Hewlett S, Young P, Kirwan J
Arthritis Care Res. 1995 Mar;8(1):4-9. doi: 10.1002/art.1790080104.
To investigate dissatisfaction with function in patients with rheumatoid arthritis (RA), and to see if dissatisfaction can be adequately explained by level of function.
Fifty patients with RA were assessed for disease activity, psychological status, disability, expectation of future disability, and satisfaction with both global function and individual activities of daily living (ADL).
Fifty percent of patients expressed dissatisfaction with global function, which correlated more strongly with pain (r = 0.474) and psychological status than with function (r = 0.398). Only 10% predicted improvement in global function. Seventy-two percent expressed dissatisfaction with performing at least one ADL.
Patient dissatisfaction with both global function and individual ADL function is high and cannot adequately be explained by disability alone. Correlation with pain and psychological status implies that modifying these variables (perhaps through education programs about pain relief or relaxation) could reduce dissatisfaction.
调查类风湿关节炎（RA）患者对功能的不满情况，并探究功能水平是否能充分解释这种不满。
对50例RA患者进行疾病活动度、心理状态、残疾程度、对未来残疾的预期以及对整体功能和日常生活活动（ADL）个体活动的满意度评估。
50%的患者对整体功能表示不满，与疼痛（r = 0.474）和心理状态的相关性比与功能（r = 0.398）的相关性更强。只有10%的患者预测整体功能会改善。72%的患者对至少一项ADL的执行情况表示不满。
患者对整体功能和个体ADL功能的不满程度较高，仅残疾程度无法充分解释。与疼痛和心理状态的相关性表明，改变这些变量（或许通过疼痛缓解或放松的教育项目）可能会减少不满。
