老年类风湿关节炎患者综合健康功能状况的影响因素分析

Analysis of influential factors of comprehensive health function of elderly patients with rheumatoid arthritis

目的了解老年类风湿关节炎患者的综合健康功能状况,并探讨其影响因素。方法选取2014年12月—2016年10月昆明医科大学第一附属医院收治的80例老年类风湿关节炎患者,采用生活质量SF-36量表从躯体健康、精神健康、日常活动能力、社会健康4个方面评估患者的综合健康状况。分别采用单因素分析和多因素线性回归分析患者综合健康功能的影响因素。结果单因素和多因素分析均显示文化程度较低、职业一般、婚姻不幸、经济状况差、自费治疗是影响老年类风湿关节炎患者综合健康功能的危险因素(P<0.05)。结论老年类风湿关节炎患者均存在日常生活的功能、躯体健康、精神健康、社会健康的问题,而缓解过高的医疗费用,改善医疗水平,提高人民的健康教育水平,保持心情愉快是提高类风湿关节炎患者综合健康的关键。

Objective To understand the status of comprehensive health function impairment in elderly patients with rheumatoid arthritis, and to explore its influencing factors. Methods A total of 80 elderly patients with rheumatoid arthritis were enrolled in the first Affiliated Hospital of Kunming Medical University from December 2014 to October 2016. The quality of life SF-36 score was used to measure the physical health, mental health, daily activities and social health to assess the overall health status of patients. The factors influencing the comprehensive health function of the patients were analyzed by univariate analysis and multivariate linear regression analysis. Results The univariate and multivariate analysis showed that the low level of education, general occupation, marital misfortune, poor economic condition and self-treatment expense were the risk factors affecting the comprehensive health function in elderly patients with rheumatoid arthritis （ P〈0.05）. Conclusion Elderly patients with rheumatoid arthritis have problems of the functions of daily life, physical health, mental health and social health. To alleviate the high medical costs, improve the level of medical treatment, improve the people ＇s health and education level and maintain a good mood are the key to improve the overall health in patients with rheumatoid arthritis.