关节炎患者生活质量的调查与分析

Investigation and analysis of life quality of arthritis patients

目的通过调查了解关节炎患者的生活质量现状，分析影响关节炎患者生活质量的因素，以对患者实施有针对性的护理，提高患者生活质量。方法采用AIMS2量表，通过设置问卷调查了60例关节炎患者，利用率、构成比、均数及标准差、t检验、相关分析等方法进行统计学分析。结果关节炎患者生活质量较差，类风湿性关节炎和骨性关节炎或退行性关节炎患者的紧张水平、情绪、手和手指功能、手臂功能差异有统计学意义（P〈0．05）。关节炎患者的年龄与自理能力、家务活动、活动水平、行走和弯腰、手和手指功能、手臂功能、社会活动和工作呈负相关（P〈0．05或P〈0．01）；关节炎患者的学历与自理能力、家务活动、活动水平、行走和弯腰、手和手指功能、手臂功能和社会活动均呈正相关（P〈0．05或P〈0．01）；病程与患者的行走和弯腰呈负相关（P〈0．05）；疼痛程度与患者的紧张水平、活动水平和工作情况具有显著相关性；用药情况与患者的活动水平、行走和弯腰、手和手指水平、手臂功能和疼痛情况具有显著相关性；患者的整体健康状况与活动水平、行走和弯腰、社会活动具有显著相关性；健康满意度与家务活动、家人和朋友的支持、紧张水平、情绪、活动水平、行走和弯腰、工作呈负相关（P〈0．05或P〈0．01），与疼痛程度呈正相关（P〈0．01）。结论应关注关节炎患者的生活质量，并将其列为骨科护理工作的重点之。

Objective To explore the current status and related factors of quality of life of arthritis patients, and to provide target nursing and improve patients＇ quality of life. Methods 60 cases of arthritis patients were surveyed with arthritis impact measurement scale 2 （AIMS2）. Results Quality of life of arthritis patients was low. Age of the patients was found negatively correlated with self-help skills, household duties, level of activities, walking, bending down, function of hand, fingers and arms, social activities and work （P 〈 0. 05 or P 〈 0. 01 ）. Level of education was found positively correlated with self-help skills, household duties, level of activities, walking, bending down, function of hand, fingers and arms, social activities （P 〈 0. 05 or P 〈 0. 01 ）. Course of disease was negatively correlated with walking and bending （ P 〈 0. 05 ）. Health satisfaction was negatively correlated with household duties, support of family and friends, tension, mood, level of activities, walking, bending down and work, but was positively correlated with degree of pain （ P 〈 0. 01 ）. Conclusions Quality of life of arthritis patients should be paid more attention to and made key work of nursing in department of orthopedics.