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沙特类风湿关节炎患者的工作能力与工作残疾评估。特别关注家庭主妇的工作能力。

Work ability and work disability evaluation in Saudi patients with rheumatoid arthritis. Special emphasis on work ability among housewives.

作者信息

Janoudi Nahid, Almoallim Hani, Husien Waleed, Noorwali Abdulsalam, Ibrahim Ashraf

机构信息

Department of Medicine, Dr. Soliman Fakeeh Hospital, Jeddah, Kingdom of Saudi Arabia.

出版信息

Saudi Med J. 2013 Nov;34(11):1167-72.

PMID:24252896
Abstract

OBJECTIVE

To assess work ability and work satisfaction in Saudi Arabian patients with rheumatoid arthritis (RA) and to compare work ability outcomes and work satisfaction levels between housewives and paid workers both suffering from RA.

METHODS

This is a cross sectional study on 120 patients with RA conducted at 3 hospitals between September 2011 and May 2012. The Quantity-Quality Method (Q-Q Method) and the Work Satisfaction Questionnaire were used for the assessment of the impact of RA on the work ability of the patients enrolled in this study. The RA disease severity was assessed using Disease Activity Score-28 (DAS-28) and Health Assessment Questionnaire (HAQ).

RESULTS

The mean +/- standard deviation scores were: 5.45 +/- 2.533 (work quantity); 6.22 +/- 2.5218 (work quality); and 6.26 +/- 2.963 (work satisfaction). Work productivity lost due to RA was estimated to be 3.64 hours. Compared with paid workers included in the study, housewives had significantly lower work quantity (p=0.041), quality (p=0.021), and work satisfaction (p=0.040) scores. Fatigue, swollen joint count, tender joint count, HAQ, and the use of biologic therapy were found to be the variables that were significantly related to work quantity.

CONCLUSION

Housewives with RA suffer worse work ability outcomes and poorer work satisfaction compared to paid workers with RA.

摘要

目的

评估沙特阿拉伯类风湿关节炎(RA)患者的工作能力和工作满意度,并比较患有RA的家庭主妇和有薪工作者之间的工作能力结果和工作满意度水平。

方法

这是一项于2011年9月至2012年5月在3家医院对120例RA患者进行的横断面研究。采用数量-质量法(Q-Q法)和工作满意度问卷来评估RA对本研究中纳入患者工作能力的影响。使用疾病活动评分-28(DAS-28)和健康评估问卷(HAQ)评估RA疾病严重程度。

结果

平均±标准差得分分别为:5.45±2.533(工作数量);6.22±2.5218(工作质量);以及6.26±2.963(工作满意度)。因RA导致的工作生产力损失估计为3.64小时。与研究中纳入的有薪工作者相比,家庭主妇的工作数量(p=0.041)、质量(p=0.021)和工作满意度(p=0.040)得分显著更低。发现疲劳、肿胀关节计数、压痛关节计数、HAQ以及生物疗法的使用是与工作数量显著相关的变量。

结论

与患有RA的有薪工作者相比,患有RA的家庭主妇工作能力结果更差,工作满意度更低。

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