类风湿关节炎患者自我效能感、心理弹性的影响因素及与生活质量的相关性

目的探讨类风湿关节炎患者自我效能感、心理弹性影响因素及其与生活质量的相关性。方法选取2016年12月至2019年3月医院类风湿关节炎患者385例为研究对象,评价其自我效能感和心理弹性,采用多因素logistic回归分析影响自我效能感和心理弹性的因素,采用Pearson检验分析自我效能感、心理弹性与生活质量的相关性。结果类风湿关节炎患者生活质量高64例,生活质量低321例;自我效能感处于低水平318例、中等水平58例和高水平9例;心理弹性处于低水平308例,中等水平63例,低水平14例。多因素logistic回归分析显示,关节功能、社会支持度、负性心理、疼痛和疲乏是影响类风湿关节炎患者自我效能感的风险因素(P<0.05),文化程度、社会支持度、病程、负性心理、疼痛和人格特质类型是影响患者心理弹性的风险因素(P<0.05);而自我效能感和心理弹性是影响类风湿关节炎患者生活质量的风险因素(P<0.05),且自我效能感和心理弹性分别与生活质量呈正相关关系,差异有统计学意义(P<0.05)。结论自我效能感和心理弹性影响类风湿关节炎患者的生活质量,因此通过减轻或消除影响自我效能和心理弹性水平相关因素,提高两者水平,进而改善患者生活质量。

Influencing factors of self-efficacy and psychological elasticity in patients with rheumatoid arthritis and their correlation with quality of life

Objective To explore the influencing factors of self-efficacy and psychological elasticity in patients with rheumatoid arthritis and their correlation with quality of life.Methods To select 385 cases of patients with rheumatoid arthritis in the hospital from December 2016 to March 2019 as the study subjects,and to evaluate their self-efficacy and psychological elasticity.The factors affecting self-efficacy and psychological elasticity were analyzed by multivariate logistic regression.Pearson test was used to analyze the correlation between self-efficacy,psychological flexibility and quality of life.Results Among them,64 cases of patients with rheumatoid arthritis had high quality of life and 321 cases had a low quality of life.The self-efficacy of 318 cases was at low level,intermediate level with 58 cases and high level with 9 cases.The psychological elasticity was at low level with 308 cases and intermediate level with 63 cases,14 cases of low level.Multivariate logistic regression analysis showed that the joint function,social support,negative psychology,pain,and fatigue were the risk factors that affect the self-efficacy of patients with rheumatoid arthritis(P<0.05);the education level,social support degree,duration of disease,negative psychology,pain,and personality trait types were the risk factors that affect patients'psychological elasticity(P<0.05);the self-efficacy and psychological elasticity were the risk factors that affect the quality of life of patients with rheumatoid arthritis(P<0.05),and self-efficacy and psychological elasticity were positively correlated with quality of life respectively,and the differences were statistically significant(P<0.05).Conclusion The self-efficacy and psychological elasticity affected the quality of life of patients with rheumatoid arthritis.Therefore,by reducing or eliminating the factors affecting the level of self-efficacy and psychological elasticity,improving the two levels,thereby,it could improve the quality of life of patients.