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慢性疼痛、僵硬和日常活动困难对老年膝骨关节炎患者生活质量的影响。

The Impact of Chronic Pain, Stiffness and Difficulties in Performing Daily Activities on the Quality of Life of Older Patients with Knee Osteoarthritis.

机构信息

Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, 30-126 Krakow, Poland.

Trauma and Orthopaedics Clinical Department, University Hospital, Jagiellonian University Medical College, 30-688 Krakow, Poland.

出版信息

Int J Environ Res Public Health. 2022 Dec 14;19(24):16815. doi: 10.3390/ijerph192416815.

Abstract

Osteoarthritis causes a number of physical ailments, which result in the deterioration of a persons' general health and reduction of their ability to move freely. This cross-sectional study was designed to assess the impact of physical ailments in the course of knee osteoarthritis (KOA) on the quality of life (QoL) of patients in early old age. An anonymous survey was conducted by the use of the recognized research tools: Western Ontario scale and McMaster Osteoarthritis Index (WOMAC), The Index of Severity for Knee Disease (ISK) and World Health Organization Quality of Life-BEFF (WHOQOL-BREF). The study involved 300 people aged between 60 and 75 years old, including 150 patients diagnosed with gonarthrosis and 150 people without lower limb complaints. The significant intensification of the symptoms of knee osteoarthritis was associated with a worse assessment of health ( < 0.001), overall quality of life ( < 0.001) and in the following domains: physical ( < 0.001), mental ( < 0.001) and environmental ( < 0.001) in a group of patients with KOA. These findings suggest that taking measures to reduce knee pain and improve function may have an impact on improving the overall quality of the life of people in their early old age.

摘要

骨关节炎会引起多种身体不适,导致人的整体健康状况恶化,行动自由受限。本横断面研究旨在评估膝关节骨关节炎(KOA)病程中身体不适对早老年患者生活质量(QoL)的影响。使用公认的研究工具:安大略西部大学膝关节评分(WOMAC)、膝关节严重程度指数(ISK)和世界卫生组织生活质量-效益量表(WHOQOL-BREF),进行了匿名调查。该研究涉及 300 名年龄在 60 至 75 岁之间的人,包括 150 名被诊断为膝关节病的患者和 150 名没有下肢投诉的人。膝关节骨关节炎症状的显著加剧与健康状况(<0.001)、整体生活质量(<0.001)以及以下领域的评估更差有关:身体(<0.001)、心理(<0.001)和环境(<0.001)在一组 KOA 患者中。这些发现表明,采取措施减轻膝关节疼痛和改善功能可能会对提高早老年人群的整体生活质量产生影响。

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