Fatigue in rheumatoid arthritis: the role of self-efficacy and problematic social support.
Fatigue in rheumatoid arthritis: the role of self-efficacy and problematic social support.
复制标题
类风湿性关节炎的疲劳：自我效能和有问题的社会支持的作用。
DOI：
10.1093/rheumatology/37.10.1042
复制
发表时间：
1998
期刊：
影响因子：
--
通讯作者：
O. Wiegman
中科院分区：
文献类型：
--
作者：
R. Riemsma;J. Rasker;E. Taal;E. Griep;Jacques M.G.W. Wouters;O. Wiegman
目的
研究类风湿关节炎（RA）患者疲劳与自我效能、社会支持的积极和有问题方面以及人口统计学和疾病相关变量的关系。
方法
至少5年的RA门诊患者进行了研究。用视觉模拟量表测量疲劳。其他变量包括：积极的社会支持[社会支持列表-互动（SSL 12-I）]和有问题的社会支持;应对RA和动员支持的自我效能;健康状况（Dutch-AIMS 2）;和实验室检查：红细胞沉降率（ESR）、血红蛋白（Hb）和类风湿因子（RF）;和疾病持续时间。
结果
共纳入229名门诊患者。疲劳与Dutch-AIMS 2的所有量表相关：疼痛、身体功能和情感（P < 0.001）。疲劳与社会支持无显著相关，但与问题性社会支持有极显著相关（P < 0.001）。这两种形式的自我效能与疲劳密切相关：对应对RA和动员社会网络具有高自我效能期望的患者（P < 0.001），疲劳较少。在回归分析中解释疲劳的变化，只有疼痛，自我效能的期望应对类风湿关节炎，并寻求帮助和有问题的社会支持仍然显着。
结论
疲劳在很大程度上（37%）可以解释为疼痛，应对RA的自我效能，以及寻求帮助和有问题的社会支持。众所周知，自我效能可以通过自我管理课程来增强，因此可以改善疲劳。
OBJECTIVE
To examine the relationship of fatigue in people with rheumatoid arthritis (RA) with self-efficacy, positive and problematic aspects of social support, and demographic and disease-related variables.
METHOD
Out-patients with at least 5 yr RA were studied. Fatigue was measured with a visual analogue scale. Other variables included were: positive social support [Social Support List-Interactions (SSL12-I)] and problematic social support; self-efficacy towards coping with RA and towards mobilizing support; health status (Dutch-AIMS2); and laboratory tests: erythrocyte sedimentation rate (ESR), haemoglobin (Hb) and rheumatoid factor (RF); and disease duration.
RESULTS
A total of 229 out-patients were included. Fatigue correlated with all scales of the Dutch-AIMS2: with pain, physical function and affect (P < 0.001). There was no significant correlation with social support, but there was a highly significant correlation of fatigue with problematic social support (P < 0.001). Both forms of self-efficacy correlated strongly with fatigue: patients with high self-efficacy expectations towards coping with RA, and towards mobilizing the social network (P < 0.001), had less fatigue. In the regression analysis to explain the variation in fatigue, only pain, self-efficacy expectations towards coping with RA, and towards asking for help and problematic social support remained significant.
CONCLUSIONS
Fatigue can to a large extent (37%) be explained by pain, self-efficacy towards coping with RA, and towards asking for help and problematic social support. It is known that self-efficacy can be enhanced by self-management courses and it may thus be possible to improve fatigue.