【摘 要】目的：探讨类风湿关节炎患者自我调节疲劳在疾病感知与自我管理间的中介作用，为提高类风湿关节炎患者的自我管理提供参考。方法：选取2023年3月至2023年10月在贵州中医药大学第二附属医院就诊的住院和门诊类风湿关节炎295例患者，采用一般资料调查表、自我调节疲劳量表、简易疾病感知问卷、慢性病自我管理行为量表对其进行调查。结果：类风湿关节炎患者自我调节疲劳得分(42.15±8.83)分，疾病感知得分(46.94±11.43)分，自我管理得分(29.50±7.59)分。自我调节疲劳在类风湿关节炎患者疾病感知与自我管理间起部分中介作用，中介效应占总效应的48.32%。结论：类风湿关节炎患者自我管理处于中下水平，自我调节疲劳可部分中介疾病感知对自我管理的影响，临床医护人员应帮助类风湿关节炎患者树立正确的疾病认知，降低自我调节疲劳程度，提高自我管理能力。

    【关键词】 类风湿关节炎；自我管理；疾病感知；自我调节疲劳；中介效应

    The Mediating Role of Self-regulated Fatigue Between Disease Perception and Self-management in Patients with Rheumatoid Arthritis

    XIAO Yang-yang，ZENG Ping，BU Meng-lan，XIE Sha-sha，SHI Guo-feng

    【ABSTRACT】Objective：To explore the mediating role of self-regulated fatigue between disease perception and self-management in patients with rheumatoid arthritis，and provide reference for them to improve self-management.Methods：Two hundred and ninety-five hospitalized and outpatient patients with rheumatoid arthritis who visited the Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from March 2023 to October 2023 were selected.The patients were surveyed using general information questionnaires ......