类风湿关节炎患者焦虑及抑郁情绪与 疾病活动度的相关性

目的 分析类风湿关节炎患者焦虑及抑郁情绪与疾病活动度的相关性。方法 选取2017年1月~2018年3月在我院收治的类风湿关节炎患者105例作为研究对象，采用问卷调查的方式，调查患者焦虑、抑郁情绪评分以及疾病活动度程度，进一步分析患者焦虑及抑郁情绪与疾病活动度的相关性。结果 105例患者中存在焦虑情绪者43例，占40.95%，平均焦虑评分（42.94±3.88）分；抑郁情绪者33例，占31.42%，平均抑郁评分（46.83±3.91）分。患者平均疾病活动度指数得分（3.72±1.44）分，其中缓解期25例，占28.31%；轻度活动期16例，占15.23%；中度活动期44例，占 41.90%；重度活动期20例，占19.04%。不同疾病活动度患者焦虑、抑郁评分比较，差异有统计学意义（P＜0.05）；类风湿关节炎患者焦虑、抑郁情绪与疾病活动度评分呈正相关（r=0.273、0.322，P＜0.05）。结论 类风湿关节炎患者焦虑、抑郁情绪与疾病活动度存在一定的相关性，临床治疗过程中应重视对焦虑、抑郁情绪的疏导和环节，以促进患者的早日康复。

Correlation between Anxiety and Depression and Disease Activity in Patients with Rheumatoid Arthritis

Abstract:Objective To analyze the correlation between anxiety and depression and disease activity in patients with rheumatoid arthritis.Methods A total of 105 patients with rheumatoid arthritis admitted to our hospital from January 2017 to March 2018 were enrolled in this study. Questionnaires were used to investigate the anxiety and depression scores and the degree of disease activity, and to further analyze patient anxiety. And the correlation between depression and disease activity.Results Among the 105 patients, there were 43 patients with anxiety, accounting for 40.95%, and the average anxiety score (42.94±3.88). 33 patients with depression, accounting for 31.42%, and the average depression score (46.83±3.91). The average disease activity index score (3.721.44) of the patients, including 25 cases of remission, accounting for 28.31%; 16 cases of mild activity, accounting for 15.23%; 44 cases of moderate activity, accounting for 41.90%; There were 20 cases of severe activity, accounting for 19.04%. There were significant differences in anxiety and depression scores between patients with different disease activities (P<0.05).There was a positive correlation between anxiety and depression and disease activity scores in rheumatoid arthritis patients (r=0.273,0.322,P<0.05).Conclusion There is a certain correlation between anxiety and depression and disease activity in patients with rheumatoid arthritis. In the course of clinical treatment, attention should be paid to the counseling and links of anxiety and depression to promote the early recovery of patients.