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Abstract：
UNASSIGNED: To investigate the factors that influence health literacy (HL) among Chinese patients with rheumatoid arthritis (RA) and furnish theoretical underpinnings for the development of intervention strategies aimed at enhancing patients\' quality of life.
UNASSIGNED: From May 2022 to December 2022, a comprehensive survey was conducted among both outpatients and inpatients diagnosed with (RA) in a tertiary hospital in China. The survey utilized various instruments, including a general information questionnaire, a chronic disease patient health literacy scale, the Health Assessment Questionnaire-Disability Index (HAQ-DI), the Chinese-translated Rheumatoid Arthritis Self-Efficacy Scale, the Chinese-translated Rheumatoid Arthritis Stigma Scale, and the Chinese-translated Compliance Questionnaire for Rheumatology Treatments.
UNASSIGNED: The average scores of HL, self-efficacy, medication adherence, and disability index were 83.54 ± 17.43, 84.91 ± 14.37, 70.16 ± 11.24, and 0.26 ± 0.44, respectively. HL in Chinese RA patients was negatively correlated with age, erythrocyte sedimentation rate (ESR), number of tender joints, number of swollen joints, and disease activity, while positively correlated with self-efficacy and medication adherence. Age, disease activity, disability index, self-efficacy, and medication adherence are predictive factors of HL, and a predictive model has been initially constructed.
UNASSIGNED: In the management of RA, healthcare professionals should develop and implement effective intervention measures by focusing on improving medication adherence, enhancing patients\' self-efficacy, improving patients\' physical function, and reducing disease activity. This will help enhance the health literacy and promote clinical outcomes in RA patients.
UNASSIGNED: From May 2022 to December 2022, a comprehensive survey was conducted among both outpatients and inpatients diagnosed with (RA) in a tertiary hospital in China. The survey utilized various instruments, including a general information questionnaire, a chronic disease patient health literacy scale, the Health Assessment Questionnaire-Disability Index (HAQ-DI), the Chinese-translated Rheumatoid Arthritis Self-Efficacy Scale, the Chinese-translated Rheumatoid Arthritis Stigma Scale, and the Chinese-translated Compliance Questionnaire for Rheumatology Treatments.
UNASSIGNED: The average scores of HL, self-efficacy, medication adherence, and disability index were 83.54 ± 17.43, 84.91 ± 14.37, 70.16 ± 11.24, and 0.26 ± 0.44, respectively. HL in Chinese RA patients was negatively correlated with age, erythrocyte sedimentation rate (ESR), number of tender joints, number of swollen joints, and disease activity, while positively correlated with self-efficacy and medication adherence. Age, disease activity, disability index, self-efficacy, and medication adherence are predictive factors of HL, and a predictive model has been initially constructed.
UNASSIGNED: In the management of RA, healthcare professionals should develop and implement effective intervention measures by focusing on improving medication adherence, enhancing patients\' self-efficacy, improving patients\' physical function, and reducing disease activity. This will help enhance the health literacy and promote clinical outcomes in RA patients.
摘要：
■调查影响中国类风湿关节炎（RA）患者健康素养（HL）的因素，为制定旨在提高患者生活质量的干预策略提供理论基础。
■自2022年5月至2022年12月，对中国某三级医院门诊患者和确诊为RA的住院患者进行了全面调查。调查利用了各种仪器，包括一般信息问卷，慢性病患者健康素养量表，健康评估问卷-残疾指数(HAQ-DI)，中译类风湿关节炎自我效能感量表,中译类风湿关节炎病耻感量表,和中文翻译的风湿病治疗依从性问卷。
■HL的平均分数，自我效能感,药物依从性,残疾指数分别为83.54±17.43、84.91±14.37、70.16±11.24和0.26±0.44。中国RA患者HL与年龄呈负相关，红细胞沉降率（ESR），招标接头数量,肿胀的关节数量，和疾病活动，而与自我效能和服药依从性呈正相关。年龄,疾病活动,残疾指数,自我效能感,药物依从性是HL的预测因素，并初步构建了预测模型。
■在RA的管理中，医疗保健专业人员应通过重点提高药物依从性来制定和实施有效的干预措施，提高患者的自我效能感，改善患者的身体机能，减少疾病活动。这将有助于提高RA患者的健康素养并促进临床结局。
■自2022年5月至2022年12月，对中国某三级医院门诊患者和确诊为RA的住院患者进行了全面调查。调查利用了各种仪器，包括一般信息问卷，慢性病患者健康素养量表，健康评估问卷-残疾指数(HAQ-DI)，中译类风湿关节炎自我效能感量表,中译类风湿关节炎病耻感量表,和中文翻译的风湿病治疗依从性问卷。
■HL的平均分数，自我效能感,药物依从性,残疾指数分别为83.54±17.43、84.91±14.37、70.16±11.24和0.26±0.44。中国RA患者HL与年龄呈负相关，红细胞沉降率（ESR），招标接头数量,肿胀的关节数量，和疾病活动，而与自我效能和服药依从性呈正相关。年龄,疾病活动,残疾指数,自我效能感,药物依从性是HL的预测因素，并初步构建了预测模型。
■在RA的管理中，医疗保健专业人员应通过重点提高药物依从性来制定和实施有效的干预措施，提高患者的自我效能感，改善患者的身体机能，减少疾病活动。这将有助于提高RA患者的健康素养并促进临床结局。
