刘淑芬,张厚强,石伟宏,等.成人血友病患者体力活动水平及其影响因素分析[J].中华物理医学与康复杂志,2024,46(8):726-730
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| 成人血友病患者体力活动水平及其影响因素分析 |
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| DOI：10.3760/cma.j.issn.0254-1424.2024.08.010 |
| 中文关键词: 血友病 体力活动 焦虑 抑郁 |
| 英文关键词: Haemophilia Physical activity Anxiety Depression |
| 基金项目:中央高水平医院临床科研业务费资助（2022-PUMCH-A-140） |
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| 中文摘要: |
| 目的 调查我国成人血友病患者体力活动水平及影响患者体力活动能力的相关因素，为成人血友病患者的综合管理提供参考依据。 方法 选取2019年1月至2022年6月期间首次就诊于北京协和医院康复医学科的成人血友病患者作为研究对象，采用国际身体活动问卷对其进行日常体力活动调查。采用独立样本t检验和卡方检验对本研究患者体力活动水平与其他国家已发表相关数据进行差异性比较，并采用Spearman相关性分析及多变量Logistic回归分析探讨影响我国成人血友病患者体力活动水平的可能因素。 结果 本研究共发放134份调查问卷，共回收110份有效问卷，入选血友病患者体力活动达高水平者占30.9%，与日本（χ2=12.795，P=0.002）、爱尔兰（χ2=9.277，P=0.01）及英国（χ2=12.619，P=0.002）报道的血友病患者体力活动类型分布均有显著差异，其中日本血友病患者体力活动达高水平者占12.4%，爱尔兰占50.9%，英国占43.1%。根据Spearman相关性分析，本研究入选患者关节受累数目（r=-0.231,P=0.015）、焦虑（r=-0.252,P=0.008）及抑郁（r=-0.308,P=0.001）情绪与体力活动水平可能存在相关性，多因素Logistic回归分析结果显示，抑郁（OR=11.35，95%CI为1.68~76.72，P=0.013）情绪是影响成人血友病患者体力活动能否达到高水平的独立相关因素。 结论 中国成人血友病患者体力活动达高水平者占比较低，抑郁情绪可能是影响患者体力活动水平的独立相关因素。 |
| 英文摘要: |
| Objective To explore the level of physical activity of Chinese adults with haemophilia and its related factors so as to provide a reference for their comprehensive management. Methods The daily physical activity of adults with haemophilia was surveyed using the International Physical Activity Questionnaire (IPAQ). A total of 110 questionnaires were eligible for analysis at last. The results were compared with published data from other societies using independent sample t-tests and chi squared tests. Spearman correlation analysis and multivariate logistic regression analysis were applied to explore factors related to the subjects′ physical activity levels. Results Fully 30.9% of the subjects claimed to maintain a high level of physical activity. This was significantly different from the distribution of physical activity observed in Japan (12.4%), Ireland (50.9%) and the United Kingdom (43.1%). According to the Spearman correlation analysis, the number of joints affected, anxiety, and depression are all significantly related to the level of physical activity among such adults. Multivariate logistic regression analysis showed that depression was an independent factor affecting the patients′ level of physical activities. Conclusion Chinese and Japanese adults with hemophilia have relatively low levels of physical activity, possibly influenced by depression. |
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