Department of Rheumatology and Immunology, the First Affiliated Hospital of Harbin Medical University, Youzheng Road 23, Nangang District, Harbin, 150001, People's Republic of China.
Department of Rheumatology and Immunology, the First Hospital of Qiqihar City, Qiqihar, 161000, People's Republic of China.
Clin Rheumatol. 2018 Jan;37(1):151-160. doi: 10.1007/s10067-017-3910-4. Epub 2017 Nov 22.
To assess the health-related quality of life (HRQOL) of Han Chinese people with systemic lupus erythematosus (SLE) using a Chinese version of the Systemic Lupus Erythematosus-Specific Quality of Life Questionnaire (SLEQOL-C) and explore the factors influencing HRQOL of people with SLE. Participants were Han Chinese people with SLE. The SLEQOL-C and 36-item Short Form Health Survey (SF-36) were used to estimate the HRQOL. Disease activity was determined using the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) and fatigue using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F). Participant factors included age, gender, educational background, disease duration, erythrocyte sedimentation rate (ESR), and complement C3 and C4 levels. The results showed that higher SLEQQL-C scores correlated with lower SF-36 both measures are essential for HRQQL prediction. The SLEQOL-C scores were correlated with educational level,age, FACIT-F score, SLEDAI score, and ESR, which suggests that poor educational background, old-age, and increased fatigue, disease activity, and ESR might represent poor HRQOL. Although disease duration did not significantly correlate with the scores on the SLEQOL-C; those whose disease duration was 12-24 months had higher SLEQOL-C summary scores and physical functioning, symptoms, and treatment subscale scores than did those whose duration was less than 6 months. The FACIT-F score, education level, age, disease duration, SLEDAI score, and ESR contributed to SLEQOL-C scores. The SLEQOL-C is reliable for assessing HRQOL of Han Chinese people with SLE. Fatigue, educational level, age, disease duration, ESR, and disease activity mainly influenced HRQOL of SLE patients.
为了评估汉族系统性红斑狼疮(SLE)患者的健康相关生活质量(HRQOL),我们使用中文版系统性红斑狼疮生活质量问卷(SLEQOL-C),并探讨影响 SLE 患者 HRQOL 的因素。参与者为汉族 SLE 患者。使用 SLEQOL-C 和 36 项简短健康调查问卷(SF-36)来评估 HRQOL。疾病活动度使用系统性红斑狼疮疾病活动指数(SLEDAI)确定,疲劳使用慢性病治疗疲劳功能评估(FACIT-F)确定。参与者的因素包括年龄、性别、教育背景、疾病持续时间、红细胞沉降率(ESR)和补体 C3 和 C4 水平。结果表明,更高的 SLEQQL-C 评分与更低的 SF-36 评分相关,两者都是 HRQQL 预测的重要指标。SLEQOL-C 评分与教育水平、年龄、FACIT-F 评分、SLEDAI 评分和 ESR 相关,表明较差的教育背景、年龄较大、疲劳、疾病活动度和 ESR 增加可能代表较差的 HRQOL。尽管疾病持续时间与 SLEQOL-C 评分无显著相关性,但疾病持续时间为 12-24 个月的患者的 SLEQOL-C 总分和生理功能、症状和治疗亚量表评分均高于疾病持续时间小于 6 个月的患者。FACIT-F 评分、教育水平、年龄、疾病持续时间、SLEDAI 评分和 ESR 对 SLEQOL-C 评分有影响。SLEQOL-C 可用于可靠地评估汉族 SLE 患者的 HRQOL。疲劳、教育水平、年龄、疾病持续时间、ESR 和疾病活动度主要影响 SLE 患者的 HRQOL。