老年类风湿关节炎患者生活质量、应对方式和关节功能的相关性分析

Analysis of correlation between quality of life and coping style and joint function in elderly patients with rheumatoid arthritis

目的分析老年类风湿关节炎患者生活质量、应对方式和关节功能的相关性,为制定相应护理干预措施提供依据。方法选取2020年3月-2023年3月于中南大学湘雅二医院门诊收治的老年类风湿关节炎患者108例(设为RA组)及108名老年体检健康者(设为健康对照组)作为研究对象。分析老年类风湿关节炎患者生活质量、应对方式和关节功能之间的相关性。结果RA组生活质量的8个维度评分均低于健康对照组(t=81.858、60.514、21.319、22.938、35.195、27.696、53.861和34.435,P<0.05);2组面对评分差异无统计学意义(t=1.643,P>0.05),但RA组回避及屈服评分显著高于健康对照组(t=15.428、10.261,P<0.05);Pearson相关分析显示,RA患者生活质量评分与医学应对方式的面对评分呈正相关(P<0.05),与屈服、回避评分呈负相关(P<0.05);RA患者生活质量评分与VAS评分、DAS28评分、HAQ评分均呈负相关性(P<0.05)。结论老年类风湿关节炎生活质量与应对方式和关节功能密切相关,医护人员应尽早对患者给予针对性的干预措施,提高其生活质量,促使其积极应对疾病,以促进疾病康复。

Objective To analyze the correlation between quality of life and coping style and joint function in elderly patients with rheumatoid arthritis(RA),and provide a basis for formulating corresponding nursing intervention measures.Methods A total of 108 elderly RA patients(RA group)and 108 elderly healthy persons(healthy control group)who visited Outpatient Department of Second Xiangya Hospital of Central South University from March 2020 to March 2023 were selected as the study subjects.The correlation between quality of life and coping style and joint function in elderly RA patient was analyzed.Results The scores of 8 dimensions of quality of life of the RA group were lower than those of the healthy control group(t=81.858,60.514,21.319,22.938,35.195,27.696,53.861 and 34.435,P<0.05).There was no significant difference in face-to-face scores between the two groups(t=1.643,P>0.05),but the avoidance score and yield score of the RA group were significantly higher than those of the healthy control group(t=15.428,10.261,P<0.05).Pearson correlation analysis showed that the score of quality of life of RA patients was positively correlated with the face-to-face score of medical coping styles(P<0.05),and negatively correlated with yield score and avoidance score(P<0.05).The score of quality of life of RA patients was negatively correlated with VAS score,DAS28 score,and HAQ score(P<0.05).Conclusion The quality of life of elderly RA patients is closely related to coping styles and joint function.Medical staff should provide targeted intervention measures to patients as early as possible to improve their quality of life,encourage them to actively cope with diseases,and promote the recovery of the disease.