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强直性脊柱炎患者的生活质量及相关因素:一项使用36项简明健康调查问卷(SF-36)的横断面研究。

Quality of Life and Related Factors in Patients With Ankylosing Spondylitis: A Cross-Sectional Study Using 36-Item Short Form Survey (SF-36).

作者信息

Lan Nguyen Tran Tuyet, Tat Bang Ho, Thu Tran Thi Anh, Anh Nguyen Thi My, Tap Nguyen Van

机构信息

Department of Infection Control, Children's Hospital 1, Ho Chi Minh City, VNM.

Thoracic and Vascular Department, University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VNM.

出版信息

Cureus. 2023 Sep 5;15(9):e44695. doi: 10.7759/cureus.44695. eCollection 2023 Sep.

Abstract

BACKGROUND

Ankylosing spondylitis is a chronic condition that affects the vertebral and sacroiliac joints, causing progressive back pain and stiffness. Patients with this condition experience a lower quality of life compared to the general population, with physical health being more impacted than mental health. In Vietnam, little attention has been given to the quality of life of patients with ankylosing spondylitis, and there are conflicting studies on the factors that affect their quality of life. Therefore, it is essential to assess the quality of life of these patients to provide appropriate recommendations for improving their overall well-being.

METHODOLOGY

The descriptive cross-sectional study was conducted on patients with ankylosing spondylitis who visited University Medical Center Ho Chi Minh City from March 2022 to May 2022. Participants were interviewed face-to-face using the 36-item short form survey (SF-36) questionnaire and the visual analogue scale. In addition, some information related to ankylosing spondylitis was also collected through medical records.

RESULTS AND CONCLUSION

Seventy-five patients met the inclusion criteria with a median age of 33 (26 - 37); men accounted for 68%. The mean physical and mental health scores on the SF-36 scale were 37.73 ± 9.30 and 47.04 ± 7.11, respectively. Young age, lower pain score and duration of illness, and higher education were associated with a high physical health score with p<0.05. Similarly, the educational level and occupation were positively correlated, and pain scores were inversely correlated with mental health with p< 0.05.

摘要

背景

强直性脊柱炎是一种影响脊柱和骶髂关节的慢性疾病,会导致进行性背痛和僵硬。与普通人群相比,患有这种疾病的患者生活质量较低,身体健康比心理健康受到的影响更大。在越南,强直性脊柱炎患者的生活质量很少受到关注,关于影响其生活质量的因素的研究也存在矛盾。因此,评估这些患者的生活质量对于提供改善他们整体幸福感的适当建议至关重要。

方法

对2022年3月至2022年5月期间到胡志明市大学医学中心就诊的强直性脊柱炎患者进行了描述性横断面研究。采用36项简短问卷调查(SF-36)问卷和视觉模拟量表对参与者进行面对面访谈。此外,还通过病历收集了一些与强直性脊柱炎相关的信息。

结果与结论

75名患者符合纳入标准,中位年龄为33岁(26 - 37岁);男性占68%。SF-36量表上的平均身心健康得分分别为37.73±9.30和47.04±7.11。年龄小、疼痛评分和病程低以及教育程度高与身体健康得分高相关,p<0.05。同样,教育水平和职业呈正相关,疼痛评分与心理健康呈负相关,p<0.05。

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