等待MRI检查的强直性脊柱炎患者焦虑变化及相关因素分析

发布时间：2019-03-18 18:51

【摘要】：目的探讨等待骶髂关节MRI检查的强直性脊柱炎(AS)患者焦虑变化情况及相关因素,为心理干预提供科学依据。方法纳入住院行骶髂关节MRI检查的AS患者97例,收集患者年龄、性别、婚姻状态、病程、文化程度、经济收入等基本资料,并利用AS病情活动度评分(ASDAS)、Bath AS功能指数(BASFI)、AS生活质量问卷(ASQo L)和状态-特质焦虑问卷(STAI)分别评估患者的病情活动、功能状态、生活质量情况以及检查骶髂关节MRI前1 d和前15 min的状态焦虑情况,运用线性回归对以上影响因素与焦虑变化进行关联性分析。结果 AS患者平均年龄(29.13±6.32)岁,男女比9.8∶1,平均病程(5.73±3.64)年。骶髂关节MRI检查前1 d S-AI得分46.50±10.10,检查前15 min S-AI得分51.03±12.65,两次S-AI得分总体变化差异有统计学意义(P0.01)。其中经济收入、ASDAS、BASFI、ASQo L是该变化的影响因素(P均0.05)。结论需要重视等待骶髂关节MRI检查的AS患者焦虑状态的变化,并关注相关的影响因素,并有必要在骶髂关节MRI检查前对患者进行心理干预,降低接受检查时患者的焦虑状态,确保MRI检查顺利进行。
[Abstract]:Objective to investigate the changes of anxiety and related factors in patients with ankylosing spondylitis (AS) waiting for MRI examination of sacroiliac joint in order to provide scientific basis for psychological intervention. Methods 97 patients with MRI of sacroiliac joint were enrolled in this study. The data of age, sex, marital status, course of disease, education level and economic income were collected. (ASDAS), was used to evaluate the activity of sacroiliac joint. Bath AS functional index (BASFI), AS quality of life questionnaire (ASQo L) and state-trait anxiety questionnaire (STAI) were used to evaluate the patients' disease activity and functional status, respectively. The quality of life (QOL) and the state anxiety of the sacroiliac joint in the first day and the first 15 min of MRI were examined. The linear regression was used to analyze the correlation between the above factors and the change of anxiety. Results the mean age of AS patients was (29.13 卤6.32) years, the male to female ratio was 9.8 渭 1, and the mean course of disease was (5.73 卤3.64) years. The S-AI score of sacroiliac joint was 46.50 卤10.10 on the first day before MRI examination, and 51.03 卤12.65 at 15 min S-AI before examination. There was significant difference in S-AI score between the two times (P0.01). Economic income and ASDAS,BASFI,ASQo L were the influencing factors of the change. Conclusion it is necessary to pay attention to the changes of anxiety state of AS patients waiting for MRI of sacroiliac joint, and to pay attention to the related influencing factors, and it is necessary to intervene the patients before MRI examination to reduce the anxiety state of the patients during the examination, and it is necessary to pay attention to the changes of anxiety state of the patients before MRI examination. Ensure that MRI checks proceed smoothly.
【作者单位】：广东省第二人民医院风湿免疫科;广东省第二人民医院普外二科;
【基金】：广东省医学科研基金项目(编号:201611118742703)
【分类号】：R593.23

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