Department of Rheumatology, Aalborg University Hospital, Reberbansgade 15, 9000, Aalborg, Denmark.
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Rheumatol Int. 2022 May;42(5):783-790. doi: 10.1007/s00296-022-05111-6. Epub 2022 Mar 31.
As a result of the pandemic, many patients with an inflammatory rheumatic disease (IRD) have isolated themselves. The lack of disease management together with fear of infection could lead to changes in physical- and mental health. The aim of this study was to evaluate the social- and health behaviour in patients with an IRD compared with the behaviour of healthy individuals during the COVID-19 pandemic. The study was a questionnaire survey answered by patients with an IRD and healthy individuals (HI). The questionnaire contained seven sections with questions regarding COVID-19 and quality of life including SF-36, EQ-5D-5L, and visual analogue scale (VAS) pain, fatigue and global health. Of 1663 invited participants, 661 patients with IRD and 266 HI were included in the analyses. Patients with an IRD felt more isolated during the COVID-19 pandemic compared with HI (IRD: 9.5% (61/644), HI: 3.1% (8/259), p-value = 0.001). More HI (5.4%) had been infected with COVID-19 than patients with an IRD (1.7%). Among patients with an IRD those with worse self-reported disease activity outcomes (VAS pain, fatigue and global health, all p-value < 0.001), worse social functioning and emotional well-being were more isolated than individuals with low disease activity. Patients with an IRD feel more isolated during the COVID-19 pandemic compared to HI. Isolation seems to be most pronounced in patients with worse disease related patient-reported outcomes and lower quality of life.
由于疫情，许多患有炎症性风湿病（IRD）的患者都自我隔离。缺乏疾病管理以及对感染的恐惧可能导致身体和心理健康发生变化。本研究旨在评估 COVID-19 大流行期间IRD 患者的社会和健康行为与健康个体的行为。该研究是一项由 IRD 患者和健康个体（HI）回答的问卷调查。问卷包含七个部分，包括与 COVID-19 相关的问题以及生活质量，包括 SF-36、EQ-5D-5L 和视觉模拟量表（VAS）疼痛、疲劳和整体健康。在邀请的 1663 名参与者中，有 661 名 IRD 患者和 266 名 HI 被纳入分析。与 HI 相比，IRD 患者在 COVID-19 大流行期间感到更加孤立（IRD：9.5%（61/644），HI：3.1%（8/259），p 值=0.001）。感染 COVID-19 的 HI（5.4%）比 IRD 患者（1.7%）多。在 IRD 患者中，那些自我报告疾病活动结果较差的患者（VAS 疼痛、疲劳和整体健康，所有 p 值均<0.001）、社会功能和情绪健康较差的患者比疾病活动较低的患者更加孤立。与 HI 相比，IRD 患者在 COVID-19 大流行期间感到更加孤立。隔离在疾病相关的患者报告结局较差和生活质量较低的患者中最为明显。
