Investigation and Analysis of the Influencing Factors of Work Ability Disorders in Patients with Rheumatoid Arthritis and Their Impact on Quality of Life and Psychological State
Objective:To investigate the status of work ability disorders in patients with rheumatoid arthritis(RA),analyze their influencing factors,and explore the impact of work ability disorders on the quality of life and psychological state of RA patients.Methods:This study investigated 126 RA patients who underwent outpatient examinations and were diagnosed in The Second Hospital of Liaocheng Affiliated to Shandong First Medical University from May 2022 to May 2023.Collected relevant information about patients through a questionnaire survey to evaluate the occurrence of work ability disorders in patients.Used univariate and multivariate logistic analysis to analyze the influencing factors of work ability disorders in RA patients.At the same time,the Chinese version of the Health Survey Scale(SF-36)was used to evaluate the quality of life of patients,and the Self Rating Depression Scale(SAS)and Self Rating Anxiety Scale(SDS)were used to evaluate the depression and anxiety status of patients,respectively.Results:Out of 126 questionnaires,120 were considered valid for collection,with a recovery effectiveness rate of 95.24％.Among them,80 cases had work ability disorders,accounting for 66.67％,and 40 cases had no work ability disorders,accounting for 33.33％.The work ability disorder of RA patients is related to educational level,place of residence,average monthly income,occupational status,age of onset,course of disease,and number of affected joints(P＜0.05),but not to gender,delayed diagnosis time,number of deformed joints,and medical payment method(P＞0.05).The main risk factors for work ability disorders in RA patients are education level high school and below,residence in rural areas,aver-age monthly income ≤ 2000 yuan,engaged in manual labor,age of onset≤30 years,disease course＞2 years,and number of affected joints＞10(P＜0.05).The physiological function,physiological function,physical pain,overall health,vitality,social function,emotional function,and mental health scores of the work ability disorder group were lower than those of the non work ability disorder group(P＜0.05).The SAS and SDS scores of the non work ability disorder group were lower than those of the work ability disorder group(P＜0.05).Conclusion:The incidence of work ability disorders in RA patients is 66.67％,with rural residency,average monthly income ≤2000 yuan,high school education or below,physical labor,age of onset ≤30 years,disease course＞2 years,and number of affected joints＞10 being the influencing factors for work ability disorders in RA patients.Work ability disorders have a certain impact on the quality of life and psychological state of patients.
Rheumatoid arthritisWork ability barriersInfluencing factorsQuality of lifePsychological state
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