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杜胡克省库尔德族膝骨关节炎患者的生活质量

Quality of Life Among Kurdish Patients With Knee Osteoarthritis in Duhok Governorate.

作者信息

Sadiq Havrest N, Rasool Mohammed T

机构信息

Department of Internal Medicine, College of Medicine, University of Duhok, Duhok, IRQ.

出版信息

Cureus. 2024 Nov 13;16(11):e73610. doi: 10.7759/cureus.73610. eCollection 2024 Nov.

Abstract

BACKGROUND

Osteoarthritis (OA) is a chronic disease and a leading cause for pain, stiffness, functional dependence, and diminished quality of life (QoL). The assessment of the latter in OA is becoming increasingly common in both research and clinical settings.

OBJECTIVES

The study aimed to examine OA among Kurdish patients with unilateral or bilateral OA.

METHODS

A cross-sectional study was conducted at the Duhok Centre of Rheumatology and Medical Rehabilitation in the Kurdistan Region of Iraq, involving 262 patients aged 40-70 who have unilateral or bilateral OA.

RESULTS

The study subjects had the lowest mean QoL score in the domain of role limitations due to physical health problems (14.22±34.124). The highest mean QoL score was in the social functioning domain (86.78±20.878). Females had a statistically significant lower QoL mean score across most domains, except for emotional role functioning. Older patients (over 50) had lower scores in several domains, such as physical function, physical role functioning, energy/fatigue, social functioning, and bodily pain. Longer disease duration is correlated with lower QoL scores in most domains, except emotional well-being. Obesity negatively impacted QoL in terms of physical function and pain dimensions. Finally, the severity of osteoarthritis is positively correlated with a lower QoL score in the domains of physical functioning, physical role functioning, energy/fatigue, social functioning, and the pain component.

CONCLUSION

QoL is diminished in Kurdish patients with unilateral or bilateral knee OA and is influenced by age, gender, obesity, disease duration, and OA severity.

摘要

背景

骨关节炎(OA)是一种慢性疾病,是疼痛、僵硬、功能依赖和生活质量(QoL)下降的主要原因。在骨关节炎中对生活质量的评估在研究和临床环境中越来越普遍。

目的

本研究旨在调查库尔德族单侧或双侧骨关节炎患者的骨关节炎情况。

方法

在伊拉克库尔德地区杜胡克风湿病和医学康复中心进行了一项横断面研究,纳入了262例年龄在40 - 70岁之间的单侧或双侧骨关节炎患者。

结果

研究对象在因身体健康问题导致的角色限制领域的平均生活质量得分最低(14.22±34.124)。平均生活质量得分最高的是社会功能领域(86.78±20.878)。除情感角色功能外,女性在大多数领域的生活质量平均得分在统计学上显著较低。老年患者(50岁以上)在几个领域得分较低,如身体功能、身体角色功能、精力/疲劳、社会功能和身体疼痛。除情感幸福外,疾病持续时间越长,在大多数领域的生活质量得分越低。肥胖在身体功能和疼痛方面对生活质量有负面影响。最后,骨关节炎的严重程度与身体功能、身体角色功能、精力/疲劳、社会功能和疼痛成分领域的较低生活质量得分呈正相关。

结论

库尔德族单侧或双侧膝骨关节炎患者的生活质量下降,且受年龄、性别、肥胖、疾病持续时间和骨关节炎严重程度影响。

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