Study On Quality Of Life And Its Related Factors In Patients With Knee Osteoarthritis Combined With Osteoporosis

Objective: Investigation of knee osteoarthritis patients with osteoporosis quality of life status and analysis of factors that influence the quality of life of patients,in order to improve the quality of life of the whole knee osteoarthritis combined with osteoporosis patients,guide treatment programs to provide more reliable solutions for community health care,provide theoretical basis for clinical work and fill the local epidemiological database.Methods: Using SF-36 scale combined with the living habits and medical information questionnaire on outpatient or inpatients in the First Affiliated Hospital of Guangxi College of traditional Chinese medicine or medical patients have been diagnosed with knee osteoarthritis and osteoporosis,investigation of quality of life after the onset of the collection of relevant information and data,using variance analysis,t test and multiple stepwise regression analysis and other statistical methods to analyze possible factors related to the quality of life of patients.Results: In this investigation,quality of life of knee osteoarthritis combined with osteoporosis patients get a total score of(60.04±11.022).The scores of each dimension were:general health status(GH)54.77±8.213;physical functioning status(PF)61.61±13.902;role-physical status(RP)57.08±11.542;role-emotional status(RE)72.64±19.180;social functioning status(SF)64.92±18.965;bodily pain status(BP)72.05±12.648;vitality status(VT)54.20±17.854;mental health status(RP)64.64±14.631.The results showed that age was negatively correlated with general health,physical functioning,role-physical,social functioning,mental health and the total score scale;There was a negative correlation between gender health and physical functioning,role-physical,vitality and total score of the scale,and positively related to social functioning dimensions.There was a negative correlation between body mass index and physical functioning dimension,but there was no significant difference and statistical significance in other dimensions.There was a positive correlation between physical exercise and role-physical,but in other dimensions have no statistical significance.There was a negative correlation between occupation and role-physical,but no statistical significance in other dimensions;There was no significant difference in the level of cultural education,sunshine with eight dimensions and the total score;KOA involving unilateral or bilateral was negatively correlated with the general health,role-physical and mental health;There was a negative correlation between past illness and social functioning dimensions;Eating fruits and vegetables was positively correlated with general health,role-physical,role-emotional,vitality,mental health and the total score;Eating seafood is proportional to the state of vitality,but no statistical significance in other dimensions;There was a negative correlation between the level of role-emotional,mental health and social functioning,and no significant difference in other dimensions;Drinking milk was negatively correlated with role-emotional,bodily pain,and the total score of the scale,but positiveiy correlated with general health;There was a positive correlation between coffee drinking and physiological function and the total score of the scale;Smoking has negative effects on physical functioning,role-physical,role-emotional and social functioning;Drinking was positively correlated with the dimensions of role-physical,and was negatively correlated with social functioning dimensions.Conclusion: The quality of life of patients with knee osteoarthritis and osteoporosis is still at a low level,and the impact on the quality of life is also the physical functioning,role-physical,social functioning and other multi-dimensional.Each dimension is affected by the following factors:role-emotional>bodily pain>social functioning>mental health>physical functioning>role-physical>general health>vitality.The quality of life of patients with total scores and each dimension of the influence factors on bone mineral density(lumbar),age,gender,smoking,intake of fruits and vegetables,single or double KOA,milk intake,soy products intake,drinking,coffee,etc.The protective factors for lumbar spine bone mineral density,eating fruits and vegetables,physical exercise,intake of seafood,is conducive to improving the quality of life of patients;Risk factors such as age,gender,smoking,body mass index,physical fitness related occupations,excessive intake of coffee and alcohol,past medical history,can reduce the quality of life in patients with KOA combined with OP;The factors of uncertainty,such as the intake of milk,soy products,the incidence of single and double knees,nationality,education level and sunshine,need to be confirmed by further studies.