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工作场所活动受限与生活质量:一项关于类风湿性关节炎患者的研究。

Workplace activity limitation and quality of life: A study on rheumatoid arthritis patients.

作者信息

Abdelsalam Noha M, Ebaid Amany M, Abdelhady Enas I, Bolbol Sarah A

机构信息

Community, Environmental and Occupational Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Rheumatology and Rehabilitation Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

出版信息

Work. 2023;74(3):1165-1172. doi: 10.3233/WOR-220008.

Abstract

BACKGROUND

Rheumatoid arthritis (RA) causes disabilities that affect people in working age and can impair their working activity and quality of life (QoL).

OBJECTIVES

To assess work activity limitation and QoL among RA patients and to explore the associated risk factors.

METHODS

A cross-sectional study on 344 RA patients was conducted at the outpatient clinic using a number of standardized questionnaires including the Health Assessment Questionnaire Disability Index, Workplace Activity Limitation Scale, and RA QoL. Clinical examinations were also performed including the measurement of pain intensity, assessment of disease activity, and the Rheumatoid Arthritis Severity Scale.

RESULTS

Most of the employed participants (87%) experienced high work activity limitations. Increasing work limitations were significantly associated with a decrease in QoL domains scores. The most significant risk factors affecting work limitation by logistic regression were high disease activity, the severity of the disease, married females, and a high health assessment disability index among RA patients.

CONCLUSIONS

RA patients experience limitations that affect their productivity at work and their QoL. Paying more attention to early management to prevent the upcoming unfavorable health and economic consequences for RA patients is significantly important.

摘要

背景

类风湿关节炎(RA)导致的残疾影响处于工作年龄段的人群,会损害他们的工作能力和生活质量(QoL)。

目的

评估RA患者的工作活动受限情况和生活质量,并探究相关危险因素。

方法

在门诊对344例RA患者进行了一项横断面研究,使用了一些标准化问卷,包括健康评估问卷残疾指数、工作场所活动受限量表和RA生活质量量表。还进行了临床检查,包括疼痛强度测量、疾病活动度评估和类风湿关节炎严重程度量表。

结果

大多数就业参与者(87%)经历了高度的工作活动受限。工作受限增加与生活质量领域得分降低显著相关。通过逻辑回归分析,影响工作受限的最显著危险因素是高疾病活动度、疾病严重程度、已婚女性以及RA患者中较高的健康评估残疾指数。

结论

RA患者经历的限制会影响他们的工作生产力和生活质量。更加关注早期管理以预防RA患者即将面临的不利健康和经济后果非常重要。

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