PDF(Pubmed)
Abstract：
BACKGROUND: Due to the presence of numerous problems in osteoarthritis, e.g., the presence of one or more chronic diseases, reduced self-esteem and reduced ability to cope, patients must undertake readaptation activities. In such circumstances, resources that are necessary for optimal adaptation become of particular importance. This cross-sectional study aimed to assess the impact of behavioral resources, namely self-efficacy and optimism, on quality of life perception in early-old-age patients with knee osteoarthritis.
METHODS: An anonymous survey was conducted using recognized research tools: the Index of Severity for Knee Disease, Life Orientation Test, General Self-Efficacy Scale and World Health Organization Quality of Life BEFF. The study involved 300 people aged between 60 and 75 years old, including 150 patients diagnosed with gonarthrosis and 150 people without diagnosed joint and muscular diseases of the lower limbs. Non-parametric tests (e.g., Mann-Whitney U test, Kruskal-Wallis test, Spearman\'s correlation coefficient) were used for the statistical analysis of the results, assuming a significance level of p < 0.05.
RESULTS: The level of the examined personal resources was significantly lower in the group of people with gonarthrosis (p < 0.001), among whom low self-efficacy and a tendency toward pessimism prevailed. The results in terms of the level of lower limb joints impairment among the respondents correlated significantly and negatively with self-efficacy (r = -0.239; p = 0.003) and dispositional optimism (r = -0.318; p < 0.001). A higher level of the studied psychosocial resources led to a more favorable assessment of quality of life (p < 0.001) and own health (p < 0.001). In addition, a higher sense of self-competence was associated with better quality of life in the psychological (p = 0.044), social (p < 0.001) and environmental (p < 0.001) domains, while a tendency toward optimism was associated with higher quality of life perception in the social domain (p < 0.001).
CONCLUSIONS: It would seem to be reasonable to introduce a routine diagnosis, assessing the level of personal capabilities of elderly people with knee osteoarthritis, which may have a beneficial effect on their perception of their quality of life and their own health.
METHODS: An anonymous survey was conducted using recognized research tools: the Index of Severity for Knee Disease, Life Orientation Test, General Self-Efficacy Scale and World Health Organization Quality of Life BEFF. The study involved 300 people aged between 60 and 75 years old, including 150 patients diagnosed with gonarthrosis and 150 people without diagnosed joint and muscular diseases of the lower limbs. Non-parametric tests (e.g., Mann-Whitney U test, Kruskal-Wallis test, Spearman\'s correlation coefficient) were used for the statistical analysis of the results, assuming a significance level of p < 0.05.
RESULTS: The level of the examined personal resources was significantly lower in the group of people with gonarthrosis (p < 0.001), among whom low self-efficacy and a tendency toward pessimism prevailed. The results in terms of the level of lower limb joints impairment among the respondents correlated significantly and negatively with self-efficacy (r = -0.239; p = 0.003) and dispositional optimism (r = -0.318; p < 0.001). A higher level of the studied psychosocial resources led to a more favorable assessment of quality of life (p < 0.001) and own health (p < 0.001). In addition, a higher sense of self-competence was associated with better quality of life in the psychological (p = 0.044), social (p < 0.001) and environmental (p < 0.001) domains, while a tendency toward optimism was associated with higher quality of life perception in the social domain (p < 0.001).
CONCLUSIONS: It would seem to be reasonable to introduce a routine diagnosis, assessing the level of personal capabilities of elderly people with knee osteoarthritis, which may have a beneficial effect on their perception of their quality of life and their own health.
摘要：
背景：由于骨关节炎存在许多问题，例如，一种或多种慢性疾病的存在，自尊心降低，应对能力降低，患者必须进行重新适应活动。在这种情况下,最佳适应所需的资源变得特别重要。这项横断面研究旨在评估行为资源的影响，即自我效能感和乐观，早期老年膝骨性关节炎患者的生活质量感知。
方法：使用公认的研究工具进行了一项匿名调查：膝关节疾病严重程度指数，生活方向测试,一般自我效能感量表和世界卫生组织生活质量BEFF。这项研究涉及300名年龄在60至75岁之间的人，包括150例诊断为膝关节病的患者和150例未诊断为下肢关节和肌肉疾病的患者。非参数测试(例如，Mann-WhitneyU测试,Kruskal-Wallis测试,Spearman相关系数)用于结果的统计分析，假设显著性水平为p<0.05。
结果：在患有膝关节病的人群中，所检查的个人资源水平显着降低（p<0.001），其中低自我效能感和悲观倾向盛行。结果与自我效能感(r=-0.239;p=0.003)和倾向乐观(r=-0.318;p<0.001)显著负相关。研究的心理社会资源水平越高，对生活质量（p<0.001）和自身健康（p<0.001）的评估就越有利。此外,较高的自我能力感与较好的心理生活质量相关（p=0.044），社会(p<0.001)和环境(p<0.001)领域，而乐观倾向与社会领域更高的生活感知质量相关（p<0.001）。
结论：引入常规诊断似乎是合理的，评估患有膝骨关节炎的老年人的个人能力水平，这可能会对他们对生活质量和自身健康的看法产生有益的影响。
方法：使用公认的研究工具进行了一项匿名调查：膝关节疾病严重程度指数，生活方向测试,一般自我效能感量表和世界卫生组织生活质量BEFF。这项研究涉及300名年龄在60至75岁之间的人，包括150例诊断为膝关节病的患者和150例未诊断为下肢关节和肌肉疾病的患者。非参数测试(例如，Mann-WhitneyU测试,Kruskal-Wallis测试,Spearman相关系数)用于结果的统计分析，假设显著性水平为p<0.05。
结果：在患有膝关节病的人群中，所检查的个人资源水平显着降低（p<0.001），其中低自我效能感和悲观倾向盛行。结果与自我效能感(r=-0.239;p=0.003)和倾向乐观(r=-0.318;p<0.001)显著负相关。研究的心理社会资源水平越高，对生活质量（p<0.001）和自身健康（p<0.001）的评估就越有利。此外,较高的自我能力感与较好的心理生活质量相关（p=0.044），社会(p<0.001)和环境(p<0.001)领域，而乐观倾向与社会领域更高的生活感知质量相关（p<0.001）。
结论：引入常规诊断似乎是合理的，评估患有膝骨关节炎的老年人的个人能力水平，这可能会对他们对生活质量和自身健康的看法产生有益的影响。
