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膝关节疼痛和骨关节炎对生活质量的影响:对身体、社会和心理因素的综合评估。

Impact of Knee Pain and Osteoarthritis on Quality of Life: A Comprehensive Assessment of Physical, Social, and Psychological Factors.

作者信息

Giotis Dimitrios, Gianniki Maria, Koukos Christos, Veliou Konstantia, Saseendar Samundeeswari, Chaidou Alexandra

机构信息

Department of Orthopaedic, General Hospital of Ioannina "G. Hatzikosta", Ioannina, Greece.

Department of Rheumatology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, Greece.

出版信息

J Orthop Case Rep. 2025 Apr;15(4):306-312. doi: 10.13107/jocr.2025.v15.i04.5528.

Abstract

INTRODUCTION

Osteoarthritis (OA) is a prevalent disease that affects the quality of life (QoL) not only through pain and physical disability but also by influencing social and psychological aspects of life. This study aims to compare patients diagnosed with knee OA to those with knee pain and other comorbidities to evaluate the specific impact of OA on QoL.

MATERIALS AND METHODS

A total of 150 patients presenting with knee pain or knee OA were assessed using standardized QoL instruments, including the World Health Organization QoL-BREF (WHOQOL-BREF), the Western Ontario and McMaster Universities Arthritis Index (WOMAC), the Brief Illness Perception Questionnaire (Brief IPQ), and the Patient Health Questionnaire-9 (PHQ-9).

RESULTS

The influence of various factors, such as patient characteristics, demographics, medical history, medication use, OA diagnosis, and related symptoms, was analyzed using regression models. Significant correlations were observed between QoL and variables including knee injuries (WOMAC score: 54.662 vs. 38.657, P < 0.001), depression (PHQ-9: 9.894 vs. 6.608, P < 0.001), elevated BMI (WOMAC: F = 5.305, P = 0.023), and occasional crepitus (WOMAC score: 53.144 vs. 40.175, P = 0.003). No statistically significant differences were found between patients with OA and those with other diagnoses in any of the outcome measures.

CONCLUSIONS

The findings suggest that QoL is influenced more by general factors such as psychological well-being (depression), pain (knee injuries), and overall health (BMI) rather than the specific diagnosis of OA. This underscores the importance of addressing these broader health attributes to improve the QoL in patients with knee-related issues.

摘要

引言

骨关节炎(OA)是一种常见疾病,不仅通过疼痛和身体残疾影响生活质量(QoL),还会影响生活的社会和心理方面。本研究旨在比较诊断为膝关节OA的患者与有膝关节疼痛及其他合并症的患者,以评估OA对生活质量的具体影响。

材料与方法

使用标准化生活质量工具对总共150例出现膝关节疼痛或膝关节OA的患者进行评估,这些工具包括世界卫生组织生活质量简表(WHOQOL - BREF)、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、简短疾病认知问卷(Brief IPQ)以及患者健康问卷 - 9(PHQ - 9)。

结果

使用回归模型分析了各种因素的影响,如患者特征、人口统计学、病史、用药情况、OA诊断及相关症状。观察到生活质量与包括膝关节损伤(WOMAC评分:54.662对38.657,P < 0.001)、抑郁(PHQ - 9:9.894对6.608,P < 0.001)、BMI升高(WOMAC:F = 5.305,P = 0.023)以及偶尔出现的关节摩擦音(WOMAC评分:53.144对40.175,P = 0.003)等变量之间存在显著相关性。在任何一项结局指标中,OA患者与其他诊断患者之间均未发现统计学上的显著差异。

结论

研究结果表明,生活质量受心理幸福感(抑郁)、疼痛(膝关节损伤)和整体健康状况(BMI)等一般因素的影响更大,而非OA的具体诊断。这凸显了关注这些更广泛健康属性对于改善膝关节相关问题患者生活质量的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b08/11981507/a4f47b081130/JOCR-15-306-g005.jpg

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