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The Knowledge Level of Turkish Rheumatoid Arthritis Patients About Their Diseases

Yıl 2018, Cilt: 23 Sayı: 1, 12 - 19, 01.01.2018
https://doi.org/10.21673/anadoluklin.325831

Öz

Aim:
This study aims to assess the level of disease specific knowledge of the
patients with Rheumatoid Arthritis 

Materials and Methods: A total of 225 RA patients were included in this
study. Patients’ demographic and clinic data and information resources were
recorded. In order to evaluate the 
awareness levels of patients, the “Patient Knowledge Questionnaire in
Rheumatoid Arthritis (PKQ-RA)” was used.

Results: The mean age and disease duration of patients were found to be 52.8±10.8 and 6.7±6.5 years, respectively. Most of the patients (86.7%)
reported that they had gained the information about RA from their physicians.
Internal consistency of the Turkish version of PKQ-RA was high with Cronbach’s
alpha of 0.71 and test-retest intra-class correlation coefficient was 0.94. The
total PKQ-RA scores were 15.1
±12.6 (ranging: 0-27). Patients’ knowledge levels
differentiated according to their age, education, socioeconomic status, and
family history of disease.







Discussion and Conclusion: This is the first study to investigate Turkish RA
patients’ awareness levels of the disease. Having insufficient information
about the disease has always been a general problem in RA patients. In this
study, it was determined that the knowledge levels of our patients were not
significantly high. Thus, to be able to increase the patients’ awareness, some
individualized precautions should be taken by 
physicians.

Kaynakça

  • Pytel A, Wrzosek Z. Estimation of patient knowledge on rheumatoid arthritis in the range of their own disease-preliminary study. Adv Clin Exp Med. 2012;21:343-51.
  • Polluste K, Kallikorm R, Lember M. Level of knowledge and sources of information about the rheumatoid arthritis in Estonian patients. Rheumatol Int 2014;34:675-81.
  • American College of Rheumatology Ad Hoc Committee on Clinical Guidelines. Guidelines for the management of rheumatoid arthritis. Arthritis Rheum 1996;39:713-722.
  • Viller F, Guillemin F, Briancon S, Moum T, Suurmeijer T, van den Heuvel W. Compliance to drug treatment of patients with rheumatoid arthritis: a 3 year longitudinal study. J Rheumatol 1999;26:2114-22.
  • Hill J, Bird H. Patient knowledge and misconceptions of osteoarthritis assessed by a validated self-completed knowledge questionnaire (PKQ-OA). Rheumatology 2007;46:796-800.
  • Ndosi M, Johnson D, Young T, Hardware B, Hill J, Hale C, et al. Effects of needs-based patient education on self-efficacy and health outcomes in people with rheumatoid arthritis: a multicentre, single blind, randomised controlled trial. Ann Rheum Dis. 2016;75:1126-32.
  • Dequeker J, Rasker JJ, Woolf AD. Educational issues in rheumatology. Bailliére’s Clin Rheum 200;14: 715-29.
  • Kyngäs H). Patient education: Perspective of adolescents with a chronic disease. Journal of Clinical Nursing 2003;12:744-51.
  • Zangi HA, Ndosi M, Adams J, Andersen L, Bode C, Boström C, et al. EULAR recommendations for patient education for people with inflammatory arthritis.Ann Rheum Dis 2015;74:954-62.
  • Albano MG, Giraudet-Le Quintrec JS, Crozet C, d’lvemois JF. Characteristics and development of therapeutic patient education in rheumatoid arthritis: analysis of the 2003–2008 literature.Joint Bone Spine 2010;77:405-10.
  • Marks R. Self-efficacy and arthritis disability: an updated synthesis of the evidence base and its relevance to optimal patient care .Health Psychol Open 2014;23:1-18.
  • 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 Educ Couns 2012;88:113-20.
  • Gronning K, Rannestad T, Skomsvoll JF, Rygg LO, Steinsbekk A. Long-term effects of a nurse-led group and individual patient education programme for patients with chronic inflammatory polyarthritis-a randomised controlled trial. J Clin Nurs 2014;23:1005-17.
  • Hill J, Bird HA, Hopkins R, Lawton C, Wright V. The development and use of Patient Knowledge Questionnaire in rheumatoid arthritis. Br J Rheumatol. 1991;30:45-9.
  • Beaton DE, Bombardier C, Guillemin F, Ferraz B. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000;25:3186-91.
  • Jennings F, Toffolo S, de Assis MR, Natour J. Brazil Patient Knowledge Questionnaire (PKQ) and evaluation of disease-specific knowledge in patients with rheumatoid arthritis. Clin Exp Rheumatol. 2006;24(5):521-8.
  • Shrout PE, Fleiss JL. Intraclass correlation: uses in assess-ing rater reliability. Psycho Bull 1979;86:420-8
  • Hennell SL, Brownsell C, Dawson JK. Development, validation and use of a patient knowledge questionnaire (PKQ) for patients with early rheumatoid arthritis. Rheumatology (Oxford). 2004;43:467-71.
  • Maggs FM, Jubb RW, Kemm JR. Single-blind randomised controlled trial of an educational booklet for patients with chronic arthritis. Br J Rheumatol 1996;35:775-7.
  • Helliwell PS, O’hara M, Holdsworth J, Hesselden A,King T, Evans P. A 12-month randomized controlled trial of patient education on radiographic changes and quality of life in early rheumatoid arthritis. Rheumatology (Oxford) 1999;38:303-8.
  • Sierakowska M, Klepacka M, Sierakowski SJ, Pawlak-Buś K, Leszczyński P, Majdan M, et al. Assessment of education requirements for patients with rheumatoid arthritis, based on the Polish version of the Educational Needs Assessment Tool (Pol-ENAT), in the light of some health problems - A cross-sectional study. Ann Agric Environ Med 2016;23:361-7.
  • Knittle KP, De Gucht V, Hurkmans EJ, Vlieland TP, Peeters AJ, Ronday HK, et al. Effect of self-efficacy and physical activity goal achievement on arthritis pain and quality of life in patients with rheumatoid arthritis. Arthritis Care Res (Hoboken) 2011;63:1613-9.
  • Bal A, Ataman Ş, Bodur H, Rezvani A, Paker N, Tastekin N, et al. Characteristics of Patients With Rheumatoid Arthritis in Turkey: Results From the Turkish League Against Rheumatism Rheumatoid Arthritis Registry. Arch Rheumatol 2015;30:16-22.
  • Neame R, Hammond A, Deighton C. Need for information and for involvement in decision making among patients with rheumatoid arthritis: a questionnaire survey. Arthritis Rheum 2005;53:249-55.
  • Meesters J, de Boer I, van den Berg M, Fiocco M, Vliet Vlieland T. Unmet information needs about the delivery of rheu-matology health care services: a survey among patients with rheumatoid arthritis. Patient Educ Couns 2011;85:299-03.
  • Makelainen P, Vehvilainen-Julkunen K, Pietila AM. Rheumatoid arthritis patients’ knowledge of the disease and its treatments: a descriptive study. Musculoskelet Care 2009;7:31-44.
  • Lineker SC, Badley EM, Hughes EA, Bell MJ. Development of an instrument to measure knowledge in individuals with rheumatoid arthritis: The ACREU Rheumatoid Arthritis Knowledge Questionnaire. J Rheumatol 1997;24:647-53.
  • Barlow JH, Cullen LA, Rowe IF. Comparison of knowledge and psychological well-being between patients with a short dis-ease duration (≤1 year) and patients with more established rheumatoid arthritis (≥10 years duration). Patient Education and Counseling 1999; 38:195-203.
  • Schouffoer A, Zirkzee EJM, Henquet SM, Caljouw MAA, Steup-Beekman GM, van Laar JM et al. Needs and preferences regarding health care delivery as perceived by patients with systemic sclerosis. Clin Rheumatol 2011;30:815-24.
  • Cutilli CC. Seeking health information: what sources do your patients use? Orthop Nurs 2010;29:214-9.
  • Lorig K. Patient education: treatment or nice extra. Br J Rheumatol 1995;34:703-6.
  • Makelainen P, Vehvilainen-Julkunen K, Pietila AM. Rheumatoid arthritis patients' education - contents and methods. J Clin Nurs 2007;16:258-67.
  • Kirwan JR, Hewlett S, Cockshott Z, Barrett J. Clinical and psychological outcomes of patient education in rheumatoid arthritis. Musculoskeletal Care. 2005;3:1-16.

Türk Romatoid Artrit Hastalarının Hastalıkları Hakkındaki Farkındalık Düzeyi

Yıl 2018, Cilt: 23 Sayı: 1, 12 - 19, 01.01.2018
https://doi.org/10.21673/anadoluklin.325831

Öz

Amaç:Bu
çalışmanın amacı Romatoid Artrit hastalarının hastalıkla ilişkili farkındalık
düzeyini belirlemektir.

Materyal
metod:
Çalışmaya toplam 225 RA hastası alındı. Hastaların
demografik ve klinik verileri ile bilgi kaynakları kaydedildi. Farkındalık
düzeyini değerlendirmede “Romatoid Artrit Hasta Farkındalık Anketi ”
kullanıldı.

Sonuçlar:
Hastaların ortalama yaşı 52.8
±10.8
ve hastalık süresi 6.7
±6.5
yıldı. Hastaların çok büyük kısmı (%86.7) bilgi kaynağının doktoru olduğunu
ifade etti. Romatoid Artrit Hasta Farkındalık Anketi’nin Türkçe versiyonunun iç
tutarlılık değeri Cronbach alfa’sı 0.71 ve test-retest korelasyon katsayısı
0.94 idi. Ortalama farkındalık skoru 15.1
±12.6
idi (aralık 0-27). Hastaların bilgi düzeyleri yaş, eğitim, sosyoekonomik durum
ve ailede hastalık öyküsünün olup olmamasından etkilenmekteydi.







Tartışma:
Bu çalışma Türk RA hastalarının farkındalık düzeyinin değerlendirildiği ilk
çalışmadır. RA hastalarının hastalıkları hakkında yetersiz bilgiye sahip
olmaları global bir sorundur. Bu çalışmada RA hastalarımızın farkındalık
düzeyinin çok yüksek olmadığını saptadık. Bu nedenle de farkındalığı artıracak
bireye özgü bir takım önlemler almamız gerektiği sonucuna vardık. 

Kaynakça

  • Pytel A, Wrzosek Z. Estimation of patient knowledge on rheumatoid arthritis in the range of their own disease-preliminary study. Adv Clin Exp Med. 2012;21:343-51.
  • Polluste K, Kallikorm R, Lember M. Level of knowledge and sources of information about the rheumatoid arthritis in Estonian patients. Rheumatol Int 2014;34:675-81.
  • American College of Rheumatology Ad Hoc Committee on Clinical Guidelines. Guidelines for the management of rheumatoid arthritis. Arthritis Rheum 1996;39:713-722.
  • Viller F, Guillemin F, Briancon S, Moum T, Suurmeijer T, van den Heuvel W. Compliance to drug treatment of patients with rheumatoid arthritis: a 3 year longitudinal study. J Rheumatol 1999;26:2114-22.
  • Hill J, Bird H. Patient knowledge and misconceptions of osteoarthritis assessed by a validated self-completed knowledge questionnaire (PKQ-OA). Rheumatology 2007;46:796-800.
  • Ndosi M, Johnson D, Young T, Hardware B, Hill J, Hale C, et al. Effects of needs-based patient education on self-efficacy and health outcomes in people with rheumatoid arthritis: a multicentre, single blind, randomised controlled trial. Ann Rheum Dis. 2016;75:1126-32.
  • Dequeker J, Rasker JJ, Woolf AD. Educational issues in rheumatology. Bailliére’s Clin Rheum 200;14: 715-29.
  • Kyngäs H). Patient education: Perspective of adolescents with a chronic disease. Journal of Clinical Nursing 2003;12:744-51.
  • Zangi HA, Ndosi M, Adams J, Andersen L, Bode C, Boström C, et al. EULAR recommendations for patient education for people with inflammatory arthritis.Ann Rheum Dis 2015;74:954-62.
  • Albano MG, Giraudet-Le Quintrec JS, Crozet C, d’lvemois JF. Characteristics and development of therapeutic patient education in rheumatoid arthritis: analysis of the 2003–2008 literature.Joint Bone Spine 2010;77:405-10.
  • Marks R. Self-efficacy and arthritis disability: an updated synthesis of the evidence base and its relevance to optimal patient care .Health Psychol Open 2014;23:1-18.
  • 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 Educ Couns 2012;88:113-20.
  • Gronning K, Rannestad T, Skomsvoll JF, Rygg LO, Steinsbekk A. Long-term effects of a nurse-led group and individual patient education programme for patients with chronic inflammatory polyarthritis-a randomised controlled trial. J Clin Nurs 2014;23:1005-17.
  • Hill J, Bird HA, Hopkins R, Lawton C, Wright V. The development and use of Patient Knowledge Questionnaire in rheumatoid arthritis. Br J Rheumatol. 1991;30:45-9.
  • Beaton DE, Bombardier C, Guillemin F, Ferraz B. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000;25:3186-91.
  • Jennings F, Toffolo S, de Assis MR, Natour J. Brazil Patient Knowledge Questionnaire (PKQ) and evaluation of disease-specific knowledge in patients with rheumatoid arthritis. Clin Exp Rheumatol. 2006;24(5):521-8.
  • Shrout PE, Fleiss JL. Intraclass correlation: uses in assess-ing rater reliability. Psycho Bull 1979;86:420-8
  • Hennell SL, Brownsell C, Dawson JK. Development, validation and use of a patient knowledge questionnaire (PKQ) for patients with early rheumatoid arthritis. Rheumatology (Oxford). 2004;43:467-71.
  • Maggs FM, Jubb RW, Kemm JR. Single-blind randomised controlled trial of an educational booklet for patients with chronic arthritis. Br J Rheumatol 1996;35:775-7.
  • Helliwell PS, O’hara M, Holdsworth J, Hesselden A,King T, Evans P. A 12-month randomized controlled trial of patient education on radiographic changes and quality of life in early rheumatoid arthritis. Rheumatology (Oxford) 1999;38:303-8.
  • Sierakowska M, Klepacka M, Sierakowski SJ, Pawlak-Buś K, Leszczyński P, Majdan M, et al. Assessment of education requirements for patients with rheumatoid arthritis, based on the Polish version of the Educational Needs Assessment Tool (Pol-ENAT), in the light of some health problems - A cross-sectional study. Ann Agric Environ Med 2016;23:361-7.
  • Knittle KP, De Gucht V, Hurkmans EJ, Vlieland TP, Peeters AJ, Ronday HK, et al. Effect of self-efficacy and physical activity goal achievement on arthritis pain and quality of life in patients with rheumatoid arthritis. Arthritis Care Res (Hoboken) 2011;63:1613-9.
  • Bal A, Ataman Ş, Bodur H, Rezvani A, Paker N, Tastekin N, et al. Characteristics of Patients With Rheumatoid Arthritis in Turkey: Results From the Turkish League Against Rheumatism Rheumatoid Arthritis Registry. Arch Rheumatol 2015;30:16-22.
  • Neame R, Hammond A, Deighton C. Need for information and for involvement in decision making among patients with rheumatoid arthritis: a questionnaire survey. Arthritis Rheum 2005;53:249-55.
  • Meesters J, de Boer I, van den Berg M, Fiocco M, Vliet Vlieland T. Unmet information needs about the delivery of rheu-matology health care services: a survey among patients with rheumatoid arthritis. Patient Educ Couns 2011;85:299-03.
  • Makelainen P, Vehvilainen-Julkunen K, Pietila AM. Rheumatoid arthritis patients’ knowledge of the disease and its treatments: a descriptive study. Musculoskelet Care 2009;7:31-44.
  • Lineker SC, Badley EM, Hughes EA, Bell MJ. Development of an instrument to measure knowledge in individuals with rheumatoid arthritis: The ACREU Rheumatoid Arthritis Knowledge Questionnaire. J Rheumatol 1997;24:647-53.
  • Barlow JH, Cullen LA, Rowe IF. Comparison of knowledge and psychological well-being between patients with a short dis-ease duration (≤1 year) and patients with more established rheumatoid arthritis (≥10 years duration). Patient Education and Counseling 1999; 38:195-203.
  • Schouffoer A, Zirkzee EJM, Henquet SM, Caljouw MAA, Steup-Beekman GM, van Laar JM et al. Needs and preferences regarding health care delivery as perceived by patients with systemic sclerosis. Clin Rheumatol 2011;30:815-24.
  • Cutilli CC. Seeking health information: what sources do your patients use? Orthop Nurs 2010;29:214-9.
  • Lorig K. Patient education: treatment or nice extra. Br J Rheumatol 1995;34:703-6.
  • Makelainen P, Vehvilainen-Julkunen K, Pietila AM. Rheumatoid arthritis patients' education - contents and methods. J Clin Nurs 2007;16:258-67.
  • Kirwan JR, Hewlett S, Cockshott Z, Barrett J. Clinical and psychological outcomes of patient education in rheumatoid arthritis. Musculoskeletal Care. 2005;3:1-16.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Konular Sağlık Kurumları Yönetimi
Bölüm ORJİNAL MAKALE
Yazarlar

Gülnur Taşçı Bozbaş

Gücan Gürer Bu kişi benim

Yayımlanma Tarihi 1 Ocak 2018
Kabul Tarihi 5 Eylül 2017
Yayımlandığı Sayı Yıl 2018 Cilt: 23 Sayı: 1

Kaynak Göster

Vancouver Bozbaş GT, Gürer G. The Knowledge Level of Turkish Rheumatoid Arthritis Patients About Their Diseases. Anadolu Klin. 2018;23(1):12-9.

13151 This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.