Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis

ALPER, Betül; BODUR, Hatice; BORMAN, Pınar; Keskin, Dilek

Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis

Hatice BODUR, (Ankara Numune Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)

Pınar BORMAN, (Ankara Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)

Betül ALPER, (Ankara Numune Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)

Esra Dilek Keskin (Ankara Numune Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)

Turkish Journal of Rheumatology(.)Archives of Rheumatology

1 0

Yıl: 2011 Cilt: 26 Sayı: 2 Sayfa Aralığı: 94 - 102 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis

Öz:

Amaç: Bu çalışmada romatoid artrit (RA) ve ankilozan spondilitli (AS) hastalarda çalışma durumu belirlendi ve karşılaştırıldı, aynı zamanda çalışma yetersizliği ile ilişkili faktörler tanımlandı.Hastalar ve yöntemler: Kırk dokuz RA'lı (18 erkek, 31 kadın; ort. yaş 46.6±12.6 yıl) ve 54 AS'li hasta (43 erkek, 11 kadın; ort. yaş 35.9±9.2 yıl) çalışmaya dahil edildi. Demografik ve hastalıkla ilişkili değişkenler kaydedildi. Hastalık aktivitesinin ve fonksiyonel durumun belirlenmesi için AS'li hastalarda Hastalık Aktivitesi Skoru 28 (DAS28) ve Sağlık Değerlendirme Anketi (SDA), RA'lı hastalarda Bath Ankilozan Spondilit Hastalık Aktivite İndeksi (BASDAİ) ve Bath Ankilozan Spondilit Fonksiyonel İndeksi (BASFİ) kullanıldı. Yaşam kalitesi (YK), yaşam doyumu, depresyon ve anksiyetenin belirlenmesi için sırasıyla Short Form-36 (SF-36), Yaşam Doyum Ölçeği (YDÖ), Beck Depresyon Ölçeği (BDÖ) ve Hamilton Anksiyete Ölçeği (HAÖ) kullanıldı. Her iki hasta grubunda iş özürlülük oranı ve ilişkili faktörler değerlendirildi.Bulgular: Hasta grupları arasında yaş ortalaması, hastalık başlangıç yaşı, eğitim düzeyi ve cinsiyet açısından farklılık mevcutken, SF-36 ile belirlenen aktif faz yanıtı, ağrı, YDÖ, BDÖ ve YK seviyeleri benzerdi. AS'li hastaların %46.2'sinin ve RA'lı hastaların %22.4'ünün maaşlı işi vardı. AS'li hastaların 23'ü (%42.5) RA'lı hastaların ise 16'sının (%32.6) çalışma yetersizliği vardı. Ankilozan spondilitli grupta görsel analog ölçekle (GAÖ) belirlenen ağrı, Bath Ankilozan Spondilit Radyoloji İndeksi (BASRİ) ve Bath Ankilozan Spondilit Metroloji İndeksi (BASMİ) skorları çalışma yetersizliği olan ve olmayan hastalar arasında istatistiksel olarak farklı iken, ortalama hastalık başlangıç yaşı, GAÖ ile belirlenen ağrı, SDA ve C-reaktif protein düzeyleri çalışma yetersizliği olan ve olmayan RA'lı hastalar arasında istatistiksel olarak farklıydı. Sağlık değerlendirme anketi ve BASMİ'nin sırasıyla RA ve AS'li gruplarda çalışma yetersizliği konusunda en iyi öngörü sağlayan faktörler olduğu bulundu.Sonuç: Sonuç olarak, çalışmamızın bulguları RA ve AS'li hastalarda fonksiyonel durum ve metrolojik sınırlılıklara ilişkili olarak daha yüksek oranda çalışma yetersizliği olduğunu işaret etmektedir.

Anahtar Kelime:

Konular: Romatoloji

Romatoid Artrit ve Ankilozan Spondilitli Hastalarda Çalışma Durumu ve İlişkili Değişkenler

Öz:

Objectives: The aim of this study was to determine and compare the work status in patients with rheumatoid arthritis (RA) and ankylosing spondylitis (AS) while also defining the factors related to work disability. Patients and methods: Forty-nine patients with RA (18 males, 31 females; mean age 46.6±12.6 years) and 54 patients with AS (43 males, 11 females; mean age 35.9±9.2 years) were included in the study. The demographic and disease-related variables were recorded. The Disease Activity Score 28 (DAS28) and Health Assessment Questionnaire (HAQ) were used in RA patients and the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and Bath Ankylosing Spondylitis Functional Index (BASFI) in AS patients, to determine disease activity and functional status. The Short Form Health Survey (SF-36), Life Satisfaction Index (LSI), Beck Depression Inventory (BDI) and Hamilton Anxiety Scale (HAS) were used to assess quality of life (QoL), life satisfaction, depression and anxiety, respectively. The work disability ratio and related factors were evaluated in both patient groups. Results: The mean age, age at onset of disease, education level and gender of the patients were different while active phase response, pain, LSI, BDI and QoL levels assessed by SF-36 were similar between the groups. Forty-six percent of AS and 22.4% of RA patients had paid employment. Twenty-three (42.5%) of AS and 16 (32.6%) of RA patients had work disability. In the AS group, the pain by visual analog scale (VAS), the Bath Ankylosing Spondylitis Radiology Index (BASRI) and Bath Ankylosing Spondylitis Metrology Index (BASMI) scores were statistically different between work disabled and non-working disabled patients while the mean age at onset of disease, pain by VAS, the HAQ and C-reactive protein values were significantly different in RA patients with and without work disability. The HAQ and BASMI were found to be the most predictive factors for work disability in RA and AS groups, respectively. Conclusion: In conclusion, the results of our study indicate higher rates of work disability in RA and AS patients which was related to functional status and metrological limitations.

Anahtar Kelime:

Konular: Romatoloji

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	BODUR H, BORMAN P, ALPER B, Keskin D (2011). Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis. , 94 - 102.
Chicago	BODUR Hatice,BORMAN Pınar,ALPER Betül,Keskin Dilek Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis. (2011): 94 - 102.
MLA	BODUR Hatice,BORMAN Pınar,ALPER Betül,Keskin Dilek Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis. , 2011, ss.94 - 102.
AMA	BODUR H,BORMAN P,ALPER B,Keskin D Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis. . 2011; 94 - 102.
Vancouver	BODUR H,BORMAN P,ALPER B,Keskin D Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis. . 2011; 94 - 102.
IEEE	BODUR H,BORMAN P,ALPER B,Keskin D "Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis." , ss.94 - 102, 2011.
ISNAD	BODUR, Hatice vd. "Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis". (2011), 94-102.

APA	BODUR H, BORMAN P, ALPER B, Keskin D (2011). Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 26(2), 94 - 102.
Chicago	BODUR Hatice,BORMAN Pınar,ALPER Betül,Keskin Dilek Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology 26, no.2 (2011): 94 - 102.
MLA	BODUR Hatice,BORMAN Pınar,ALPER Betül,Keskin Dilek Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.26, no.2, 2011, ss.94 - 102.
AMA	BODUR H,BORMAN P,ALPER B,Keskin D Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2011; 26(2): 94 - 102.
Vancouver	BODUR H,BORMAN P,ALPER B,Keskin D Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2011; 26(2): 94 - 102.
IEEE	BODUR H,BORMAN P,ALPER B,Keskin D "Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 26, ss.94 - 102, 2011.
ISNAD	BODUR, Hatice vd. "Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis". Turkish Journal of Rheumatology(.)Archives of Rheumatology 26/2 (2011), 94-102.