Faculty of Health Sciences, University of Bielsko-Biala, ul. Willowa 2, 43-309, Bielsko-Biala, Poland.
Department of Gerontology and Geriatric Nursing, School of Health Sciences, Medical University of Silesia, Katowice, Poland.
Health Qual Life Outcomes. 2020 Jul 6;18(1):216. doi: 10.1186/s12955-020-01472-3.
Rheumatoid arthritis (RA) has a large and varied impact on the quality of life as associated with patient health including both physical and mental well-being. The aim of the study was to assess the factors that affect the assessment of the quality of life of RA patients depending on the prevalence of frailty syndrome.
The study involved 106 patients with RA (82 women; mean age 65.83 ± 5.01), who had been hospitalized in the Silesian Centre for Rheumatology, Rehabilitation and Disability Prevention in Ustron, Poland. The patients that were included in the study were divided into two groups depending on the incidence of frailty syndrome: Group 1 - robust patients and Group 2 - patients with frailty syndrome.
Frailty syndrome was identified in 34.9% of the patients with recognized/diagnosed RA; in women, it was 36.14% and in men, it was 25.92%. The average TFI value was 4.11 ± 2.05; in the physical domain, it was 3.39 ± 1.66; in the mental domain, it was 0.41 ± 0.55 and in the social domain, it was 0.31 ± 0.48. The robust patients assessed their quality of life associated with sleep as being worse compared to patients with recognized frailty syndrome.
Frailty syndrome has no significant impact on the assessment of the quality of life of patients with diagnosed RA. The factors that determine quality of life are different in robust patients and in patients with frailty syndrome. The assessment of the quality of life is affected by the degree of an individual's fitness regardless of the occurrence of frailty syndrome.
评估影响类风湿关节炎(RA)患者生活质量评估的因素,这些因素取决于衰弱综合征的流行情况。
本研究纳入了 106 例 RA 患者(82 名女性;平均年龄 65.83±5.01 岁),这些患者均曾在波兰乌斯特罗的西里西亚风湿病、康复和残疾预防中心住院治疗。根据衰弱综合征的发生情况,将纳入研究的患者分为两组:1 组为强壮患者,2 组为衰弱综合征患者。
在确诊的 RA 患者中,有 34.9%的患者存在衰弱综合征;女性患者中为 36.14%,男性患者中为 25.92%。平均 TFI 值为 4.11±2.05;在生理领域为 3.39±1.66;在心理领域为 0.41±0.55;在社会领域为 0.31±0.48。与衰弱综合征患者相比,强壮患者认为睡眠相关的生活质量更差。
衰弱综合征对诊断为 RA 的患者生活质量评估没有显著影响。决定生活质量的因素在强壮患者和衰弱综合征患者之间有所不同。生活质量的评估受到个体健康程度的影响,与衰弱综合征的发生无关。