The Research On The Influence Factors And Psychological Intervention Of The Quality Of Life On The Rheumatoid Arthritis Patients

ObjectiveTo investigate the life quality,anxiety and depression,pain,illness uncertainty and sleeping quality regarding the patients with rheumatoid arthritis(RA),and to explore and discuss psychosocial factors that influence the life quality.The cognitive behavior and Mindfulness are used as a theoretical basis to psychologically intervene the patients,and the effect of intervention on the various factors that influence the life quality of RA patients has been analyzed.Methods1.Investigation: We used convent sampling that chose 230 cases of rheumatoid arthritis patients with the quality of life in patients with rheumatoid arthritis QLICD-RA(V2.0)、VAS pain score、self rating Anxiety Scale(SAS)、self rating Depression Scale(SDS)、uncertainty in Illness Scale(MUIS)、Sleep scale index in Pittsburgh(PSQI),after eliminating invalid questionnaires,collected 210 cases of patients.2.Intervention: Recruit 35 patients as intervention group and 35 patients as control group.The intervention group were given psychological intervention on the basis of routine drug treatment,while the control group only had normal medication without receiving psychological intervention.Result1.the result of survey:(1)The level of life quality of RA patients is subaverage.(2)The RA patients differed from each other in the dimensions and total score regarding the life quality depending on the patient’s gender,age,educational background,marital status and other sociodemographic characteristics and disease DAS28 score(p<0.01).(3)Each dimension and total score of illness uncertainty are negatively correlated to that of the life quality,with the exception of specific module and complexity(p < 0.01);anxiety-depression is negatively correlated to the dimensions and total score of life quality(p<0.01);Pittsburgh sleep quality index scale score is negatively correlated to the score of life quality(p<0.05),with the exception of social function,specific module and hypnotic;pain is negatively correlated to the physiological function,social function,specific module and total score of life quality(p<0.01).(4)The result of regression analysis revealed that,the leading factors that influence the life quality of RA patients,in proper order,are: SDS,sleep disorder,SAS,pain VAS score,uncertainty and marital status.2.the result of intervention:(1)After psychological intervention,the difference in life quality score between the patients in the intervention group and the ones in the control group was statistically significant(p<0.01),the life quality of patients in intervention group had been improved to a higher degree than the ones in control group had been;(2)After psychological intervention,the anxiety,depression and illness uncertainty of the patients in intervention group had been improved to a higher degree than the ones in control group had been,their sleeping quality had been markedly improved,and their pain and physiological index had been markedly reduced(p<0.01).ConclusionThe overall level of life quality of RA patients is low.The patient’s life quality is affected by the demographic variables and disease-related factors,while the depression,sleep disorder,anxiety,pain VAS score,illness uncertainty and marital status can be used to predict the level of patient’s life quality.The psychological intervention can effectively reduce the uncertain feeling and pain of patients,alleviate their emotional state like anxiety and depression and improve the patients’ sleep and life quality.