The Effect of Disease Management Education Provided to Women with Rheumatoid Arthritis on Quality of Life, Anxiety, and Depression: A Randomized Controlled Study

Year 2024, Volume: 9 Issue: 3, 216 - 223

İrem Yıldız Çilengiroğlu , Serap Ünsar

https://doi.org/10.26453/otjhs.1430540

Abstract

Objective: The aim of this randomized controlled trial is to investigate the effect of education of disease management on quality of life, anxiety and depression in women with rheumatoid arthritis.
Materials and Methods: The study included 66 women with rheumatoid arthritis at a university hospital in Türkiye. Data were obtained via "Rheumatoid Arthritis Quality of Life Scale", "Health Assessment Questionnaire", and "Hospital Anxiety Depression Scale”.
Results: A significant difference was found between the intervention group’s mean scores on the "Rheumatoid Arthritis Quality of Life Scale" at baseline and third month (p <0.05). Significant correlations were found between the intervention group’s Rheumatoid Arthritis Quality of Life Scale scores and the sociodemographic and disease-related characteristics such as education level and having arthritis-related deformities (p <0.05).
Conclusions: The findings obtained in this study showed that education is an effective method to increase the quality of life of women with rheumatoid arthritis. Individual disease management training provided by rheumatology nurses to women with Rheumatoid Arthritis is considered to improve quality of life. Therefore, women with rheumatoid arthritis are recommended to receive psychosocial support in managing their disease and symptoms.

Keywords

Anxiety, depression, quality of life, rheumatoid arthritis, women

Ethical Statement

Our study was approved by the Trakya University Ethics Committee (Date: 17.09.2018, decision no: 16/23). The study was carried out following the Helsinki Declaration.

Supporting Institution

This study was supported by Trakya University Scientific Research Project Unit. Project number: TUBAP 2019/02

Project Number

2019/02

Thanks

We would like to thank the Trakya University Scientific Research Projects Unit for their financial support. We would like to thank the head of the rheumatology department Prof. Dr. Hakan Emmungil, Assoc. Dr. Barış Yılmazer, rheumatology nurses and the patients with rheumatoid arthritis for their contributions.

Romatoid Artritli Kadınlara Verilen Hastalık Yönetimi Eğitiminin Yaşam Kalitesi, Anksiyete ve Depresyon Üzerine Etkisi: Randomize Kontrollü Bir Çalışma

Abstract

Amaç: Bu randomize kontrollü araştırma, Romatoid Artritli kadınlara hastalık yönetimine ilişkin verilen eğitimin yaşam kalitesi, anksiyete ve depresyon üzerine etkilerini belirlemek amacıyla planlandı.
Materyal ve Metot: Araştırma, Romatoid Artritli 66 kadın hasta (32 deney, 34 kontrol) ile bir üniversite hastanesinin Romatoloji kliniği ve polikliniğinde yürütüldü. Veriler; “Romatoid Artrit Yaşam Kalitesi Ölçeği”, “Sağlık Değerlendirme Anketi” ve “Hastane Anksiyete Depresyon Ölçeği” kullanılarak toplandı.
Bulgular: Deney grubundaki hastaların "Romatoid Artrit Yaşam Kalitesi Ölçeği" başlangıç ​​ve üçüncü ay puan ortalamaları arasında anlamlı fark bulundu (p <0,05). Deney grubunun Romatoid Artrit Yaşam Kalitesi Ölçeği puanları ile eğitim düzeyi ve artrit nedeniyle etkilenen deformitesi olma durumu gibi sosyodemografik ve hastalığa ilişkin özellikleri arasında anlamlı ilişkiler bulundu (p <0,05).
Sonuç: Bu çalışma, hastalık yönetimine ilişkin verilen eğitimin Romatoid Artritli kadınların yaşam kalitesi üzerindeki etkisini göstermektedir. Romatoloji hemşireleri tarafından Romatoid Artritli kadınlara hastalık yönetimine ilişkin verilecek bireysel eğitimin yaşam kalitesini arttıracağı düşünülmektedir. Romatoid Artritli kadınlara semptomlara bağlı yaşadıkları sorunlara yönelik psikososyal destek almaları önerilmektedir.

Keywords

Anksiyete, depresyon, kadın, romatoid artrit, yaşam kalitesi

Project Number

2019/02

References

• Liu M, Shi B. Nursing intervention reduces depression for patients with rheumatoid arthritis: A randomized controlled trial protocol. Medicine. 2020;99(47). doi:10.1097/MD.0000000000023268
• Watad A, Bragazzi NL, Adawi M, et al. Anxiety disorder among rheumatoid arthritis patients: insights from real-life data. Journal of Affective Disorders. 2017;213:30-34. doi:10.1016/j.jad.2017.02.007
• Bilberg A, Bremell T, Bjersing J, Mannerkorpi K. High prevalence of widespread pain in women with early rheumatoid arthritis. Scandinavian Journal of Rheumatology. 2018;47(6):447-454. doi:10.1080/03009742.2018.1447683
• Tuncer T, Gilgil E, Kaçar C, et al. Prevalence of rheumatoid arthritis and spondyloarthritis in Turkey: A nationwide study. Archives of Rheumatology. 2018;33(2):128. doi:10.5606/ArchRheumatol.2018.6480
• Szady P, Bączyk G, Kozłowska K. Fatigue and sleep quality in rheumatoid arthritis patients during hospital admission. Reumatologia. 2017;55(2):65. doi:10.5114/reum.2017.67600
• Metin ZG, Ozdemir L. Using aromatherapy and reflexology for pain and fatigue management in rheumatoid arthritis. Journal of Education and Research in Nursing. 2016;13(1):276-282. doi:10.5222/HEAD.2016.276
• Moghadam MH, Jahanbin I, Nazarinia MA. The effect of educational program on self-efficacy of women with rheumatoid arthritis: a randomized controlled clinical trial. International Journal of Community Based Nursing and Midwifery. 2018;6(1):12.
• Fu X, Li ZJ, Yang CJ, et al. The prevalence of depression in rheumatoid arthritis in China: A systematic review. Oncotarget. 2017;8(32):53623. doi:10.18632/oncotarget.17323
• Rahim RA, Cheng CH. Self-reported symptoms of depression, anxiety and stress among patients with Rheumatoid Arthritis in a Malaysian rheumatology centre-prevalence and correlates. Med J Malaysia. 2018;73(4):226-232.
• Bozbas GT, Gurer G. The knowledge level of Turkish rheumatoid arthritis patients about their diseases. Anatolian Clinic the Journal of Medical Sciences. 2018;23(1):12-19. doi:10.21673/anadoluklin.325831
• Fall E, Chakroun N, Dalle N, Izaute M. Is patient education helpful in providing care for patients with rheumatoid arthritis? A qualitative study involving French nurses. Nursing & Health Sciences 2013;15(3):346-352. doi:10.1111/nhs.12042
• Parlar S, Fadiloglu C, Argon G, Keser G. The Effects of Personal Disease Management on Insufficiency Levels and Quality of Life in Patients with Arthritis. Turkiye Klinikleri Journal of Medical Sciences. 2010;30(4):1236.
• Kay J, Upchurch KS. ACR/EULAR 2010 rheumatoid arthritis classification criteria. Rheumatology. 2012;51(suppl_6):vi5-vi9. doi:10.1093/rheumatology/kes279
• Kutlay S, Küçükdeveci AA, Gönül D, Tennant A. Adaptation and validation of the Turkish version of the Rheumatoid Arthritis Quality of Life Scale. Rheumatology International 2003;23(1):21-26. doi:10.1007/s00296-002-0247-2
• Kucukdeveci AA, Sahin H, Ataman S, Griffiths B, Tennant A. Issues in cross‐cultural validity: Example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. Arthritis Care & Research. 2004;51(1):14-19. doi:10.1002/art.20091
• Aydemir O, Guvenir T, Kuey L, Kultur S. Validity and reliability of Turkish version of hospital anxiety and depression scale. Turkish Journal of Psychiatry. 1997;8(4):280-287
• Arthritis Foundation. Rheumatoid Arthritis Understanding Symptoms, Diagnosis and Treatments 2021. https://www.arthritis.org/. Assessed October 22, 2021.
• Al-Jabi SW, Seleit DI, Badran A, Koni A, Zyoud SEH. Impact of socio-demographic and clinical characteristics on functional disability and health-related quality of life in patients with rheumatoid arthritis: a cross-sectional study from Palestine. Health and Quality of Life Outcomes. 2021;19(1):1-12. doi:10.1186/s12955-021-01874-x
• Zhang L, Xia Y, Zhang Q, et al. The correlations of socioeconomic status, disease activity, quality of life, and depression/anxiety in Chinese patients with rheumatoid arthritis. Psychology, Health & Medicine. 2017;22(1):28-36. doi:10.1080/13548506.2016.1198817
• Serban O, Papp I, Bocsa CD, et al. Do ankle, hindfoot, and heel ultrasound findings predict the symptomatology and quality of life in rheumatoid arthritis patients? Journal of Ultrasonography. 2020; 20(81):e70. doi:10.15557/JoU.2020.0012
• Gronning K, Skomsvoll JF, Rannestad T, Steinsbekk A. The effect of an educational programme consisting of group and individual arthritis education for patients with polyarthritis – A randomised controlled trial. Patient Education and Counselling 2012; 88:113-120. doi:10.1016/j.pec.2011.12.011
• Abourazzak F, El Mansouri L, Huchet D, Lozac’hmeur R, Hajjaj-Hassouni N, Ingels A. Long-term effects of therapeutic education for patients with rheumatoid arthritis. Joint Bone Spine 2009; 76:648-653. doi:10.1016/j.jbspin.2009.01.010