Department of Internal Medicine and Rheumatology, Al Noor Hospital, Airport Road, Abu Dhabi, United Arab Emirates.
Clin Rheumatol. 2011 Nov;30(11):1511-4. doi: 10.1007/s10067-011-1853-8. Epub 2011 Sep 27.
The principle objective was to determine the spectrum of some health concerns that are likely to be present in patients with established rheumatoid arthritis (RA) in patients living in United Arab Emirates. One hundred and one RA patients and 82 with other arthropathies, predominantly Arab individuals, were interviewed for main health concerns while receiving antirheumatic drug therapy. All were requested to indicate and prioritize their first three concerns. Setting up the list of concerns was based on previous conclusions to the question of "What bothers you most with your disease?" Pain attributed to the disease was the predominant concern in both groups: 82% vs. 71%, p=NS. Pain was also prioritized by the RA patients in the first rank, n=52/82 patients, and surpassed its prioritization in the second and third ranks combined (63.5% vs. 36.5%, p=0.001). Fear of future disability came second in RA patients, 50% vs. 25.5% in the other group, p=0.001. Depressive feeling surprisingly was more dominant in patients with other arthropathies, 35.5% vs. 20% in RA patients, p=0.001. In the prioritization of concerns, the fear of disability was first ranked by 24% of RA patients compared to 8.5% by patients with other arthropathies (p=0.009) while the latter patients were significantly concerned about depressive feeling and fatigue compared to RA patients (7% vs. 0%, p=0.007 and 14.5% vs. 5%, p=0.04, respectively). Significant hand deformities was noticed in 25 RA patients (25%); however, only 11 of those (44.5%) indicated their fear of disability compared to the others who did not (p = NS, OR = 0.73, and 95% CI 0.275-1.665). Therefore in this predominantly Arab cohort, pain is the main health concern for RA patients and patients with other arthropathies. Patients with RA are more concerned about becoming disabled, while other patients are more concerned with feeling depressed or fatigued. Those lived with phobia of disability in RA patients did that irrespective to the presence or absence of significant hand deformities.
研究的主要目的是确定在阿联酋居住的已确诊类风湿关节炎（RA）患者中，一些可能存在的健康问题的范围。101 例 RA 患者和 82 例其他关节病患者（主要为阿拉伯人）在接受抗风湿药物治疗时接受了主要健康问题的访谈。所有患者均被要求指出并优先考虑他们的前三个问题。关注问题列表的建立是基于之前对“什么最困扰您的疾病？”这一问题的结论。两组患者均以疾病相关疼痛为主要关注点：82% vs. 71%，p=NS。RA 患者也将疼痛排在首位，82 例患者中有 52 例，超过了第二和第三位的总和（63.5% vs. 36.5%，p=0.001）。RA 患者中，对未来残疾的恐惧排名第二，占 50%，而其他组为 25.5%，p=0.001。令人惊讶的是，抑郁情绪在其他关节病患者中更为明显，占 35.5%，而 RA 患者中仅占 20%，p=0.001。在关注问题的优先排序中，24%的 RA 患者将残疾恐惧排在首位，而其他关节病患者中只有 8.5%（p=0.009），而后者患者则明显担心抑郁情绪和疲劳，与 RA 患者相比（7% vs. 0%，p=0.007 和 14.5% vs. 5%，p=0.04）。25 例 RA 患者（25%）出现明显手部畸形，但只有 11 例（44.5%）表示担心残疾，而其他患者并不担心（p=NS，OR=0.73，95%CI 0.275-1.665）。因此，在这个以阿拉伯人为主的队列中，疼痛是 RA 患者和其他关节病患者的主要健康关注点。RA 患者更关心致残，而其他患者则更关心抑郁或疲劳。那些担心残疾的 RA 患者，无论手部是否有明显畸形，都会有这种恐惧。
