【摘要】 目的 分析类风湿关节炎（RA）患者焦虑发生现状及影响因素。方法 选择2022年1月至2023年12月于湖北民族大学附属民大医院收治的241例RA患者，最终纳入226例，根据焦虑发生情况分为焦虑组（53例）和无焦虑组（173例）。比较两组临床资料。分析RA合并焦虑的影响因素。结果 与无焦虑组比较，焦虑组病程延长、受教育程度为初中及以下、疾病活动度为活动期、家庭人均年收入<5万元、视觉模拟评分法（VAS）评分升高、红细胞沉降率变快、C反应蛋白和类风湿因子水平升高（P<0.05）。多因素分析显示，病程延长（OR=1.074、95%CI:1.022～1.127、P=0.005）、受教育程度为初中及以下（OR=1.066、95%CI:1.003～1.133、P=0.039）、家庭人均年收入<5万元（OR=1.069、95%CI:1.022～1.119、P=0.004）、VAS评分升高（OR=1.075、95%CI:1.003～1.151、P=0.040）是RA合并焦虑的独立危险因素。结论 RA患者焦虑状况的影响因素较多，可为预防措施的制订奠定基础。更多还原

【Abstract】 Objective To analyze the current status of anxiety and influencing factors in patients with rheumatoid arthritis(RA). Methods A total of 241 patients with RA admitted to the Affiliated Hospital of Hubei Minzu University from January2022 to December 2023 were selected, and 226 patients were ultimately included. According to the occurrence of anxiety,they were divided into the anxiety group(53 cases) and the non-anxiety group(173 cases). Clinical data of the two groups were compared. Influencing factors of RA combined with anxiety were analyzed. Results Compared with the non-anxiety group, the disease duration in the anxiety group was prolonged, the education level in the anxiety group was junior high school or below, the disease activity in the anxiety group was active, the average annual income per capita of families in the anxiety group was less than 50 000 yuan, the visual analog scale(VAS) score in the anxiety group was increased, the erythrocyte sedimentation rate in the anxiety group was faster, and the levels of C-reactive protein and rheumatoid factor in the anxiety group were increased(P<0.05). Multivariate analysis showed that prolonged disease duration(OR=1.074, 95%CI: 1.022-1.127, P=0.005), education level of junior high school or below(OR=1.066, 95%CI: 1.003-1.133, P=0.039),average annual income per capita of families less than 50 000 yuan(OR=1.069, 95%CI: 1.022-1.119, P=0.004), and increased VAS scores(OR=1.075, 95%CI: 1.003-1.151, P=0.040) were independent risk factors for RA combined with anxiety. Conclusion There are many factors that affect the anxiety status of patients with RA, which can lay the foundation for the formulation of preventive measures.更多还原