Staszkiewicz Magdalena, Kulesa-Mrowiecka Małgorzata, Szklarczyk Joanna, Jaworek Jolanta
Department of Clinical Nursing, Faculty of Health Sciences, Jagiellonian University, Medical College, Cracow, Poland.
Institute of Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical College, Cracow, Poland.
Reumatologia. 2023;61(3):175-185. doi: 10.5114/reum/168294. Epub 2023 Jul 2.
Rheumatoid arthritis (RA) is a chronic autoimmune condition characterized by periods of exacerbation (physical limitations, depressed mood, depressive states and decreased life satisfaction) and remission (hope of health improvement). Our objective was to present social functioning of RA patients taking into consideration their age and employing selected determinants: satisfaction with life, generalized sense of self-efficacy and acceptance of illness.
Standardized tools were employed: the Satisfaction with Life Scale, Generalized Self Efficacy Scale and Acceptance of Illness Scale. The study group included 46 RA patients aged 18-45 years and 54 RA patients aged over 60 years. The control group consisted of 24 non-RA subjects in every group.
Rheumatoid arthritis patients in the period of disease exacerbation reported low and moderate levels of satisfaction with life, in the patients in remission period the score was moderate, while the control group subjects described their level of satisfaction with life as high and moderate. The level of acceptance of illness was described by the RA patients in the period of disease exacerbation as 20.4/40 points; the patients in remission defined their level of acceptance of illness as 29.38/40 points. The patients with RA exacerbation showed a low sense of self-efficacy, yet a large group of such patients also presented high self-efficacy levels and the majority of the RA subjects in remission reported a high sense of self-efficacy.
In the RA patients, satisfaction with life, generalized sense of self-efficacy and acceptance of illness were closely related and affected their general psychosocial functioning.
类风湿性关节炎（RA）是一种慢性自身免疫性疾病，其特征为病情有加重期（身体受限、情绪低落、抑郁状态及生活满意度下降）和缓解期（病情改善的希望）。我们的目的是考虑类风湿性关节炎患者的年龄，并采用选定的决定因素：生活满意度、一般自我效能感和疾病接受度，来呈现他们的社会功能。
采用标准化工具：生活满意度量表、一般自我效能感量表和疾病接受度量表。研究组包括46名年龄在18至45岁之间的类风湿性关节炎患者和54名年龄超过60岁的类风湿性关节炎患者。对照组每组由24名非类风湿性关节炎受试者组成。
处于疾病加重期的类风湿性关节炎患者报告的生活满意度为低水平和中等水平，处于缓解期的患者得分中等，而对照组受试者将他们的生活满意度描述为高水平和中等水平。疾病加重期的类风湿性关节炎患者的疾病接受度为20.4/40分；缓解期的患者将他们的疾病接受度定义为29.38/40分。疾病加重期的类风湿性关节炎患者自我效能感较低，但也有一大组此类患者表现出高自我效能感水平，并且大多数处于缓解期的类风湿性关节炎受试者报告有较高的自我效能感。
在类风湿性关节炎患者中，生活满意度、一般自我效能感和疾病接受度密切相关，并影响他们的总体心理社会功能。
