Szilasiová A, Macejová Z, Kovárová M, Nagyová I, Trejbal D, Pramuk I, Beresová A
II. interná klinika, FNsP, Kosice.
Vnitr Lek. 1998 Apr;44(4):195-200.
The functional ability of the patient in chronic diseases reflects the severity of the pathological process and the success of treatment.
Evaluation of the functional ability of patients with RA and assessment of the influence of the pathological process on the performance of simple everyday tasks.
Physical capacity and functional ability were examined using the Groningen activity restriction scale (GARS) and Health Assessment Quesionnaire (HAQ).
The authors examined 160 patients with RA (135 women and 25 men), mean age 48.3 +/- 12.13 years and a duration of the disease of 21.32 +/- 15.61 months. The mean value of the functional ability according to GARS was 32.67 +/- 11.61. Women had a poorer score (33.36 +/- 11.91) than men (28.96 +/- 9.44), the difference was however not statistically significant. The mean value of functional ability according to HAQ/FDI of the patients was 1.079 +/- 0.65. Women had a poorer score (1.156 +/- 0.625) than men (0.722 +/- 0.936), the difference being significant (P < 0.01). The authors found a significant correlation (P < 0.001) between HAQ and GARS as well as a significant relationship with parameters assessing the inflammatory activity. In GARS a relationship with the duration of the disease was found (P < 0.05), but not with HAQ. There was no significant relationship between GARS or HAQ with the patients age. In investigations of the restriction of functional ability during common everyday activities it was revealed that the greatest problem of patients is care of feet and nails, climbing stairs and personal hygiene. As to household activities the highest score was recorded for "strenuous house work" (scrubbing floors, cleaning windows and vacuum cleaning), shopping ironing and bedmaking.
GARS is a reliable practical and simple scale of functional ability of patients with RA which can be used for the accurate description of the severity and for evaluation of the degree of functional ability.
慢性病患者的功能能力反映了病理过程的严重程度和治疗的成效。
评估类风湿关节炎（RA）患者的功能能力，并评估病理过程对简单日常任务执行情况的影响。
使用格罗宁根活动受限量表（GARS）和健康评估问卷（HAQ）检查身体能力和功能能力。
作者检查了160例RA患者（135名女性和25名男性），平均年龄48.3±12.13岁，病程21.32±15.61个月。根据GARS得出的功能能力平均值为32.67±11.61。女性得分（33.36±11.91）比男性（28.96±9.44）差，然而差异无统计学意义。根据患者的HAQ/FDI得出的功能能力平均值为1.079±0.65。女性得分（1.156±0.625）比男性（0.722±0.936）差，差异有统计学意义（P<0.01）。作者发现HAQ与GARS之间存在显著相关性（P<0.001），并且与评估炎症活动的参数存在显著关系。在GARS中发现与病程存在关系（P<0.05），但与HAQ无关。GARS或HAQ与患者年龄之间无显著关系。在对日常常见活动中的功能能力受限情况进行调查时发现，患者最大的问题是足部和指甲护理、爬楼梯和个人卫生。至于家务活动，“繁重家务”（擦地板、擦窗户和吸尘）、购物、熨烫和铺床得分最高。
GARS是一种可靠、实用且简单的RA患者功能能力量表，可用于准确描述严重程度和评估功能能力程度。
