摘要
目的 了解类风湿关节炎(RA)患者久坐行为现状并探讨其影响因素.方法 采用便利抽样法,选取2022年3-10月在我院就诊的RA患者243例,采用一般资料调查表、查而森合并症指数(CCI)、28个关节疾病活动指数(DAS28)、视觉模拟评分(VAS)、国际体力活动问卷(IPAQ)、疲劳严重程度量表(FSS)、恐动症Tampa评分表(TSK)、匹兹堡睡眠质量指数(PSQI)和患者健康问卷(PHQ-9)进行调查.结果 RA患者久坐时间为8.7(5.8,10.76)h/d,存在久坐行为(即每天久坐时间＞6 h)的患者有156例(64.20％).logistic回归分析结果显示,高合并症、重度疼痛、有恐动症及CRP水平越高的RA患者越倾向于久坐(P＜0.05).结论 RA患者存在较严重的久坐行为,多种因素阻碍患者做出久坐行为改变.提示医护人员应重视患者疾病状况及心理因素,建立合理的支持系统,鼓励活动恐惧较强、合并症指数高、疼痛严重的患者采取低强度活动,如站立、改变体位方式,以减少久坐,并进一步的提供干预方案为患者增加体力活动和有氧运动.
Abstract
Objective To understand the current situation of sedentary behavior in patients with rheumatoid ar-thritis(RA)and analyze the influencing factors.Methods A total of 243 RA patients in our hospital from March to October 2022 were selected by convenience sampling method.The general information questionnaire,Charlson Co-morbidity Index,28 Joint Disease Activity Index(DAS28),Visual Analogue Scale(VAS),International Physical Ac-tivity Questionnaire(IPAQ),Fatigue Severity Scale(FSS),Kinesiophobia Tampa Scale(TSK),Pittsburgh Sleep Quality Index(PSQI),and Patient Health Questionnaire(PHQ-9)were used for investigation.Results The sedentary time of RA patients was 8.7(5.8,10.76)h/d,and 156 patients(64.20％)had sedentary behavior(that is,sedenta-ry time＞6 h/d).logistic regression model analysis showed that RA patients with high comorbidities,severe pain,kinesiophobia,and higher C-reactive protein(CRP)levels were more likely to be sedentary(P＜0.05).Conclusion There is a serious sedentary behavior in RA patients,and many factors hinder patients from making sedentary be-havior changes.It is suggested that medical staff should pay attention to the patient's disease status and psychologi-cal factors,establish a reasonable support system,and encourage patients with strong activity fear,high complica-tion index,and severe pain to take low-intensity activities,such as standing and changing posture to reduce sedenta-ry,and further intervention programs are to increase patients'physical activity and aerobic exercise.
维普
万方数据