全身性紅斑狼瘡及類風濕性關節炎女病患的身體、心理、社會功能探討

The Physlo-psycho-social Function of Women with Systemic Lupus Erythematosus and Rheumatoid Arthritis

林文香(Wan-Shiang Lin) ； 夏萍絗(Ping-Hui Hsia) ； 楊文山(Wen-Shan Yang) ； 洪志美(Chi-Mei Horng)

《護理研究》 7卷3期 (1999/06) Pp. 261-275

https://doi.org/10.7081/NR.199906.0261

摘要

Women with systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) were examined in terms of the physical and psychosocial impact of the illness and related factors. Female SLE and RA patients, aged from 16 to 49, were randomly selected from the Allergy, Immunology, and Rheumatology division of an outpatient clinic at a medical center in Taipei, Taiwan. These patients were interviewed and underwent a physical examination. The structured instruments used in the study were a Rheumatology Living Impact Questionnaire, Symptoms Checklist -90-Revised (SCL-90-R), Rheumatology Attitudes Index (RAI), Modified SLE Activity Measure CM-SLAM), and RA Symptoms Measure. The study included 103 SLE and 50 RA female patients. Patients suffered multi-dimensional life impact, which included physical function, psychiatric symptoms, leisure/social/activities, household chores, family function, and job impact. SLE patients experienced less physical function difficulty (t=-3.17, p＜0.01) and helplessness (t=-2.03, p＜0.05). But there was no difference in terms of psychiatric status, leisure/social/activities, household chores, job adjustment and family function. Helplessness was related to the general symptom index (t=3.51, p＜0.001), leisure/ sociallactivities (t=2.3l, p＜0.05), and family function (t=2.94, p＜0.01) for SLE patients. Helplessness was related to the general symptom index (t=2.03, p＜0.05) for RA patients. These findings indicate that the chronic illness experiences include the multi-dimensional life impact on physical function, social life, family function, and job adjustment. Our study suggestes that a physio-psycho-social approach in nursing care is essential for chronic patients.

關鍵字

全身性紅斑狼瘡 ； 類風濕性關節炎 ； 慢性病 ； 婦女 ； 心理社會因素

並列摘要

Women with systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) were examined in terms of the physical and psychosocial impact of the illness and related factors. Female SLE and RA patients, aged from 16 to 49, were randomly selected from the Allergy, Immunology, and Rheumatology division of an outpatient clinic at a medical center in Taipei, Taiwan. These patients were interviewed and underwent a physical examination. The structured instruments used in the study were a Rheumatology Living Impact Questionnaire, Symptoms Checklist -90-Revised (SCL-90-R), Rheumatology Attitudes Index (RAI), Modified SLE Activity Measure CM-SLAM), and RA Symptoms Measure. The study included 103 SLE and 50 RA female patients. Patients suffered multi-dimensional life impact, which included physical function, psychiatric symptoms, leisure/social/activities, household chores, family function, and job impact. SLE patients experienced less physical function difficulty (t=-3.17, p＜0.01) and helplessness (t=-2.03, p＜0.05). But there was no difference in terms of psychiatric status, leisure/social/activities, household chores, job adjustment and family function. Helplessness was related to the general symptom index (t=3.51, p＜0.001), leisure/ sociallactivities (t=2.3l, p＜0.05), and family function (t=2.94, p＜0.01) for SLE patients. Helplessness was related to the general symptom index (t=2.03, p＜0.05) for RA patients. These findings indicate that the chronic illness experiences include the multi-dimensional life impact on physical function, social life, family function, and job adjustment. Our study suggestes that a physio-psycho-social approach in nursing care is essential for chronic patients.

並列關鍵字

systemic lupus erythematosus ； rheumatoid arthritis ； chronic disease ； women ； psychosocial factors