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The Study Of The Quality Of Life For Ankylosing Spondylitis

Posted on:2008-12-07Degree:MasterType:Thesis
Country:ChinaCandidate:X ZhaoFull Text:PDF
GTID:2144360215965405Subject:Orthopedics scientific
Abstract/Summary:PDF Full Text Request
Ankylosing Spondylitis(AS) is a still ambiguous morbidity mechanism disease, because of whose common course of disease relapse more lingering than strong point, patient's condition, that is bitter when the patient suffers pain to the fullest extent, the morning waits for a symptom to flare up in a deadlock, enginery, social contact activity, mindset affecting whose body later etc., survival mass comes down commonly. Mass major factor studying the scorching AS patient first step investigation and discussion is affected exists originally, be treat clinically submitting feasibility suggestion.Objective: To lay the foundation of clinic health education and improve the quality of life of the whole AS patients, we inquire the quality of life of AS patients, analyze the major influencing factors and study on the distribution of different syndrome and the correlation between syndrome and its quality of life.Method: 48 AS patients from Traumatic and Orthopaedics hospital affiliated to Guangzhou university of TCM were inquired by using the questionnaire of the life quality of AS. the date were inputed in SPSS11.5 and analyzed by using T-test, variance analysis and multivariant stepwise regression.Results: Originally, together, time of investigation gives out 71 investigation questionnaires, reclaims 64 share, coefficients of recovery 90.14%. Pass to the choice collecting a data, accord with the 48 examples in total diagnosing a standard, being brought into standard and removing standard case. The male sex among them 44 examples, females 4 examples, men and women proportion are 11: 1, age 14-60-year-old, average 29.45±1.663, course of disease 2 months- 21 years, average 7.29±5.315 years, the BMI is 16.08-21.36, average 18.35±1.223.In this survey, quality of life of AS patients get a total score of 66.266±7.657, the score of each dimension of quality of life as follows: pain is 59.364±12.476,the function of body is 68.789±9.238,domestic is 67.246±9.563,social intercourse is 75.327±5.989,health value is 62.375±10.211,mental condition is 64.498±7.082.The score of syndromes of traditional Chinese medicine as follows: cold dampness blockage syndrome is 70.838±7.506, dampness heat blockage syndrome is 68.264±6.402, deficiency of liver and kidney syndrome is 64.677±8.547, acute cerebral infarction syndrome is 67.047±5.998, deficiency of kidney-Yang syndrome is 58.930±5.272.The major factors that affect the score of patients'quality of life are course of disease, compliance of patients, have other diseases or not and body mass index. Except the compliance of patients has positive correlation with quatity life (P<0.05), the other factors have negative correlation with quality of life (P<0.05). the differentiation of symptoms and signs for classification of syndrome of traditional Chinese medicine has correlation with quality of life.Conclusion:1. The rate of the quality of life for AS which in middle,low level is 62.50%. The major factors that affect the score of patients'quality of life are course of disease, compliance of patients, have other diseases or not.2. The pattern of syndrome of Chinese medicine is associated with the quality of life of AS. The difference of differentiation of symptoms and signs for classification of syndrome has different influence on each dimension.3. It is helpful to take effective measure of prevention and cure, provid evaluation method for clinical therapeutic efficacy of Chinese medicine, raise the effect of treatment on AS using with Chinese medicine and eventually achieve to improve the quality of life of AS to study on the quality of life of AS.4. The treatment on AS don't only retent on the routine method. We should still consider the mental aspect. We should treat on AS from multilayer.
Keywords/Search Tags:Ankylosing Spondylitis, Quality of Life, the syndromes of traditional Chinese medicine
PDF Full Text Request
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