Correlations analysis of self-management behavior with self-efficacy and quality of life in patients with ankylosing spondylitis complicated with cervical spine fracture

ObjectiveTo investigate the correlations of self-management behavior with self-efficacy and quality of life in patients with ankylosing spondylitis(AS)complicated with cervical spine fracture.

MethodsA total of 144 AS patients were divided into the observation group(44 cases with cervical spine fractures)and control group(100 cases without cervical spine fractures).The self-efficacy, self-management behavior and quality of life in two groups were evaluated using the Anderson Self-Efficacy Scale(CPSS), Bath AS Functional Index(BASFI)and World Health Organization Quality of Life Scale Shortlist(WHOQOL-BREF), respectively.The correlations of self-management behavior with self-efficacy and quality of life in observation group were analyzed.

ResultsThe scores of the pain management, physical function and symptom response in self-efficacy, and scores of self-health assessment, living environment, mental state, physiological function and social relationship scores in quality of life in observation group were significantly lower than those in control group(P < 0.01), and the management behavior score in observation group was also lower than that in control group(P < 0.01).The results of linear correlation analysis showed that the scores of self-efficacy dimensions were positively correlated with the scores of self-management behavior and quality of life in patients with AS complicated cervical fractures(P < 0.05).

ConclusionsThe level of self-efficacy of AS patients complicated with cervical spine fractures decreases, so the self-management needs to be strengtheneds to improve the quality of life of patients.