来源：风湿病与关节炎,2020,9（2）:27-30.

社区老年类风湿关节炎患者自我管理行为对睡眠质量的影响（调查研究）

曹冰莹¹，罗　洁²，吴　蓉¹，杨　绚¹，何小飞¹

　　【摘　要】目的：探讨社区老年类风湿关节炎患者焦虑、抑郁水平及其睡眠质量，并分析两者的相关性。方法：采用慢性病自我管理量表和匹兹堡睡眠质量指数对220例社区老年类风湿关节炎患者进行问卷调查。结果：社区老年类风湿关节炎患者自我管理行为总分为（26.10±5.45）分，睡眠质量总分为（9.73±3.56）分，患者自我管理行为与睡眠质量总分呈负相关（r = -0.696，P < 0.01）。结论：社区老年类风湿关节炎患者自我管理行为与睡眠质量密切相关。在今后工作中，应重视患者对疾病的自我管理行为，提供针对性的干预措施，提高患者的睡眠质量。

　　【关键词】　关节炎，类风湿；自我管理；睡眠质量；社区老年患者

Effect of Self-management Behavior on Sleep Quality of Elderly Patients with Rheumatoid Arthritis in Community

CAO Bing-ying,LUO Jie,WU Rong,YANG Xuan,HE Xiao-fei

　　【ABSTRACT】Objective:To explore the anxiety and depression levels and sleep quality of elderly patients with rheumatoid arthritis in community,and analyze the correlation between them.Methods:Two hundred and twenty elderly patients with rheumatoid arthritis in community were investigated with chronic disease self-management scale and Pittsburgh sleep quality index.Results:The total score of self-management behavior and sleep quality was（26.10±5.45）and（9.73±3.56）respectively.There was a negative correlation between self-management behavior and sleep quality（r = -0.696,P < 0.01）.Conclusion:The self-management behavior of elderly patients with rheumatoid arthritis in the community is closely related to sleep quality.In the future work,we should pay attention to the self-management behavior of patients,provide targeted interventions,and improve the sleep quality of patients.

　　【Keywords】 arthritis,rheumatoid;self-management;sleep quality;elderly patients in community