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狼疮患者:英国狼疮协会2014年会员调查结果

Individuals living with lupus: findings from the LUPUS UK Members Survey 2014.

作者信息

Morgan C, Bland A R, Maker C, Dunnage J, Bruce I N

机构信息

1 Arthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.

2 National Institute for Health Research (NIHR) Manchester Musculoskeletal Biomedical Research Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.

出版信息

Lupus. 2018 Apr;27(4):681-687. doi: 10.1177/0961203317749746. Epub 2018 Jan 8.

Abstract

Systemic lupus erythematosus (SLE) is a complex and unpredictable disease which varies greatly among patients and has a significant impact on an individual's daily living and quality of life. A better understanding of the patients' experiences with the disease is vital to the effective management of the disease. LUPUS UK, a national UK-registered charity supporting people with systemic and discoid lupus, conducted a UK-wide survey of individuals living with lupus in order to provide foundation information to support and identify gaps needing further research. An anonymous survey was sent to 5660 LUPUS UK members in order to obtain demographic, diagnosis, symptom and treatment information. A total of 2527 surveys were returned by 2371 females (mean age 56.9 years, SD 13.6) and 156 males, (mean age 60.9 years, SD 15.7). Individuals reported a mean (SD) time to diagnosis from the first symptom of 6.4 (9.5) years, with 47% ( n = 1186) initially being given a different diagnosis prior to lupus. Fatigue/weakness (91%, n = 2299) and joint pain/swelling (77.4%, n = 1957) were the most common symptoms that interfere with daily activities, while 73% ( n = 1836) noted having some problems that make them unable to carry out their usual daily activities. Thirty-two per cent ( n = 806) were also seeking support beyond traditional pharmacological treatments, such as acupuncture and massage. This study highlights the range and frequency of symptoms difficult to live with on a daily basis and support areas needing further research to improve patients' well-being.

摘要

系统性红斑狼疮(SLE)是一种复杂且不可预测的疾病,患者之间差异很大,对个人的日常生活和生活质量有重大影响。更好地了解患者的疾病经历对于有效管理该疾病至关重要。英国狼疮协会是一家在英国注册的全国性慈善机构,致力于支持患有系统性红斑狼疮和盘状红斑狼疮的患者。该协会在全英国范围内对狼疮患者进行了一项调查,以便提供基础信息,以支持并确定需要进一步研究的差距。为了获取人口统计学、诊断、症状和治疗信息,向5660名英国狼疮协会成员发送了一份匿名调查问卷。共收到2527份回复,其中女性2371名(平均年龄56.9岁,标准差13.6),男性156名(平均年龄60.9岁,标准差15.7)。患者报告从出现首个症状到确诊的平均(标准差)时间为6.4(9.5)年,47%(n = 1186)的患者在确诊狼疮之前最初被误诊。疲劳/虚弱(91%,n = 2299)和关节疼痛/肿胀(77.4%,n = 1957)是最常见的影响日常活动的症状,而73%(n = 1836)的患者指出存在一些问题,导致他们无法进行日常活动。32%(n = 806)的患者还在寻求传统药物治疗以外的支持,如针灸和按摩。这项研究突出了日常难以忍受的症状范围和频率,以及需要进一步研究以改善患者福祉的支持领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db08/5888773/d6c9374c83ab/10.1177_0961203317749746-fig1.jpg

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