强直性脊柱炎患者希望水平现状及影响因素

Current status and factors influencing the level of hope of people with ankylosing spondylitis

目的 探讨强直性脊柱炎患者希望水平现状以及相关影响因素。方法 采用横断面调查研究,通过一般资料调查表、医院焦虑抑郁测量表、Herth希望量表、强直性脊柱炎生活质量量表对2021年7月至2022年5月满足入选条件的强直性脊柱炎患者进行问卷调查。结果 200例强直性脊柱炎患者,希望水平得分为(34.18±4.07)分。单因素分析结果显示,患者的希望水平得分在年龄、婚姻状况、文化程度、居住方式、家庭人均月收入、职业、确诊年数中差异有统计学意义(P<0.05)。多元线性回归分析显示,年龄、生活质量为强直性脊柱炎患者希望水平的影响因素。结论 强直性脊柱炎患者希望水平处于中等水平,负性情绪、生活质量总体上较差,尚有提升空间,且强直性脊柱炎患者的焦虑抑郁能通过希望水平影响到生活质量。

Objective To investigate the current status of hope levels of patients with ankylosing spondylitis and its influencing factors.Methods A cross-sectional survey study was conducted using the General Information Questionnaire,the Hospital Anxiety and Depression Scale,the Hope Level Scale,and the Ankylosing Spondylitis Patient Quality Scale on patients with AS who met the inclusion criteria from January 2022 to November 2022.Results In 200 patients with ankylosing spondylitis,the level of hope score was 34.18±4.07.The results of univariate analysis showed that there were significant differences in patients′hope level scores in term of age,marital status,education level,mode of residence,monthly per capita household income,occupation,and number of years since diagnosis(P<0.05).Multiple linear regression analysis showed that age and quality of life were factors influencing the level of hope among patients with ankylosing spondylitis.Conclusion Patients with ankylosing spondylitis have a moderate level of hope,negative emotions and quality of life are generally poor,and there is room for improvement,and anxiety and depression in AS patients can affect quality of life through hope level.