Objective To investigate the quality of life of rheumatoid arthritis (RA) patients with perimenopausal syndrome, and to analyze the influence factors. Methods A total of 184 RA patients with perimenopausal syndrome were investigated by general information questionnaire, World Health Organization Quality of Life-BREF, Hospital Anxiety and Depression Scale and Perceived Social Support Scale. Multiple linear regression was used to analysis the influence factors of quality of life. ResuIts The score of quality of life of the respondents was 64.82 ±8.28. Multiple linear regression analysis showed that the perceived social support, depression and education background were the important factors affecting RA patient's quality of life (P<0.05). ConcIusion The overall quality of life of RA patients with perimenopausal syndrome is poor, which is mainly influenced by perceived social support, depression and education background. Communications between medical staff and patients which helps to identify negative emotions and problems in patients'social support network and targeted health education will benefit improving their quality of life.%目的 调查类风湿关节炎处于围绝经期患者的生活质量现状,并分析其影响因素.方法 采用便利取样法,选取2017年3—6月于某三级甲等医院免疫科门诊就诊的类风湿关节炎处于围绝经期患者184例作为研究对象.采用一般资料调查表、WHO生活质量测定量表简表、医院综合焦虑抑郁量表和领悟社会支持量表对其进行问卷调查.采用多元线性回归分析其生活质量的影响因素.结果 患者生活质量总分为(64.82±8.28)分,多元线性回归分析显示:领悟社会支持、抑郁、文化程度是类风湿关节炎处于围绝经期患者生活质量的主要影响因素(P<0.05).结论 类风湿关节炎处于围绝经期患者生活质量整体水平较低,受领悟社会支持、抑郁、文化程度等因素影响.建议医护人员在临床工作中注意与患者的沟通交流,及时发现患者的负性不良情绪和社会支持网中存在的问题,采用针对式教育方式,以提高其生活质量.
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