目的:调查类风湿关节炎(RA)患者的运动依从性现状并分析其影响因素。方法:选取贵州中医药大学风湿免疫科260例RA患者为研究对象,采用便利抽样法进行抽样,使用一般调查问卷、运动依从性量表、运动自我效能量表、36项简明健康量表(SF-36)对其进行调查。结果:调查共发放260份问卷,回收有效问卷235份,回收率为90.38%。235例RA患者功能锻炼依从性量表得分为(40.56±8.72)分,其中低依从率患者43例,占比18.30%,中等依从率患者168例占比为71.49%,高依从率患者24例,占比10.21%,因此依从率总体处于中等水平。多元线性回归分析结果显示,运动自我效能感、身体疼痛程度、情绪状态、心理健康、文化程度、病程、关节疼痛程度是患者运动依从性的主要影响因素。结论:RA患者运动依从性处于中等水平,具有较大的提升空间,医护人员应根据患者的具体情况和主要影响因素,制定并实施个体化的运动干预方案,提高患者的运动依从性,改善其关节功能并延缓疾病发展,从而提升患者的生活质量。
Objective: To survey rheumatoid arthritis in patient with rehabilitation exercise compliance and analyze the influencing factors. Methods: By convenience sampling, select 235 RA patients as study participants from Rheumatism-Immunity-Branch in The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, a cross-sectional survey was conducted with the general information questionnaire, exercise adherence questionnaire(EAQ), the self-efficacy for exercise(SEE), 36 Items Short form Health Measurement Scale(SF-36). Results: The score of exercise compliance in RA patients was (40.56±8.72), The overall compliance rate is at a moderate level, and its exercise compliance is at a moderate level, the results showed that motor self-efficacy, physical pain, mood, mental health, educational level, course of disease and degree of joint pain were the main Regression analysis of motor compliance. Conclusion: the exercise compliance of patients with RA is at the middle level, and there is great room for improvement. The medical staff should formulate and implement individualized exercise strategies according to the actual conditions of patients and possible influencing factors, therefore, it can improve the patients′motor compliance, improve their joint function, delay the development of the disease and further improve their quality of life.
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