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目的探讨等待骶髂关节MRI检查的强直性脊柱炎(AS)患者焦虑变化情况及相关因素,为心理干预提供科学依据。方法纳入住院行骶髂关节MRI检查的AS患者97例,收集患者年龄、性别、婚姻状态、病程、文化程度、经济收入等基本资料,并利用AS病情活动度评分(ASDAS)、Bath AS功能指数(BASFI)、AS生活质量问卷(ASQo L)和状态-特质焦虑问卷(STAI)分别评估患者的病情活动、功能状态、生活质量情况以及检查骶髂关节MRI前1 d和前15 min的状态焦虑情况,运用线性回归对以上影响因素与焦虑变化进行关联性分析。结果 AS患者平均年龄(29.13±6.32)岁,男女比9.8∶1,平均病程(5.73±3.64)年。骶髂关节MRI检查前1 d S-AI得分46.50±10.10,检查前15 min S-AI得分51.03±12.65,两次S-AI得分总体变化差异有统计学意义(P<0.01)。其中经济收入、ASDAS、BASFI、ASQo L是该变化的影响因素(P均<0.05)。结论需要重视等待骶髂关节MRI检查的AS患者焦虑状态的变化,并关注相关的影响因素,并有必要在骶髂关节MRI检查前对患者进行心理干预,降低接受检查时患者的焦虑状态,确保MRI检查顺利进行。
Objective To investigate the changes of anxiety and related factors in patients with ankylosing spondylitis (AS) waiting for MRI examination of sacroiliac joint, and to provide a scientific basis for psychological intervention. Methods Ninety-seven patients with AS diagnosed as sacroiliac joint MRI were enrolled in this study. Basic data such as age, gender, marital status, course of disease, educational level and economic income were collected. AS ASAS, Bath AS index BASFI, ASQoL and STAI were used to assess the patient’s condition activity, functional status, quality of life, and state anxiety at 1 day and 15 minutes before MRI examination of sacroiliac joint Situation, the use of linear regression analysis of the above factors and anxiety changes. Results The average age of AS patients (29.13 ± 6.32) years, male to female ratio 9.8: 1, the average duration (5.73 ± 3.64) years. S-AI score was 46.50 ± 10.10 on the first day before sacroiliac joint MRI examination, S-AI score was 51.03 ± 12.65 at 15 min before examination, and there was significant difference between the two S-AI scores (P <0.01). Among them, economic income, ASDAS, BASFI and ASQoL were the influential factors (P <0.05). Conclusion It is necessary to pay attention to the changes of anxiety state in AS patients waiting for sacroiliac MRI examination and to pay attention to the relevant factors. It is necessary to make psychological intervention for the patients before MRI examination of sacroiliac joint and to reduce the anxiety state of patients during the examination. MRI examination carried out smoothly.