[Quality of life in adults and elderly patients with rheumatoid arthritis] (original) (raw)
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Life Quality of Patients with Rheumatoid Arthritis According to the Level of Pain
Proceedings of CBU in Medicine and Pharmacy
This is a transversal (cross-sectional) descriptive study. The aim of the study is to evaluate the quality of life of patients with rheumatoid arthritis Objectives: To identify the level of pain related to daily activities in patients with RA according to gender and age groups. Conclusions: 77% of these patients have poor quality of life because of pain associated with RA. The FSI for pain resulted in 0.25, 0.39 for addiction and 0.26 for difficulty.
Quality of Life in Patients with Rheumatoid Arthritis – a Preliminary Study
Acta Clinica Croatica, 2019
The most severe effects of rheumatoid arthritis (RA) are loss of physical function and chronic pain, which may have a major impact on different areas of the person's existence. The aim of this study was to get an insight into the quality of life (QOL) in subjects with RA in connection with pain perception and functional ability. The following instruments were used: the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), Short Form Health Survey (SF-36), Health Assessment Questionnaire Disability Index (HAQ-DI) and Visual Analog Scale for Pain (VAS Pain). The results indicated that there was no statistical difference in the QOL between subjects with RA and healthy population according to SF-36 Croatian norms. Also, the results showed that stronger pain experience was significantly associated with poorer social functioning assessment (SF36SF, Spearman's rho=-0.463, p<0.05), poorer general health perception (SF36GH, Spearman's rho=-0.432, p<0.05) and poorer physical functioning (WHOPH, Spearman's rho=-0.688, p<0.01). Furthermore, the subjects evaluating their general functional state worse were found to have worse physical functioning (SF36PF, Spearman's rho=-0.699 and WHOPH, Spearman's rho=-0.769), poorer social functioning (SF36SF, Spearman's rho=-0.580) and experienced greater pain intensity (SF36BP, Spearman's rho=-0.652). Therefore, additional efforts should be invested to define a holistic and integrative model of treatment and rehabilitation of people with RA, focused on pain relief, improvement of functional ability, encouraging social interaction and supporting positive emotional responses.
Impact of rheumatoid arthritis on quality of life
Modern Rheumatology, 2007
Quality of life (QOL) of patients affected by various diseases is now recognized as an important outcome variable. Consenting patients with rheumatoid arthritis (American College of Rheumatology criteria) were included in the study. Quality of life was assessed using the World Health Organization Quality of Life assessment, short form (WHOQOL-BREF). Disease activity was assessed by the Disease Activity Score (DAS28) for 3 variables and functional disability by the Health Assessment Questionnaire (HAQ). Extra-articular manifestations (ExRA) were diagnosed clinically. Seventy-five age-matched normal controls and 136 patients (19 males) were included. The mean duration of rheumatoid arthritis (RA) was 9 ± 5.8 years. The mean DAS28 and HAQ were 4.43 ± 1.4 and 0.97 ± 1.6, respectively. At least one ExRA was present in 30 (22.1%) patients. The WHOQOL scores were significantly lower in patients with RA compared to normal controls. Patients and normal controls scored highest in the social relationship domain. There was significant inverse correlation of HAQ with all four domains of WHOQOL. There was significant inverse correlation of DAS28 with the physical health and psychological domains. Patients with ExRA scored significantly lower in the physical health domain of WHOQOL. Multiple regression analysis showed only HAQ to independently affect QOL. Quality of life is compromised in patients with RA. Patients and normal controls scored higher in the social relationship domain. Functional disability is the most important factor affecting QOL in RA.
Assessment of Quality of Life of Rheumatoid Arthritis Patients
2018
Rheumatoid arthritis is one of the commonest autoimmune disease. It affects about 1% of the population worldwide. Rheumatoid arthritis has significant impact on quality of life and ability to perform daily activities. Aim: Assess the quality of life of rheumatoid arthritis patients. Design: A cross sectional design was utilize. Setting: This study was conducted in Kafer El Sheikh Governorate at the following hospitals that affiliated to Minastery of Health and Population rheumatoid outpatient clinic at Kafer El-Sheikh General Hospital, and orthopedic outpatient clinics at Central Hospital, and Desouk Central Hospital, Egypt. Subjects: Convenient sampling technique was use to select 125 patients from rheumatoid outpatient clinic at Kafer El-Sheikh General Hospital, and orthopedic outpatient clinics at Central Hospital, and Desouk Central Hospital. Tools: Data collection lasted 10 weeks by using Four structured interview questionnaires to assess socio demographic and economic characte...
Journal of Pharmaceutical & Scientific Innovation
Rheumatoid arthritis is a progressive systemic autoimmune disease. The untreated RA can lead to joint damage and loss of function. The major complications include. The main aim and objectives of our work are to evaluate the respondent's quality of life using a standard questionnaire, to assess the knowledge over the disease condition, to report the number of unreported cases of rheumatoid arthritis, to educate and counsel individual respondent. A cross-sectional study was conducted in a population of 1650 and 38 respondents with rheumatoid arthritis positive were obtained. Among the 38 respondents, we have noticed 7 unreported cases of rheumatoid arthritis. It was confirmed by the algorithm of the World health organization. All the 38 respondents were made to answer the 36 questions as per the protocol and the data were recorded. Later the score was calculated using a software-online SF-36 calculator. In our study it was found that females were suffering more than males and experiencing a low quality of life, whereas the extra-articular manifestations were more reported in males, and the respondents on regular medication were doing better and 7 respondents were unaware of having rheumatoid arthritis.32 respondents were unaware of the concept that the physical illness affects the mental health. Finally, all the patients were counseled as per the objectives of our study. Thus our study brings to notice about the burden of rheumatoid arthritis in India, need to provide the necessary knowledge about the disease state and the self-assessment of the quality of life.
Relation between Functional Status and Quality of Life of the Elderly with Rheumatoid Arthritis
Tanta Scientific Nursing Journal, 2021
Background: Rheumatoid arthritis (RA) is a crippling disease that affects all life domains of the patients, such as the body functions, the activity's performance and contributes to the occurrence of several complications and disalities. The aim of the study: was to assess the relationship between functional status and quality of life of the elderly with rheumatoid arthritis. Subjects and method: Study design: A descriptive cross-sectional study design was used in this study. Study settings: This study was conducted at the rheumatoid clinic in Ali IbnAby Taleeb Health Insurance Hospital and the Rehabilitative clinic in Tanta University Hospitals. Study subjects: A convenient sample was utilized in this study. The total number of the studied subjects of Rheumatoid Arthritis patients was 120. Tools of the study: Four tools were used in this study to collect the necessary data: Tool I. Structured interview schedule that was developed by the researcher which included two parts; part (1): Sociodemographic characteristics of the elderly with rheumatoid arthritis and part (2): Past and present health history of the elderly with rheumatoid arthritis. Tool II. Katz Activities of Daily Living (Katz ADL). Tool III. Instrumental Activities of Daily Living (Lawton's IADL). Tool IV. World Health Organization Quality of life-BREF (WHOQOL-BREF). Results: The majority (95.20%) of the studied subjects who aged more than 80 years had a poor QOL while, less than three-quarters (70.30%) of them who had a poor QOL that their age ranged 60 years and less than one-fifth (18.8%) of the same age group had a good QOL according to World Health Organization Quality of life-BREF (WHOQOL-BREF). Conclusion: The study concluded that more than three-quarters of studied elderly with RA had a poor QOL, while the rest of studied elderly with RA had a fair QOL and less than onefifth of studied elderly with RA had a good QOL. Recommendations: This study recommended that there is a crucial need for further research to hold continuous educational and orientation programs for the elderly with RA and encourage a high level of self-care, follow up, teaching for rheumatoid arthritis and improving health status.
Impact of rheumatoid arthritis on the quality of life and its relation to disease activity
Egyptian Rheumatology and Rehabilitation, 2019
Background Quality of life (QOL) is a multidimensional concept that is used to describe the individuals' perceptions, satisfaction, and evaluation of different areas of their own lives, such as physical health and functioning, psychological and emotional wellbeing, social roles, and relationships. Few studies have addressed the effect of rheumatoid disease on the QOL in the Egyptian community. Results Functional disability based on health assessment questionnaire disability index was significantly increased with the increase in disease activity based on disease activity score-28, where all patients on remission and 56% of those with low disease activity had mild functional disability. Approximately 89% of patients with low disease activity had mild anxiety based on Hamilton anxiety scale, and the majority (75%) of those patients with moderate disease activity and 83.3% of patients on remission had mild anxiety. The majority (85.7%) of those with high disease activity were depressed based on Zung self-rating depression score. Disease activity score-28 score had a positive significant correlation with health assessment questionnaire disability index (P=0.01, r=0.40), Hamilton anxiety scale-A (P=0.01, r=0.46), Zung score (P=0.01, r=0.46), and rheumatoid arthritis QOL (r=0.70, P=0.00), and negative correlation with female sexual index (r=−0.80, P=0.00), all domains of SF-36, and all five domains of WHOQOL. Conclusion This study confirms that rheumatoid arthritis causes impairment of all aspects of QOL (limitation of physical function, physical disability, and pain), mental health disorders (anxiety and depression), and social, environmental, and also sexual dysfunction.
QUALITY OF LIFE AMONG SOUTH INDIAN PATIENTS WITH RHEUMATOID ARTHRITIS
International Journal of Recent Scientific Research, 2018
Introduction: Rheumatoid arthritis (RA) is a chronic disorder couldn’t be completely cured by the current medical treatment and can lead to reduced quality of life(QOL).The aim of the study is to assess the QOL. Thus, a need based intervention can be prepared for self-care management skill. Methods: This cross sectional study was performed on 111 patients in South India using convenient sampling. The collected data included demographic, clinical characteristics and Short form (SF)36. Results: The mental and physical components were assessed using SF 36.The mean (S.D) of physical components were PF 48.329( 25.69), RL -PH 31.76(42.1) , Pain 50.56 (20.77), GH 46.44 (15.29) and mental components were RL-EH 43.84(46.92), Energy 54.19(16.73), EW 61.19(16.84), SF 56.08(23.16). Association found with age, education, income, marital status, DAS, global functional status and duration of illness with the components of QOL atP> 0.05 level of significance. Conclusion: The physical components of QOL are lower with RA patients. It important to know the QOL to plan for better care provided by the health care professionals.
ACTIVITIES OF DAILY LIVING AND QUALITY OF LIFE IN PATIENTS WITH RHEUMATOID ARTHRITIS
2021
Background: Rheumatoid Arthritis is a chronic inflammatory disease which characterized by progressive articular damage of the joints with extra-articular manifestations. Rheumatoid Arthritis has a significant impact on losing physical function and impairment of quality of life of patients; which is a leading cause of dependency and disability. Aim: Theaim of the present study was to determine relation between patients charecterstics'and each of activities of daily living and quality of life. Patients and methods: The design of study was descriptive analytic(160) RA patientsconsecutively recruited from theRheumatology and Physical Rehabilitation Center in Sulaimni provenance/Kurdistan region/ Iraq from March 2019 to February 2020.Thestudy tools included Health Assessment Questionnaire, Barthel Index and World Health Organization Quality of Life-BREF. The data was collected through direct interview, descriptive and inferential statistics were used to analyze the data. Results:The score of all domain of quality of life was negatively affected particularly the physical (51.11 ±12.53) and psychological domain (5 3.13 ± 12.37).Physical functions on HAQ score was deteriorating with increasing age. Based on Barthel Index score, it showed that (35%) of the participant were moderately dependent on others. Quality of life and activities of daily living deteriorate with increasing age, body mass index, duration of disease and using walking aids. Conclusion: Rheumatoid Arthritis has a significant negative effect on participant activities of daily living. Elderly, obese patients, longer duration of disease has impact on activities of daily living and quality of life.