类风湿关节炎患者疼痛与心理因素的研究

Study on Pain and Psychological Factors in Patients with Rheumatoid Arthritis

目的该研究对影响RA患者疼痛的因素进行了研究,并分析了与心理因素的关系。对RA心理干预提供了初步的依据。方法纳入笔者医院130例RA患者,收集患者实验室指标、基本人口学信息、VAS、医院焦虑抑郁量表(HADS)等内容均采用问卷的形式进行记录。结果130例RA患者中,焦虑、抑郁障碍的发生率分别为49.2%和43.1%。RA患者的疼痛在年龄、收入、病程、红细胞沉降率(ESR)、焦虑、抑郁障碍方面,差异有统计学意义(P<0.05)。RA患者的疼痛与年龄、病程、ESR、CRP水平及焦虑障碍、抑郁障碍呈正相关(r=0.229、0.255、0.285、0.189、0.373、0.393,P均<0.05),与文化、职业、收入呈负相关(r=-0.174、-0.178、-0.264,P均<0.05)。年龄、ESR、焦虑障碍、抑郁障碍是RA患者疼痛严重程度的独立影响因素。结论RA患者的疼痛严重程度与年龄、病程、文化、职业、收入、ESR、CRP水平及焦虑障碍、抑郁障碍有关。导致RA患者疼痛的独立影响因素有年龄、ESR、焦虑障碍与抑郁障碍。影响RA患者疼痛的因素中,心理因素不应忽视。

Objective To investigate the factors that affect the pain of RA patients and analyzed the relationship with psychological factors,Thus to provide a preliminary basis for RA psychological intervention.Methods The study included 130 RA patients in our hospital.We collected patient laboratory indicators,basic demographic information,VAS scores,hospital anxiety and depression scale(HADS)and other contents which were recorded in the form of questionnaires.Results Among 130 RA patients,the incidences of anxiety and depression were 49.2%and 43.1%,respectively.The pain of RA patients was statistically significant in terms of age,income,course of illness,ESR,anxiety,and depression(P<0.05).The pain of RA patients was positively correlated with age,course of disease,ESR,CRP level,anxiety disorder,and depression disorder(r=0.229,0.255,0.285,0.189,0.373,0.393,P<0.05),which was negatively correlated with culture,occupation and income(r=-0.174,-0.178,-0.264,P<0.05).Age,ESR,anxiety disorder,and depressive disorder were independent factors influencing the severity of pain in RA patients.Conclusion The severity of pain in RA patients is related to age,disease course,culture,occupation,income,ESR,CRP level,anxiety disorder,and depression disorder.The independent influencing factors of pain in RA patients are age,ESR,anxiety disorder and depression disorder.Among the factors affecting the pain of RA patients,psychological factors should not be ignored.