Ann Rheum Dis：类风湿性关节炎患者幸福感和生活质量的决定因素

2018-04-07 xiangting MedSci原创

RA患者生活质量和幸福感的优化需要对病程进行有效控制，并改善疾病影响域。性格似乎在这些关系中扮演着关键的介导角色。

除了延长寿命外，医疗护理的最终目标是改善患者享受生活乐趣的能力，这一概念类似于幸福感。这项研究分析了类风湿性关节炎（RA）患者幸福感和生活质量（QoL）的决定因素。

在这项观察性、横断面研究中，评估了患者的疾病活动性、疾病影响、性格、QoL和幸福感。使用结构方程模型估计分析这些维度之间的关联，寻求验证三个假设：H1-疾病活动性、感知到的疾病影响与RA患者整体QoL和幸福感呈负相关; H2-"积极"人格特质直接和间接通过感知到的疾病影响与幸福感相关；H3-幸福感在疾病影响与QoL之间的关系中起中介作用。

共分析了213位患者的数据。结果支持了所有假设。幸福感与"积极"人格特质呈正相关，并且在较小程度上与疾病影响呈负相关。反过来，疾病的影响与疾病活动性呈正相关，并由"积极"的人格特质减轻。疾病的影响与QoL的关联比幸福感强很多。幸福感减轻了疾病影响对QoL的负面效应。

RA患者生活质量和幸福感的优化需要对病程进行有效控制，并改善疾病影响域。性格似乎在这些关系中扮演着关键的介导角色。

原始出处：

Eduardo José Ferreira Santos, et al. Determinants of happiness and quality of life in patients with rheumatoid arthritis: a structural equation modelling approach. Ann Rheum Dis. 06 April 2018.

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#插入话题

插入图片

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2018-07-17 wushaoling

#决定因素#

57 0
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2018-05-15 cmj8wellington

#Dis#

63 0
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2018-04-09 lmm397

#关节炎#

74 0
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2018-04-09 ms4964546379600229

#类风湿#

64 0
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2018-04-09 ms1467340776200723

#风湿性关节炎#

56 0
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2018-04-07 yeyekeke

没有什么可以改变的

76 0
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2018-04-07 121832a9m88暂无昵称

学习了

85 0

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