目的探讨类风湿关节炎（rheumatoid arthritis,RA）患者心理困扰现状及其影响因素，为采取针对性干预措施提供参考。方法 2022年12月至2024年6月，采用便利抽样法选取宁夏某三级甲等医院风湿免疫科收治的1270例RA患者为研究对象，使用一般资料调查表和心理困扰筛查工具（distress management screening measure,DMSM）对其进行调查。结果 RA患者心理困扰的发生率为83.86%，在DMSM中的问题列表部分，回答“是”的前5位问题分别是疼痛（95.28%）、无精力照顾孩子（88.58%）、身体活动受限（82.28%）、担忧（80.31%）和外表/形体（79.52%）。二元Logistic回归分析显示，年龄、文化程度、未婚、病情分期、关节功能及关节有无畸形是影响其心理困扰发生的主要影响因素（均 P ＜0.05）。结论 RA患者心理困扰的发生率处于较高水平，医护人员应给予针对性、专业性的干预措施，以降低RA患者的心理困扰程度，促进其心理健康。

Objective To investigate the current status of psychological distress and its influencing factors in patients with rheumatoid arthritis (RA),providing reference for targeted intervention.MethodsFrom December 2022 to June 2024,a convenience sampling method was used to select 1270 RA patients admitted to the Department of Rheumatology and Immunology of a tertiary A hospital in Ningxia.They were surveyed using a general information questionnaire and the distress management screening measure (DMSM).ResultsThe incidence of psychological distress among RA patients was 83.86%.In the problem list section of the DMSM,the top 5 problems answered “yes” were pain (95.28%),lack of energy to care for children (88.58%),limitations in physical activity (82.28%),worry (80.31%),and appearance/body shape (79.52%).Binary Logistic regression analysis showed that age,education level,being unmarried,disease stage,joint function,and the presence of joint deformities were the main influencing factors for the occurrence of psychological distress (allP ＜0.05).ConclusionsThe incidence of psychological distress among RA patients is at a high level.Healthcare professionals should provide targeted and specialized intervention to reduce the degree of psychological distress in RA patients and protect their mental health.

R471

宁夏自然科学基金项目（2025AAC030886，2025AAC030831）