A comparison of two methods of assessing disease activity in the joints.

Dwyer KA; Coty MB; Smith CA; Dulemba S; Wallston KA

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A comparison of two methods of assessing disease activity in the joints.

机译：评估关节疾病活动的两种方法的比较。

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BACKGROUND: Considerable debate has occurred concerning the utility of different methods of obtaining joint counts and their usefulness in predicting outcomes in persons with rheumatoid arthritis. OBJECTIVE: The purpose of this study was to compare two methods of assessing disease activity in the joints (clinician joint count, self-reported joint count), and to compare their relative utility in predicting two methods of assessing outcomes (self-reported ratings of impairment and pain, objective performance index) with and without controlling for negative affectivity. METHOD: Data for this study were obtained during home visits from 185 persons diagnosed with rheumatoid arthritis. Individuals completed a series of self-report measures including the joint count. Trained research assistants completed a 28-joint count and timed participants on a series of measured performance activities (e.g., grip strength, pinch strength, walk time). RESULTS: The self-report joint count was highly correlated with the clinician joint count and also accounted for as much, if not more, variance in the subjective outcome measures than did clinician assessments. Both types of indicators predicted unique variance in the objective performance index. CONCLUSIONS: For most research purposes, measures such as self-report joint counts have sufficient validity to be used in place of more costly clinician assessment of joint counts.

机译：背景：关于获得关节计数的不同方法的实用性及其在预测类风湿性关节炎患者预后中的作用已引起了广泛的争论。目的：本研究的目的是比较两种评估关节疾病活动的方法（临床医师关节计数，自我报告的关节计数），并比较它们在预测两种评估结果的方法（自我报告的评分）中的相对效用。障碍和疼痛，客观绩效指标）是否可以控制负面情感。方法：本研究的数据来自于185名被诊断为类风湿关节炎的人的家庭访视。个人完成了包括联合计数在内的一系列自我报告措施。受过训练的研究助手完成了28个关节的计数并为参与者定时进行了一系列测得的表演活动（例如握力，捏力，步行时间）。结果：自我报告的关节计数与临床医生的关节计数高度相关，并且在主观结果测量中的差异也要比临床医生的评估多得多，甚至更多。两种类型的指标都可以预测目标绩效指标的独特差异。结论：对于大多数研究目的，诸如自我报告联合计数的措施具有足够的有效性，可用来代替临床医师对联合计数的更昂贵的评估。

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《Nursing research》 |2001年第4期|共8页
作者
Dwyer KA; Coty MB; Smith CA; Dulemba S; Wallston KA;
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正文语种 eng
中图分类护理学;
关键词
Arthritis; Rheumatoid; Nursing Assessment; Physical Examination; Questionnaires; 关节炎; 类风湿; 护理估计; 体格检查; 问卷;

机译：Arthritis;Rheumatoid;Nursing Assessment;Physical Examination;Questionnaires;关节炎;类风湿;护理估计;体格检查;问卷;

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A comparison of two methods of assessing disease activity in the joints.

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