Health Related Quality of Life of Patients with Rheumatoid Arthritis Attending in a Rheumatic Center, Lalitpur

Babita Budhathoki, M. Onta, Ajanta Singh, Bibhav Adhikai
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Abstract

Introduction: Rheumatoid Arthritis is a systemic autoimmune disorder, whose major distinctive feature is chronic, symmetrical, and erosive inflammation of the synovial tissue of joints which has a significant impact on patients’ physical, mental and social well-being, resulting in low health-related quality of life. The main objective of the study was to find out the health-related quality of life of patients with rheumatoid arthritis in a selected rheumatic Centre, Lalitpur. Method: A Descriptive cross-sectional design was adopted among 115 rheumatoid arthritis patients through non-probability purposive sampling. Data was collected through face to face interview taking written informed consent. Data was collected from 2nd September to 28th September 2018. Data were analyzed through descriptive and inferential statistics using SPSS version 16. Result: In this study, the mean score of the overall health-related quality of life was 55.84±13.43. The mean physical component score was 55.96±13.61 and the mental component score was 45.42±13.84. Regarding association with the physical quality of life, age (p=0.008) and type of family (p=0.04) which were significantly associated. Regarding association with mental quality of life, age (p=0.02), marital status (p=0.03) and BMI (p= 0.001) which were significantly associated with mental quality of life. Conclusion: The overall health-related quality of life of patients with Rheumatoid Arthritis was average whereas mental health domain score was below average. Thus, both physical and mental domain of health-related quality of life should be considered by the concerned authority.
拉利特普尔风湿病中心类风湿关节炎患者的健康相关生活质量
类风湿关节炎是一种全身性自身免疫性疾病,其主要特征是关节滑膜组织的慢性、对称和糜烂性炎症,严重影响患者的身体、心理和社会福祉,导致健康相关生活质量低下。该研究的主要目的是了解在拉利特普尔选定的风湿病中心的类风湿性关节炎患者的健康相关生活质量。方法:对115例类风湿关节炎患者进行非概率目的抽样,采用描述性横断面设计。数据通过面对面访谈的方式收集,并获得书面知情同意书。数据收集于2018年9月2日至9月28日。使用SPSS version 16对数据进行描述性统计和推断性统计。结果:本组患者总体健康相关生活质量平均得分为55.84±13.43。生理成分平均得分为55.96±13.61分,心理成分平均得分为45.42±13.84分。在与身体生活质量相关方面,年龄(p=0.008)和家庭类型(p=0.04)显著相关。在心理生活质量的相关性方面,年龄(p=0.02)、婚姻状况(p=0.03)和身体质量指数(p= 0.001)与心理生活质量显著相关。结论:类风湿关节炎患者总体健康相关生活质量处于平均水平,而心理健康领域得分低于平均水平。因此,有关当局应考虑与健康有关的生活质量的生理和心理两个方面。
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