Zhang Lijuan, Xia Yunfei, Zhang Qiuxiang, Fu Ting, Yin Rulan, Guo Genkai, Li Liren, Gu Zhifeng
a School of Nursing , Nantong University , Nantong , China.
b Department of Rheumatology , Affiliated Hospital of Nantong University , Nantong , China.
Psychol Health Med. 2017 Jan;22(1):28-36. doi: 10.1080/13548506.2016.1198817. Epub 2016 Jul 1.
This study aimed (i) to investigate the relationships among socioeconomic status, disease activity, quality of life, and the psychological status in Chinese rheumatoid arthritis (RA) patients; (ii) to explore the possible risk factors of anxiety and depression. A total of 160 RA patients underwent standardized laboratory examinations and completed several questionnaires. Independent samples t-tests, χ analyses, and logistic regression modeling were used to analyze the data. We found 30.6% RA patients were anxiety, and 27.5% had depression, which were significantly higher than the control group (7.8 and 11.7%, respectively). And there were significant correlations among education, pain, disease activity, medication adherence, functional capacity, quality of life, and anxiety/depression. Meanwhile, logistic regression analysis revealed that poor quality of life and low education level were significantly associated with anxiety/depression in RA patients. In conclusion, there were significant relationships among education, quality of life, and anxiety/depression in Chinese RA patients.
（i）调查中国类风湿关节炎（RA）患者的社会经济地位、疾病活动度、生活质量和心理状态之间的关系；（ii）探索焦虑和抑郁的可能危险因素。共有160例RA患者接受了标准化实验室检查并完成了几份问卷。采用独立样本t检验、χ分析和逻辑回归模型对数据进行分析。我们发现30.6%的RA患者存在焦虑，27.5%的患者存在抑郁，这显著高于对照组（分别为7.8%和11.7%）。并且教育程度、疼痛、疾病活动度、药物依从性、功能能力、生活质量与焦虑/抑郁之间存在显著相关性。同时，逻辑回归分析显示，生活质量差和教育水平低与RA患者的焦虑/抑郁显著相关。总之，中国RA患者的教育程度、生活质量与焦虑/抑郁之间存在显著关系。
