Department of Rehabilitation, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
Musculoskeletal Care. 2020 Jun;18(2):187-194. doi: 10.1002/msc.1454. Epub 2020 Feb 3.
Despite improved treatments and reduced disability, people with rheumatoid arthritis (RA) experience difficulties in daily life, which may negatively affect their balance of everyday life activities (occupational balance). The aim of this study was to describe occupational balance and its association with self-rated life satisfaction in men and women with RA.
A survey, including demographic and health-related questions, was sent to 1,277 people who met the following criteria: with RA >4 years, aged 18-80 years, included in the Swedish Rheumatology Quality Register (SRQ), and had at least one registered visit to the participating rheumatology units in the year before inclusion. The 682 who answered all items in the Occupational Balance Questionnaire (OBQ) were included in the study. Their answers were analysed with descriptive statistics, and logistic regression analyses were conducted on men and women separately.
Significantly higher occupational balance was identified in those participants who were >65 years, had no children at home, had a lower disease activity score, were not continuously stressed and reported low pain intensity. The results of the logistic regression analyses of both genders showed that higher occupational balance was significantly associated with a higher probability for rating themselves as being satisfied with life as a whole.
Occupational balance was identified as related to satisfaction with life as a whole, which is valuable information for health professionals. Enhanced occupational balance may be achieved in people with RA by working towards reducing their stress and pain.
尽管治疗方法有所改善，残疾程度有所降低，但类风湿关节炎（RA）患者在日常生活中仍会遇到困难，这可能会对他们的日常生活活动（职业平衡）产生负面影响。本研究的目的是描述 RA 患者的职业平衡状况及其与自我报告生活满意度的关系。
一项调查包括人口统计学和与健康相关的问题，发送给符合以下标准的 1277 人：患有 RA>4 年，年龄在 18-80 岁之间，被纳入瑞典风湿病质量登记处（SRQ），并且在纳入前一年至少有一次在参与的风湿病单位进行了登记访问。在职业平衡问卷（OBQ）中回答所有项目的 682 人被纳入研究。对他们的答案进行了描述性统计分析，并分别对男性和女性进行了逻辑回归分析。
在年龄>65 岁、家中无子女、疾病活动评分较低、无持续压力和报告疼痛强度较低的参与者中，职业平衡明显更高。对两种性别的逻辑回归分析结果表明，职业平衡度较高与对整体生活满意度的评分较高显著相关。
职业平衡与整体生活满意度相关，这是健康专业人员的宝贵信息。通过努力减轻压力和疼痛，RA 患者的职业平衡可能会得到改善。
