Mäkisara G L, Mäkisara P
Clin Rheumatol. 1982 Jun;1(2):117-25. doi: 10.1007/BF02275601.
In the study functional capacity and work capacity were investigated in a series of 405 hospital patients suffering from rheumatoid arthritis. One-third of the patients had had the disease for 5 years, one-third for 10 years and one-third for 15 years. The functional capacity index presented by Lee et al. (1973) was used. Half of the patients in the 5 and 10-year groups and one-third of those in the 15-year group had good functional capacity. One-fourth in the 5 and 10-year groups and one-third of those in the 15-year group had poor functional capacity. Sixty per cent of the 5-year group, 50 per cent of the 10-year group and 33 per cent of the 15-year group were able to work. The prognosis of functional capacity and work capacity was better for young persons than for older ones. No differences were found between the prognoses for men and women. High ESR, a positive blood rheumatoid factor and joint erosion seemed to be linked with an unfavourable prognosis of functional capacity. Light work was favoured for the prognosis of functional capacity and work capacity and extensive general education and vocational training for work capacity. The results indicate that starting vocational rehabilitation at an early stage of the disease could improve the prognosis of functional capacity and work capacity.
在这项研究中，对405例类风湿性关节炎住院患者的功能能力和工作能力进行了调查。三分之一的患者患病5年，三分之一患病10年，三分之一患病15年。采用了Lee等人（1973年）提出的功能能力指数。5年组和10年组中有一半患者功能能力良好，15年组中有三分之一患者功能能力良好。5年组和10年组中有四分之一患者功能能力较差，15年组中有三分之一患者功能能力较差。5年组中有60%、10年组中有50%、15年组中有33%的患者能够工作。年轻人功能能力和工作能力的预后比老年人好。男性和女性的预后没有差异。血沉高、血液类风湿因子阳性和关节侵蚀似乎与功能能力的不良预后有关。轻度工作有利于功能能力和工作能力的预后，广泛的普通教育和职业培训有利于工作能力的预后。结果表明，在疾病早期开始职业康复可以改善功能能力和工作能力的预后。
