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中国系统性红斑狼疮患者心理状况、生活质量、自尊、社会支持和体像紊乱的相关性。

The correlations of psychological status, quality of life, self-esteem, social support and body image disturbance in Chinese patients with Systemic Lupus Erythematosus.

机构信息

a Department of Nursing , The Second Affiliated Hospital of Nantong University , Nantong , China.

b School of Nursing , Nantong University , Nantong , China.

出版信息

Psychol Health Med. 2018 Aug;23(7):779-787. doi: 10.1080/13548506.2018.1434214. Epub 2018 Jan 31.

Abstract

This study aimed (i) to complement existing research by focusing on body image disturbance issues in Chinese Systemic Lupus Erythematosus (SLE) patients; (ii) to investigate how Chinese patients make sense of disease diagnosis and perceived cultural influences within the context of their SLE. A total of 118 SLE patients underwent standardized laboratory examinations and completed several questionnaires. Independent sample t-test, Mann-Whitney U-test, Chi-square test, and multivariate analysis using backward stepwise logistic regression model were used to analyze these data. We found 18.3% SLE patients had BID, which were significantly higher than the control group (.8%). SLE patients are more concerned about their physical changes caused by disease. There were significant correlations among personal health insurance, complication of diabetes, appearance of new rash, depression, anxiety, self-esteem and BID in patients with SLE. Meanwhile, logistic regression analysis revealed that appearance of new rash and high anxiety were significantly associated with BID in SLE patients. In conclusion, it is beneficial to pay attention to the physical and mental health of patients with rheumatic disease from the perspective of body image, to understand their needs and to provide effective and effective service for them.

摘要

本研究旨在(i)通过关注中国系统性红斑狼疮(SLE)患者的身体意象障碍问题,补充现有研究;(ii)探讨中国患者如何在 SLE 背景下理解疾病诊断和感知到的文化影响。共有 118 名 SLE 患者接受了标准化的实验室检查,并完成了多项问卷调查。采用独立样本 t 检验、Mann-Whitney U 检验、卡方检验和多元逐步逻辑回归模型进行分析。我们发现 18.3%的 SLE 患者存在 BID,明显高于对照组(0.8%)。SLE 患者更关注疾病引起的身体变化。SLE 患者的个人医疗保险、糖尿病并发症、新发皮疹、抑郁、焦虑、自尊与 BID 存在显著相关性。同时,逻辑回归分析显示,新发皮疹和高焦虑与 SLE 患者的 BID 显著相关。总之,从身体意象的角度关注风湿性疾病患者的身心健康,了解他们的需求,并为他们提供有效和有效的服务是有益的。

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