pastor Mira Ma Ángeles, Lledó Boyer Ana, López-Roig Sofía, Pons Calatayud Nieves, Martín-Aragón Gelabert Maite
Universidad Miguel Hernández, Facultad de Psicología, Alicante, Spain.
Psicothema. 2010 Nov;22(4):549-55.
This work identifies which psychosocial, clinical and perceived health status factors predict health-resource use in Fibromyalgia (FM), considering the patients' assistance level. Participants were 315 FM patients from Primary Care (PC: n=101) and Rheumatology Services (RS: n=214). Stepwise regression analysis showed that self-efficacy variables were significant predictors of medication intake in PC, and, along with Illness-focused coping, of the health service use. In RS, perceived health status was the best predictor of medication intake. In any case, Pain intensity significantly predicted the use of health resources. These data offer a new perspective for intervention in these patients, taking into account the level of assistance.
这项研究确定了哪些心理社会、临床和感知健康状况因素可预测纤维肌痛（FM）患者的健康资源使用情况，并考虑了患者的援助水平。参与者为315名来自初级保健（PC：n = 101）和风湿病服务（RS：n = 214）的FM患者。逐步回归分析表明，自我效能变量是PC组药物摄入量的重要预测因素，并且与以疾病为中心的应对方式一起，是健康服务使用情况的预测因素。在RS组中，感知健康状况是药物摄入量的最佳预测因素。无论哪种情况，疼痛强度都是健康资源使用的重要预测因素。这些数据为针对这些患者的干预提供了一个新的视角，同时考虑到援助水平。
