纤维肌痛综合征患者的生存质量及其影响因素研究

发布时间：2018-01-19 03:08

本文关键词： 纤维肌痛综合征生存质量影响因素　出处：《现代生物医学进展》2016年30期 　论文类型：期刊论文

【摘要】：目的:探讨纤维肌痛综合征患者生存质量及其影响因素。方法:选择2014年2月至2015年2月在哈医大一院风湿免疫科门诊就诊的纤维综合征患者共40例,采用医师与患者沟通以及问卷调查的方法收集患者的性别、年龄、病程以及并发症情况,并对患者疼痛、疲劳、焦虑抑郁、睡眠情况以及生存质量进行评估。同时随机选取一般正常人群40例作为对照组。应用SPSS l7.0统计软件进行统计学分析。结果:纤维肌痛综合征患者生存质量显著低于对照组(P0.05);疲劳程度、焦虑抑郁为影响生存质量的主要因素,呈负相关(P0.05);疼痛与生存质量中活力维度呈负相关(P0.05),疲劳程度与生理职能、一般健康状况、社会功能以及情感职能4个维度呈负相关(P0.05),焦虑抑郁程度以及睡眠质量与躯体功能、躯体疼痛以及社会功能3个维度呈负相关(P0.05)。结论:影响纤维肌痛综合征患者生存质量的因素是多方面的,要想提高患者的生存质量,不仅要缓解疼痛及其相关症状,更要同时改善如疲劳、抑郁焦虑等症状。
[Abstract]:Objective: to investigate the quality of life and its influencing factors in patients with fibromyalgia syndrome. A total of 40 patients with fibrotic syndrome were selected from February 2014 to February 2015 in Rheumatology and Immunology Department of Hay Medical University. The patients' sex, age, course of disease and complications were collected by means of communication between doctors and patients and questionnaire survey, and the patients were treated with pain, fatigue, anxiety and depression. Sleep status and quality of life were evaluated. 40 normal subjects were randomly selected as control group. Statistical analysis was carried out with SPSS L7.0 statistical software. Results:. The quality of life in patients with fibromyalgia syndrome was significantly lower than that in the control group (. P0.05; The degree of fatigue, anxiety and depression were the main factors affecting the quality of life, and there was a negative correlation (P 0.05). There was a negative correlation between pain and vitality dimension in quality of life (P0.05), and there was a negative correlation between fatigue degree and physiological function, general health status, social function and emotional function (P0.05). Degree of anxiety and depression, sleep quality and somatic function. The three dimensions of somatic pain and social function were negatively correlated with P0.05.Conclusion: there are many factors that affect the quality of life of patients with fibromyalgia syndrome, and it is necessary to improve the quality of life of patients with fibromyalgia syndrome. Not only to relieve pain and related symptoms, but also to improve symptoms such as fatigue, depression and anxiety.
【作者单位】：哈尔滨医科大学附属第一医院风湿免疫科;
【基金】：中华医学会临床医学科研专项资金-风湿病学发展与研究资金项目(12040640364) 黑龙江省教育厅科学技术研究项目(12531239)
【分类号】：R68
【正文快照】： 纤维肌痛综合征(fibromyalgia syndrome,FMS)的主要临床表现为广泛的、弥漫性的疼痛及压痛,并伴随有多种相关症状,如睡眠质量下降,易疲劳、抑郁、焦虑等[1,2]。在不同人群中的调查数据显示,纤维肌痛综合征在人群中的患病率可达2~6.4%[3,4],女性患者明显多于男性,且有增加趋势,

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