Tewary Sweta, Farber Naomi
a Geriatric Education Center, Nova Southeastern College of Osteopathic Medicine , Ft. Lauderdale , Florida , USA.
J Evid Based Soc Work. 2014;11(3):237-47. doi: 10.1080/15433714.2012.759458.
Individuals with rheumatoid arthritis (RA) struggle to maintain improved functional ability and reduced pain levels. Health education emphasizing self-efficacy helps individuals to adjust with the disease outcome and progression. As a basis to develop comprehensive evidence-based patient education programs, the aim of the study was to examine the role of marriage as a predictor of pain and functional self-efficacy among individuals with RA. Review of the regression analysis did not provide support for the relationships between marital quality and self-efficacy. Relationships were not observed between marital quality, length of marriage, and self-efficacy as predicted by the first hypothesis. Additional regression analysis examination found that marital quality, length of marriage, pain, and health assessment together reported significant variance in self-efficacy. However, only health assessment significantly predicted self-efficacy. Other nonexamined variables could have influenced the independent marital quality effects. Future longitudinal studies with larger sample sizes can further validate the current findings.
类风湿关节炎（RA）患者努力维持改善后的功能能力并降低疼痛水平。强调自我效能感的健康教育有助于个体适应疾病结果和进展。作为制定全面的循证患者教育计划的基础，本研究的目的是检验婚姻作为RA患者疼痛和功能自我效能感预测因素的作用。回归分析的综述并未为婚姻质量与自我效能感之间的关系提供支持。如第一个假设所预测的，在婚姻质量、婚姻时长和自我效能感之间未观察到关系。额外的回归分析检验发现，婚姻质量、婚姻时长、疼痛和健康评估共同解释了自我效能感的显著差异。然而，只有健康评估显著预测了自我效能感。其他未检验的变量可能影响了婚姻质量的独立效应。未来样本量更大的纵向研究可以进一步验证当前的研究结果。
