Romatoid Artrit Hastalarının Tamamlayıcı ve Destekleyici Tıp Kullanım Durumlarının Uyku ve Yaşam Kalitesine Etkisi: Kesitsel Bir Çalışma

Abstract

Giriş: Romatoid Artrit (RA), bireylerde ağrı, eklemlerde şişlik ve fonksiyon kaybına neden olabilir. RA hastalarında uyku ve yaşam kalitesi açısından Tamamlayıcı ve Destekleyici Tıp (TAT) kullanımını inceleyen yayınlanmış bir çalışma bulunmamaktadır. Amaç: Bu çalışmada RA'lı hastaların kullandığı yöntemleri ve TAT yöntemlerinin uyku ve yaşam kalitesine olan etkilerini belirlemek için yapıldı. Yöntem: Bu araştırma kesitsel olarak yapıldı. Çalışmaya 190 RA'lı hasta dahil edildi. Veriler hasta bilgi formu, Romatoid Artrit için Yaşam Kalitesi Ölçeği ve Pittsburgh Uyku Kalitesi İndeksi kullanılarak toplandı. TAT kullanan ve kullanmayanların demografik, sosyoekonomik, hastalık ve tedavi özellikleri belirlendi. Bulgular: Hastaların %60,5 en az bir tür TAT kullandığını bildirirken, %39.5 TAT kullanmadığını belirtti. TAT kullananlar ve TAT kullanmayanlar arasında yaş, cinsiyet, eğitim düzeyi, medeni durum ve gelir düzeyi açısından istatistiksel olarak anlamlı bir fark yoktu. TAT kullanım yaklaşımları ve nedenleri hastanın beklenti ve seçimine, hastanın sosyokültürel geçmişine ve dini özelliklerine göre farklılık göstermektedir. Bu çalışmada TAT kullanan RA'lı hastaların yaşam kalitesi puan ortalaması ve uyku kalitesi puan ortalamasının yüksek olduğu görüldü. Sonuç: Bu araştırmada TAT kullanım oranının yüksek olduğu belirlendi. Hastaların düzenli olarak sağlık kontrollerini yaptırdıkları ve ilaç tedavisinin yanı sıra TAT yöntemlerini de kullandıkları saptandı. TAT kullanan hastalar bu konuda doktor veya hemşirelerine bilgi vermediklerini, faydalı olduğunu düşündükleri için TAT yöntemlerini kullandıklarını belirttiler. Sağlık çalışanlarının, hastaların kullandıkları TAT yöntemlerini sorgulamaları ve uyku düzenleri ve yaşam kalitelerinin değerlendirmeleri önerildi.

Keywords

• Romatoid artrit
• Tamamlayıcı ve destekleyici tıp
• uyku kalitesi
• yaşam kalitesi

The Effect of Complementary and Supportive Medicine Practices on Sleep and Quality of Life in Patients with Rheumatoid Arthritis: A Cross-Sectional Study

Abstract

Introduction: Rheumatoid Arthritis (RA) is an autoimmune inflammatory rheumatic disease of unknown etiology with a chronic course involving multiple joints and systems. RA may induce pain, swelling in the joints, and loss of function in individuals. there has been no published study to date that examined the use of CAM in RA patients in terms of sleep and quality of life. Objective: This study aimed to determine the CAM (Complementary and Supportive Medicine) methods used by patients with RA (Rheumatoid Arthritis) and the effects of CAM methods on sleep and quality of life. Material and methods: This research was conducted cross-sectionally. 190 patients with RA were included in the study. Data were collected using a patient information form, the Quality-of-Life Measurement for Rheumatoid Arthritis, and the Pittsburgh Sleep Quality Index. The demographic, socioeconomic, disease, and treatment characteristics of CAM and non-CAM users were determined. Results: Demographic, socioeconomic, disease and treatment characteristics of CAM users and users were determined. While 60.5% of the patients stated that they used at least one type of CAM, 39.5% stated that they did not use CAM. There was no significant difference between CAM users and non-CAM users in terms of age, gender, education level, marital status and income status. CAM use approaches and reasons differ according to the expectation and choice of patient, patient’s sociocultural background, and religious properties. In this study, it was observed that RA patients using TAT had high average quality of life scores and high average sleep quality scores. Conclusions: The results of this study showed a high rate of CAM use. Moreover, patients attended regular check-ups and used CAM methods together with drug treatment. Patients who used CAM did not inform their doctor or nurse about this issue, and they used CAM methods because they thought that they were beneficial. Healthcare professionals are advised to ask patients about the TAT methods they use and to assess their sleep patterns and quality of life.

Keywords

• Rheumatoid arthritis
• Complementary and supportive medicine
• sleep quality
• quality of life.

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