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Survey On The Quality Of Life And Related Affecting Factors Of Rheumatoid Arthritis

Posted on:2016-06-08Degree:MasterType:Thesis
Country:ChinaCandidate:J SunFull Text:PDF
GTID:2284330482954767Subject:Disease Prevention and Control
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With the continuous development of social economy, people’s living standards continue to improve, people’s attitudes to health are changing. We are no longer just concerned about survival, but more concerned about the quality of survival. Therefore, the quality of life more and more high-profile research. Rheumatoid arthritis(RA) is a chronic recurrent autoimmune disease, with the symmetry of the hands, wrists, ankles and feet joints polyarthritis based, it can be accompanied by fever, anemia, subcutaneous knot outer section and lymph nodes and other joint performance. Even after proper treatment, rheumatoid arthritis cannot be completely cured, disease progression can lead to joint deformity. RA patients suffer due to the long joint damage, resulting in bodily pain, if not treated, the disease will be develop gradually increased, eventually leading to joint stiffness, deformity, loss of function, resulting in varying degrees of disability, which greatly reduces the quality of life of patients, and therefore RA quality of life of patients cannot be ignored, for the study of the quality of life in patients with RA has a very important practical significance. Object:Understanding the quality of life in patients with RA, the status of self-efficacy, analyze the quality of life associated with the general situation, self-efficacy, and to explore the factors affecting the quality of life in patients with RA, clinical nursing work to develop targeted prevention and intervention measures to provide scientific in accordance with.Method:Adult RA patients in Changchun City, a Division of Rheumatology hospitals of hospitalization for the study, the use of cluster sampling, using questionnaires to investigate each of RA patients, the use of questionnaires including the general questionnaire, SF-36 scale, chronic self-efficacy scale, a total of 115 questionnaires, 105 questionnaires, of which 99 valid questionnaires.Data entry using Excel 2007, using statistical software SPSS19.0 for statistical data analysis. Measurement data are mean ± standard deviation(X ± S), count data using the constitution ratio. General information(including age, sex, duration, etc.) on the quality of life, between two sets of data were compared using independent samples t-test; correlation between quality of life and self-efficacy, using Pearson correlation analysis test to P <0.05 was statistically significant. Results:1. Quality of life in patients with RA and the impact of factors: the quality of the investigated 99 cases of RA patients scoring eight dimensions of life, vitality and mental health scores of relatively high, due to the physiological functions and emotional problems limit the role of two dimensions relative score low. Affecting factors, gender, occupation patient status and quality of life of the eight scores of RA was no significant difference; the physiological function dimensions of RA patients of different ages, body pain dimensions, mental health scores of statistical differences significance(P <0.05); RA patients with different degrees of culture in physiological function, bodily pain, general health, vitality score four dimensions of difference was statistically significant(P <0.05). RA patients with different course of physiological function, bodily pain, vitality, mental health is my score each dimension difference was statistically significant(P <0.05); RA patients with different degrees of activity limitation in the physiological function of the quality of life, bodily pain, general health, vitality, role limitations due to emotional problems, mental health score six dimensions of difference was statistically significant(P <0.05).2. RA patients and influencing factors of self-efficacy: 99 cases of the four dimensions of RA patients were investigated aspects of self-efficacy scores, answers to scores of the highest scores of the results to reach the lowest total score in the self-efficacy of self-efficacy. Influence factors, RA patients with different sex, age, occupation status, education level, duration, degree of activity limitation in self-efficacy score difference was not statistically significant in four dimensions.3. Quality of life and self-efficacy correlation analysis: self-efficacy, respectively, in the self-management and physical pain, general health, vitality, role limitations due to emotional problems, mental health, general self-efficacy and physical pain, general health, vitality, social function, reach Results and physical function, bodily pain, general health, vitality, social function, to deal with problems and physical function, physical function, bodily pain, vitality, social functioning, role limitations due to emotional problems, there is a correlation(P between mental health <0.05), no statistically significant association remaining dimensions. Among them, the self-management and bodily pain, general health, vitality, role limitations due to emotional problems, there is a moderate correlation between mental health(0.3≤ | r | <0.8 and P <0.05); general self-efficacy and physical pain, general health, there is a moderate correlation between social function(0.3≤ | r | <0.8 and P <0.05); to achieve results with the physiological functions, physical pain, there is a moderate correlation(0.3≤ between general health, social function | r | <0.8 and P <0.05); between roles to deal with problems and physical function limitations, bodily pain, social function of emotional problems caused by moderate correlation(0.3≤ | r | <0.8 and P <0.05), to deal with psychological problems Health-related strong. Conclusion:1. The level of self-efficacy in RA patients at a low level.2. Quality of life in patients with RA scores with age, education level, duration, limited mobility and other factors related to where the quality of life of RA patients ≤44 years of age scored higher than> RA patients 44 years of age; junior high school or higher education score higher than junior high school and below the RA patients; duration ≤ 6 years of quality of life scores than patients with RA> RA patients 6 years; ≤2 degree of limitation of activity in RA patients is higher than the level of activity limitation level> 2 of RA patient.3. Different ages, RA patient sex, education, occupation status, duration and extent of activity limitation in self-efficacy score four dimensions no significant difference and so on.4. Quality of life scores and self-efficacy scores were significantly correlated, indicating that self-efficacy, the higher the score, the higher the quality of life, on the contrary, self-efficacy lower the score, the worse the quality of life.
Keywords/Search Tags:Rheumatoid arthritis, quality of life, self-efficacy
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