摘要
目的了解广州市中老年髋关节炎患者生存质量现状及影响因素,为提升患者生存质量提供科学建议。方法选取92例确诊入院的髋关节炎患者为研究对象,采用自编患者一般情况问卷、欧洲五维健康量表(EQ-5D-5L)、髋关节功能状态量表(HOOS-PS)、健康自评标尺(VAS)进行调查,并对影响髋关节炎患者生存质量的因素进行结构方程模型分析。结果Spearman等级相关分析表明,广州市髋关节炎患者生存质量、髋关节功能状态和健康自评三者的相关系数均小于0.05,三者呈高度正相关。髋关节功能状态对患者生存质量(0.634)有正向效应(P<0.05),而髋关节手术史对髋关节功能状态(0.567)有正向效应(P<0.05),髋关节手术史对患者生存质量EQ-5D-5L值(0.614)存在完全中介效应(P<0.05)。结论髋关节的功能状态是髋关节炎患者生存质量的主要影响因素,髋关节炎手术史是影响髋关节功能状态的危险因素。对此类患者加强术后护理及阶段性康复锻炼等有助于患者康复和生存质量的提高。
Objective To investigate the factors affecting the quality of life of middle-aged and elderly patients with hip arthritis in Guangzhou,and to provide scientific advice for improving the quality of life of these patients.Methods A total of 92 confirmed patients with hip arthritis were selected as the research objects.Their basic living conditions and quality of life were investigated by self-designed questionnaire on general condition of patients,European Five-Dimensional Health Rating Scale(EQ-5 D-5 L),Hip disability and Osteoarthritis Outcome Score-Physical function Shortform(HOOS-PS)scale and Visual Analogue Scales(VAS)health self-assessment score.And the structural equation model was constructed and fitted to the factors affecting the quality of life of patients with hip arthritis,and the test results were obtained.Results The Spearman’s rank correlation coefficient method showed that the correlation coefficients of quality of life,functional status of hip joint and self-assessment of health of hip arthritis patients in Guangzhou were all less than 0.05,showing a highly positive correlation.As for the model fitting results,the score of HOOS–PS had a positive effect on the quality of life(0.634)(P<0.05),while the history of hip surgery was positively correlated with the score of HOOS-PS(0.567)(P<0.05),and the history of hip surgery played a completely mediating role in the score of HOOS-PS(0.614)(P<0.05).Conclusion The functional state of hip joint is the main factor affecting the quality of life of patients with hip osteoarthritis,in which the surgical history of hip joint arthritis is the rick factor affecting the functional status of hip joint.It is helpful for patients to recover and improve their quality of life by strengthening postoperative nursing and periodical rehabilitation exercise.
作者
庞允奕
杨玲
黄润佳
昌敬惠
PANG Yunyi;YANG Ling;HUANG Runjia;CHANG Jinghui(Second school of clinical medicine,Southern Medical University,Guangzhou 5105151 China;College of traditional Chinese medicine,Southern Medical University,Guangzhou 5105151 China;School of pharmacy,Southern Medical University,Guangzhou 5105151 China;School of health management,Southern Medical University,Guangzhou 5105151 China)
出处
《中国老年保健医学》
2020年第5期27-31,共5页
Chinese Journal of Geriatric Care
基金
2019年度广东省医学科学技术研究基金(B2019248)
2018年度南方医科大学科研启动计划青年科技人员培育项目(G618369181)
2019年度南方医科大学卫生管理学院国家级课题培育计划项目(2019RFT002)
2020年度南方医科大学校级大学生创新训练计划项目(X202012121248)。
关键词
髋关节骨性关节炎
中老年患者
生存质量
影响因素
Osteoarthritis of hip
Middle-aged and elderly patients
Quality of life
Influencing factors
