Abstract
Currently, the prevalence of PsA in the population is 0.05-1.6%. In terms of the rate of progression, deterioration of the quality of life and disability, PsA patients are comparable to rheumatoid arthritis and ankylosing spondylitis. Purpose: to study the effect of psoriatic arthritis on the quality of life of patients. Materials and methods. A study was conducted with the participation of 75 patients. For the study, we used standardized questionnaires developed to assess the quality of life of patients with PsA. Research method - questioning patients using standardized questionnaires, analysis of the information received. Results. Psoriatic arthritis has a significant impact on the quality of life of patients, affecting the physical, social and emotional spheres. The most important areas of influence of psoriatic arthritis from the point of view of patients are: pain (78%), skin problems (72%), decreased functionality (60%), discomfort (51%) and fatigue (44%). In patients with PsA, pronounced functional disorders are noted. The HAQ index in men averaged 1.98 0.86 (from 1.12 to 2.84 points), in women - 1.77 0.34 (from 1.44 to 2.11 points) (p 0.0001). The pain syndrome according to the VAS averaged 74.34 9.22 mm in men, and 65.77 8.19 mm in women. Patients noted the greatest disturbances in such activities as walking (44%), standing up (37%), hygiene procedures (21%), using transport (36%), housework (47%). Almost 40% of patients use various devices or the help of others (p 0.0001). Psoriatic arthritis also affects the emotional sphere of life. Subclinical emotional disorders were more often detected in women than in men (symptoms of anxiety - 61.9% and 42.2%, depression - 71.4% and 39.4%, respectively); however, approximately the same number of men had clinically expressed signs of depression ( 12.1%) and women (11.9%). Psoriatic arthritis significantly reduces the quality of life, affecting the most important aspects of it - physical, emotional and social.
Highlights
The prevalence of PA in the population is 0,05–1,6%
We used standardized questionnaires developed to assess the quality of life of patients with PA
The most important areas of influence of PA on quality of life from the point of view of patients are: pain (78%), skin problems (72%), decreased functionality (60%), discomfort (51%) and fatigue (44%)
Summary
Ухудшению качества жизни и инвалидизации больных ПА сравним с ревматоидным артритом и болезнью Бехтерева. Изучение влияния ПА на качество жизни больных. Для проведения исследования использовались стандартизированные опросники, разработанные для оценки качества жизни больных ПА, выполнено анкетирование пациентов по стандартизированным опросникам. Наиболее важными областями влияния ПА на качество жизни с точки зрения пациентов являются боль (78%), кожные проблемы (72%), снижение функциональных возможностей (60%), дискомфорт (51%) и усталость (44%). У больных ПА отмечаются выраженные функциональные нарушения. Болевой синдром по ВАШ в среднем составил у мужчин 74,34 ± 6,22 мм, у женщин — 55,77 ± 6,19 мм (р < 0,05). Оценка качества жизни при данном заболевании должна способствовать разработке превентивной тактики ведения больных, а также методов оценки контроля над заболеванием. Ключевые слова: псориатический артрит, качество жизни, депрессия, функциональные возможности. Вестник дерматологии и венерологии. 2021;97(3): Vestnik Dermatologii i Venerologii. 2021;97(3):
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