标题：Resiliencia, percepción de enfermedad y calidad de vida relacionada con la salud en pacientes con diagnóstico de artritis reumatoide
其他标题：Resilience, illness perception, beliefs and spiritualreligious coping and health-related quality of life in patients with rheumatoid arthritis diagnosis
摘要：Resumen: El objetivo de este estudio fue evaluar las relaciones entre resiliencia, percepción de enfermedad, creencias y afrontamiento espiritual-religioso sobre la calidad de vida relacionada con la salud en 41 pacientes con diagnóstico de artritis reumatoide de la ciudad de Medellín, Colombia. Instrumentos: escala de resiliencia RS, cuestionario breve de percepción de enfermedad IPQ-B, inventario de sistema de creencias SBI-15R, escala estrategias de afrontamiento espirituales SCS y cuestionario de salud MOS SF-36. El análisis de regresión lineal múltiple mostró un peso significativo de la ‘aceptación de sí mismo y de la vida’ de resiliencia y del ‘estrato socioeconómico’ sobre el índice sumario mental y de las ‘consecuencias’ de la enfermedad (IPQ-B) y el ‘tratamiento farmacológico’ sobre el índice sumario físico. En conclusión, la salud física se ve alterada por la medicación de AR y las consecuencias físicas, sociales, económicas y emocionales que acarrea la enfermedad, mientras que la resiliencia y el nivel social y económico juega un papel importante como variables protectoras para la salud mental en los pacientes con artritis. Abstract: The purpose of this research was to evaluate the relationship of the resilience, illness perception, beliefs and spiritual-religious coping on health-related quality of life in 41 patients with rheumatoid arthritis diagnosis from the city of Medellín, Colombia. Instruments: resilience scale RS, the brief illness perception questionnaire IPQ-B, systems of beliefs inventory SBI-15R, spiritual coping scale SCS, medical outcomes study short form 36 ítems MOS SF-36. Multiple linear regression analysis showed significant weight of the ‘acceptance of self and life’ (RS) and of the ‘socioeconomic status’ on mental index of the quality of life and of the ‘consequences’ of illness perception (IPQ-B) and ‘pharmacologic treatments’ on physical index of the quality of life. In conclusion, the physical health is altered by RA medication and the physical, social, economic and emotional consequences that incurred by the disease, while that socioeconomic status and resilience plays an important role as protective variable mental health in patients with arthritis.
其他摘要：The purpose of this research was to evaluate the relationship between resilience, illness perception, beliefs and spiritual-religious coping on health-related quality of life in 41 patients with a diagnosis of rheumatoid arthritis from the city of Medellín (Colombia). The Instruments used were Resilience Scale RS, The Spiritual Coping Strategies Scale SCS, System of Belief Inventory SBI-15R, Illness Perception Questionnaire IPQ-B, medical outcomes study short form 36 items MOS SF-36. The results showed negative relationships of cognitive and emotional representation of the IPQ-B disease with physical and mental quality of life and non-religious coping strategies (SCS) were positively associated with the quality of mental life. In linear regression analysis the disease consequences IPQ-B and pharmacological treatment had a negative weight on the quality of life physically, while acceptance of self and life (RS) and socioeconomic stratum had positive effects on mental health. In conclusion the perception of the quality of life of patients with RA is mediated by disease representations and salutogenic factors as transcendental type coping and resilience.
