中国部分地区关节炎患者生活质量调查

目的　初步评价中国部分地区关节炎患者的生活质量。方法　采用分层随机抽样方法获得关节炎患者 1344例 ,生活质量调查采用关节炎患者生活质量量表 ,填答方式为自填法。结果调查的关节炎患者中 ,各年龄组不同性别患者的生活质量得分差异均无显著性 (P >0 .0 5 ) ;但其中 6 5岁以上女性、受教育年数较少者、月均收入较低者的生活质量得分均相对较差 ;丧偶或离婚者得分也较未婚和已婚者差 (t=9.310 ,P =0 .0 0 1) ;无业者、农民的得分较其他所有职业者低 (P <0 .0 5 ) ;在生理指标方面显示生理指标得分差者 ,生活质量得分也差 ,但对于压痛指数 2、3级者之间生活质量得分差异并无显著性 (平均差数为 4 .910 ,P =0 .76 5 ) ,对于关节肿胀指数 0、1级者之间 (平均差数为16 .30 8,P =0 .0 79)以及 2、3级者之间 (平均差数为 6 .6 4 3,P =0 .5 33)差异也无显著性。结论　关节炎患者整体生活质量的提高不仅有赖于医学水平的提高 ,还有赖于有关部门予以重视 ,并采取完善社会保障制度和农村医疗保障制度 ,提高农村教育水平 ,关注老年生活等有效措施。

Quality of life of patients with arthritis in China

Objective To evaluate the quality of life of arthritis patients in China. Methods Patients ( n = 1 344 ) were selected by stratified random sampling according to the economic conditions and the ranking of hospitals, and asked to complete the arthritic self-reported questionnaire of quality of life. Results The scores of quality of life were not different between male arthritis and female arthritis in different age groups ( P > 0.05 ). The lower scores of quality of life were reported more often among the women older than 65 years. Those of lower educational level and lower income got fewer scores. Compared to the married and unmarried patients, the divorcees and those who were bereft of their spouses gained low scores ( t = 9.310 , P = 0.001 ). Among different occupation groups, the labors and farmers also got lower scores than others ( P < 0.05 ). On the other hand, if the arthritis with better physical conditions, it was more possible that the scores were higher, but to pressed pain index, there were no different scores shown between the second and third grade (mean difference= 4.910 , P = 0.765 ), and to joint swell index, there are no different scores between either the 0 and 1 grade (mean difference= 16.308 , P = 0.079 ) or the 2 and 3 grade (mean difference= 6.643 , P = 0.533 ). Conclusion To improve the quality of life of all arthritis patients, enhancing the quality of medical technology and enriching the medical knowledge are evidently necessary. However, it is also important to prefect social security system, to improve the country education and pay attention to life of elderly in order to improve the quality of life of all arthritis patients.