ความชุกของโรคไฟโบรมัยอัลเจียในผู้ป่วยนอกที่มารับบริการ ตรวจรักษา ณ กองเวชศาสตร์ฟื้นฟู โรงพยาบาลพระมงกุฎเกล้า
ความชุกของโรคไฟโบรมัยอัลเจียในผู้ป่วยนอกที่มารับบริการ ตรวจรักษา ณ กองเวชศาสตร์ฟื้นฟู โรงพยาบาลพระมงกุฎเกล้า
Keywords:
fibromyalgia, prevalence, pain, quality of life, โรคไฟโบรมัยอัลเจีย, ความชุก, อาการปวด, คุณภาพชีวิตAbstract
ABSTRACT
Objectives: To determine the prevalence of fibromyalgia,and compare demographic data, symptom characteristics,and quality of life (QOL) between fibromyalgia group andgroup of other causes of pain.
Study design: Cross-sectional descriptive study.
Setting: The Physical Medicine and Rehabilitation (PMR) outpatient clinic in Phramongkutklao Hospital.
Subjects: Four hundred and forty-seven out-patients from February to August 2013.
Methods: Data were collected by direct semi-structured interview including patients’ characteristics, the 2010 American College of Rheumatology preliminary diagnostic criteria for fibromyalgia, and the Thai version of SF-36 (version 2) questionnaire, then the prevalence of fibromyalgia was estimated, and the demographic data, symptom characteristics, and QOL between fibromyalgia group and group of other causes of pain were compared.
Results: There were 15 patients (3.4%) fulfilling the fibromyalgia criteria, with female predominance (93.33%). The mean (standard deviation) pain score, widespread pain index, and symptom severity scale score of the patients with fibromyalgia were 6.67 (1.35), 10.53 (3.46), and 8.40 (1.80), respectively, which were significantly higher (p < 0.05) than those of the patients in other groups. The fibromyalgia patients also ranked significantly lower in all domains of QOL compared with the group of other causes of pain (p < 0.05).
Conclusion: At the PMR outpatient clinic, the prevalenceof fibromyalgia was 3.4%, lower than other causes of
pain. Pain and other symptoms were more severe whereas quality of life was lower in patients with fibromyalgia and patients with other causes of pain.
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