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Assessing Symptoms and Knowledge Levels among Caregivers of Children Receiving Treatment for Rheumatic Diseases

Yıl 2025, Cilt: 14 Sayı: 1, 94 - 103, 23.03.2025

Öz

The study aimed to assess knowledge level of caregivers responsible for children with rheumatic diseases regarding both their symptoms and diseases themselves. This descriptive study, including 115 caregivers of children diagnosed with rheumatic diseases at the pediatric rheumatology outpatient clinic of hospital in the Black Sea Region of Türkiye, was conducted between January 20 and June 10, 2023. Data were collected “Participant Information Form” and “Symptoms and Knowledge Level Form for Rheumatic Diseases.” In the analysis of the data, number (n), percentage (%), mean, standard deviation, and independent sample t-test were used. The average age of the children was 10.58 ± 4.43 years, Juvenile idiopathic arthritis accounted for 40.9% of the medical diagnoses. The onset of symptoms occurred at 36.13 ± 34.59 months and the treatment duration was 30.04 ± 31.80 months (min: 1 month; max: 156 months). 73% of caregivers were women, mostly mothers, and 59.1% experienced joint pain associated with rheumatic diseases. 81.7% of participants received verbal information or education from their doctor, while 25.2% primarily sought information online (95.4%) due to perceived inadequacy in the provided education. Caregivers who obtained information from the internet demonstrated a higher level of knowledge about the disease compared to those who did not (p< 0.05). It is recommended that health professionals implement scheduled and systematic health training sessions for caregivers, and there should be support for academicians, professional organizations in establishing websites aimed at providing accurate information to caregivers about diseases via the internet.

Etik Beyan

The study adhered to ethical guidelines, obtaining approval from the Karadeniz Technical University Faculty of Medicine Scientific Research Ethics Committee (Decision No. E-24237859-386). In order to conduct the study, institutional permission was obtained from Karadeniz Technical University Farabi Hospital (Decision No. E-44710342-044-7051).Caregivers were verbally informed about the study’s purpose, and their verbal and written informed consent was obtained prior to data collection. The study was conducted in accordance with the Declaration of Helsinki.

Destekleyen Kurum

Çalışmayı destekleyen kurum bulunmamaktadır.

Teşekkür

Çalışmaya dahil olan tüm bakım vericilere teşekkür ederiz.

Kaynakça

  • 1. Blackwell CK, Elliott AJ, Ganiban J, Herbstman J, Hunt K. General health and life satisfaction in children with chronic illness. Pediatrics. 2019;143:e20182988.
  • 2. Ambrosio L, Senosiain García JM, Riverol Fernández M, Anaut Bravo S, Díaz De Cerio Ayesa S. Living with chronic illness in adults: a concept analysis. J Clin Nurs. 2015;24:2357-67. doi:10.1111/jocn.12827.
  • 3. Wang X, Tang L, Howell D, Shao J, Qiu R. Psychometric testing of the chinese version of the coping and adaptation processing scale-short form in adults with chronic illness. Front Psychol. 2020;11:1642.
  • 4. Bristow S, Jackson D, Shields L, Usher K. The rural mother's experience of caring for a child with a chronic health condition: An integrative review. J Clin Nurs. 2018;27:2558-68. doi:10.1111/jocn.14360.
  • 5. Dinleyici M, Çarman KB, Özdemir C, Harmancı K, Eren M. Quality-of-life evaluation of healthy siblings of children with chronic ıllness. Balkan Med J. 2019;37:34-42.
  • 6. Tan J, Yin H, Meng T, Guo X. Effects of sandplay therapy in reducing emotional and behavioural problems in school-age children with chronic diseases: A randomized controlled trial. Nurs Open. 2021;8:3099-110.
  • 7. Çakır G, Altay N. Duties and responsibilities of the school nurse in the care of children with chronic diseases. DEUHFED. 2021;14:55-61.
  • 8. Arıcan P, Yalçın H, Demir Ş, Ünlü M, Bezgin Ö. Examination of psychological symptom levels and coping skills of mothers who have children with chronic neurological diseases. Izmir Katip Çelebi Univ. Health Science Journal. 2017;2:7-11.
  • 9. Akkoyun S, Taş Arslan F. Evaluation of a pediatric patient with chronic renal failure according to the life activities-based nursing model: case report. Journal of General Health Sciences. 2019;1:78-93.
  • 10. Yıldız D. Nursing diagnoses and care approaches in juvenile ıdiopathic arthritis. Ordu University Journal of Nursing Studies. 2023;6:226-37.
  • 11. Berdal G, Sand-Svartrud AL, Bo I, Dingsør A, Eppeland SG. Aiming for a healthier life: qualitative content analysis of rehabilitation goals in patients with rheumatic diseases. Disability and rehabilitation. 2018;40:765-78.
  • 12. Elsabae OEM, Habib HM, Abady WA, Radwan AR, Shaat RM, Gharbia OM. Assessment of general public awareness, knowledge and attitude towards common rheumatic diseases in Egypt: a multicenter study. Egyptian Rheumatology and Rehabilitation. 2023;50:1-16.
  • 13. Ma J, Yu Q, Zhang T. Chinese family care patterns of childhood rheumatic diseases: a cluster analysis. International Journal of Nursing Sciences. 2020;7:41-8.
  • 14. Stubbs LA, Ferry AM, Guffey D, Loccke C, Wade EM. Barriers to care in juvenile localized and systemic scleroderma: an explanatory research study of caregivers' perspectives. Pediatric Rheumatology. 2023;21:1-12.
  • 15. Özdel S, Bağlan E, Bülbül M. The effect of MEFV mutations on the disease in PFAPA syndrome. Turkish Journal of Pediatric Diseases. 2020;14:258-63.
  • 16. Torres-Made MD, Peláez-Ballestas I, García-Rodríguez F, Villarreal-Treviño AV, Fortuna-Reyna BDJ. Development and validation of the caregivers questionnaire: multi-assessing the impact of juvenile idiopathic arthritis on caregivers. Pediatric Rheumatology. 2020;18:1-8.
  • 17. Keppeke LDF, Molina J, Miotto Silva, Terreri R. Psychological characteristics of caregivers of pediatric patients with chronic rheumatic disease in terms of treatment compliance. Pediatric Rheumatology. 2018;16: 1-11.
  • 18. Grazziotin LR, Currie G, Twilt M, Jzerman MJ, Kip MMA. Factors associated with care- and health-related quality of life of caregivers of children with juvenile idiopathic arthritis. Pediatric Rheumatology. 2022;20: 51.
  • 19. Hausmann JS, Vizcaino‐Riveros J, Marin AC, Minegishi M, Cox R. Feasibility and effectiveness of online strategies to engage parents of children with rheumatic diseases in research. ACR Open Rheumatology. 2022;4: 410-6.
  • 20. Simon TA, Harikrishnan GP, Kawabata H, Singhal S, Brunner HI. Prevalence of co-existing autoimmune disease in juvenile idiopathic arthritis: a cross-sectional study. Pediatric Rheumatology. 2020;18:1-12.
  • 21. Woolnough LU, Lentini L, Bhavsar PH, Thomas MF, Casella ZM. Child and caregiver beliefs about the ımportance of physical function and quality of life in juvenile ıdiopathic arthritis: A survey study. Pediatric Physical Therapy. 2023;10:1097.
  • 22. Correll CK, Dave M, Paul AF, Gaizo VD, Schrandt S. To identify research priorities among patients and families of children with rheumatic diseases living in the United States. Journal of Rheumatology. 2020;47:1800-6.
  • 23. Parsons S, Thomson W, Cresswell K, Starling B, McDonagh JE. What do young people with rheumatic disease believe to be important to research about their condition? A UK-wide study. Pediatr Rheumatol. 2017; 15:53.
  • 24. Verwoerd A, Armbrust W, Cowan K, an den Berg L, de Boer J. Dutch patients, caregivers and healthcare professionals are creating the first nationwide research agenda for juvenile idiopathic arthritis. Pediatr Rheumatol. 2021;52:1-10.
  • 25. Nadeem M, Alqahtani NSN, Mushari SY, Abdullah AT, Yam E. Saudi People's Awareness, Knowledge and Attitudes Towards Common Rheumatic Diseases. Bahrain Medical Bulletin. 2020;44:1084-7.
  • 26. Alenzi F, Al-Sheikh H, Alnasser M, Al Adwani M, Aldhuwayhi R. The level of knowledge about rheumatic diseases in Saudi Arabia: A community-based survey. International Journal of Academic Medicine 2022;8:145-50.
  • 27. Dahman HAB. Challenges in the diagnosis and management of pediatric rheumatology in the developing world: lessons from a newly established clinic in Yemen. Sudanese Journal of Paediatrics. 2017;17:21.
  • 28. Ali DH, Kudsi M. Awareness about rheumatic diseases: A study on the Syrian population 2023; https://doi.org/ 10.21203/rs.3.rs-2515336/v1.
  • 29. Van Der Wardt EM, Taal E, Rasker JJ. General public's knowledge and perceptions about rheumatic diseases. Ann Rheum Dis. 2000;59:32–8.
  • 30. Severo M, Gaio R, Lucas R, Barros H. Assessment of the general public's knowledge about rheumatic diseases: evidence from a Portuguese population-based survey. BMC Musculoskeletal Disorder. 2010;11:1–7.
  • 31. des Bordes JKA, Gonzalez E, Lopez-Olivo MA, Shethia M, Nayak P. Assessing information needs and use of online resources for disease self-management in patients with rheumatoid arthritis: a qualitative study. Clin Rheumatol. 2018;37:1791-7. doi:10.1007/s10067-018-4047-9.
  • 32. Kocyigit BF, Nacitarhan V, Koca TT, Berk E. YouTube as a source of patient information for ankylosing spondylitis exercises. Clinical rheumatology. 2019;38: 1747-51.
  • 33. Gordon MM, Capell HA, Madhok R. Use of the internet as a source of health information among patients applying to a rheumatology clinic. Rheumatology. 2002;41:1402-5.

Romatizmal Hastalık Tanısı ile Tedavi Gören Çocukların Bakım Vericilerinin Hastalıklara Yönelik Semptom ve Bilgi Düzeyinin Belirlenmesi

Yıl 2025, Cilt: 14 Sayı: 1, 94 - 103, 23.03.2025

Öz

Bu çalışmada romatizmal hastalığa sahip çocukların bakım vericilerin romatizmal hastalıklarda görülen semptomlar ve hastalığa yönelik bilgi düzeylerinin belirlenmesi amaçlandı. Çalışma Türkiye’nin Karadeniz Bölgesi’ndeki bir bölge hastanesinin 20 Ocak – 10 Haziran 2023 tarihleri arasında çocuk romatoloji polikliniğinde romatizmal hastalık tanısı alan 115 çocuğun bakım vericisi ile tanımlayıcı tipte yürütüldü. Veriler “Katılımcı Bilgi Formu” ve “Romatizmal Hastalıklara Yönelik Semptomlar ve Bilgi Düzeyi Formu” kullanılarak toplandı. Verilerin analizinde sayı (n), yüzde (%), ortalama, standart sapma ve bağımsız gruplarda t testi kullanıldı. Çocukların yaş ortalaması 10,58 ± 4,43 yıl olup, tıbbi tanıların %40,9'unu juvenil idiyopatik artrit oluşturmaktadır. Semptomların başlangıcı 36,13 ± 34,59 ayda gerçekleşmiş olup, tedavi süresi 30,04 ± 31,80 aydır (min: 1 ay; maks: 156 ay). Bakım verenlerin %73'ü kadınlardan oluşmakta olup, çoğunluğu annelerden oluşmaktadır ve %59,1'i romatizmal hastalıklarla ilişkili eklem ağrısı yaşamaktadır. Katılımcıların %81,7'si doktorlarından sözel bilgi veya eğitim alırken, %25,2'si sağlanan eğitimin yetersizliği nedeniyle öncelikle çevrimiçi olarak bilgi aramıştır (%95,4). İnternetten bilgi edinen bakım verenler, almayanlara kıyasla hastalık hakkında daha yüksek düzeyde bilgi sahibi olduklarını göstermiştir (p< 0,05). Sağlık profesyonellerinin bakım verenlere yönelik planlı ve sistemli sağlık eğitimleri düzenlemeleri, bakım verenlere internet üzerinden hastalıklar hakkında doğru bilgi vermeyi amaçlayan web sitelerinin oluşturulması konusunda akademisyenler ve meslek örgütlerinin desteğinin sağlanması önerilmektedir.

Kaynakça

  • 1. Blackwell CK, Elliott AJ, Ganiban J, Herbstman J, Hunt K. General health and life satisfaction in children with chronic illness. Pediatrics. 2019;143:e20182988.
  • 2. Ambrosio L, Senosiain García JM, Riverol Fernández M, Anaut Bravo S, Díaz De Cerio Ayesa S. Living with chronic illness in adults: a concept analysis. J Clin Nurs. 2015;24:2357-67. doi:10.1111/jocn.12827.
  • 3. Wang X, Tang L, Howell D, Shao J, Qiu R. Psychometric testing of the chinese version of the coping and adaptation processing scale-short form in adults with chronic illness. Front Psychol. 2020;11:1642.
  • 4. Bristow S, Jackson D, Shields L, Usher K. The rural mother's experience of caring for a child with a chronic health condition: An integrative review. J Clin Nurs. 2018;27:2558-68. doi:10.1111/jocn.14360.
  • 5. Dinleyici M, Çarman KB, Özdemir C, Harmancı K, Eren M. Quality-of-life evaluation of healthy siblings of children with chronic ıllness. Balkan Med J. 2019;37:34-42.
  • 6. Tan J, Yin H, Meng T, Guo X. Effects of sandplay therapy in reducing emotional and behavioural problems in school-age children with chronic diseases: A randomized controlled trial. Nurs Open. 2021;8:3099-110.
  • 7. Çakır G, Altay N. Duties and responsibilities of the school nurse in the care of children with chronic diseases. DEUHFED. 2021;14:55-61.
  • 8. Arıcan P, Yalçın H, Demir Ş, Ünlü M, Bezgin Ö. Examination of psychological symptom levels and coping skills of mothers who have children with chronic neurological diseases. Izmir Katip Çelebi Univ. Health Science Journal. 2017;2:7-11.
  • 9. Akkoyun S, Taş Arslan F. Evaluation of a pediatric patient with chronic renal failure according to the life activities-based nursing model: case report. Journal of General Health Sciences. 2019;1:78-93.
  • 10. Yıldız D. Nursing diagnoses and care approaches in juvenile ıdiopathic arthritis. Ordu University Journal of Nursing Studies. 2023;6:226-37.
  • 11. Berdal G, Sand-Svartrud AL, Bo I, Dingsør A, Eppeland SG. Aiming for a healthier life: qualitative content analysis of rehabilitation goals in patients with rheumatic diseases. Disability and rehabilitation. 2018;40:765-78.
  • 12. Elsabae OEM, Habib HM, Abady WA, Radwan AR, Shaat RM, Gharbia OM. Assessment of general public awareness, knowledge and attitude towards common rheumatic diseases in Egypt: a multicenter study. Egyptian Rheumatology and Rehabilitation. 2023;50:1-16.
  • 13. Ma J, Yu Q, Zhang T. Chinese family care patterns of childhood rheumatic diseases: a cluster analysis. International Journal of Nursing Sciences. 2020;7:41-8.
  • 14. Stubbs LA, Ferry AM, Guffey D, Loccke C, Wade EM. Barriers to care in juvenile localized and systemic scleroderma: an explanatory research study of caregivers' perspectives. Pediatric Rheumatology. 2023;21:1-12.
  • 15. Özdel S, Bağlan E, Bülbül M. The effect of MEFV mutations on the disease in PFAPA syndrome. Turkish Journal of Pediatric Diseases. 2020;14:258-63.
  • 16. Torres-Made MD, Peláez-Ballestas I, García-Rodríguez F, Villarreal-Treviño AV, Fortuna-Reyna BDJ. Development and validation of the caregivers questionnaire: multi-assessing the impact of juvenile idiopathic arthritis on caregivers. Pediatric Rheumatology. 2020;18:1-8.
  • 17. Keppeke LDF, Molina J, Miotto Silva, Terreri R. Psychological characteristics of caregivers of pediatric patients with chronic rheumatic disease in terms of treatment compliance. Pediatric Rheumatology. 2018;16: 1-11.
  • 18. Grazziotin LR, Currie G, Twilt M, Jzerman MJ, Kip MMA. Factors associated with care- and health-related quality of life of caregivers of children with juvenile idiopathic arthritis. Pediatric Rheumatology. 2022;20: 51.
  • 19. Hausmann JS, Vizcaino‐Riveros J, Marin AC, Minegishi M, Cox R. Feasibility and effectiveness of online strategies to engage parents of children with rheumatic diseases in research. ACR Open Rheumatology. 2022;4: 410-6.
  • 20. Simon TA, Harikrishnan GP, Kawabata H, Singhal S, Brunner HI. Prevalence of co-existing autoimmune disease in juvenile idiopathic arthritis: a cross-sectional study. Pediatric Rheumatology. 2020;18:1-12.
  • 21. Woolnough LU, Lentini L, Bhavsar PH, Thomas MF, Casella ZM. Child and caregiver beliefs about the ımportance of physical function and quality of life in juvenile ıdiopathic arthritis: A survey study. Pediatric Physical Therapy. 2023;10:1097.
  • 22. Correll CK, Dave M, Paul AF, Gaizo VD, Schrandt S. To identify research priorities among patients and families of children with rheumatic diseases living in the United States. Journal of Rheumatology. 2020;47:1800-6.
  • 23. Parsons S, Thomson W, Cresswell K, Starling B, McDonagh JE. What do young people with rheumatic disease believe to be important to research about their condition? A UK-wide study. Pediatr Rheumatol. 2017; 15:53.
  • 24. Verwoerd A, Armbrust W, Cowan K, an den Berg L, de Boer J. Dutch patients, caregivers and healthcare professionals are creating the first nationwide research agenda for juvenile idiopathic arthritis. Pediatr Rheumatol. 2021;52:1-10.
  • 25. Nadeem M, Alqahtani NSN, Mushari SY, Abdullah AT, Yam E. Saudi People's Awareness, Knowledge and Attitudes Towards Common Rheumatic Diseases. Bahrain Medical Bulletin. 2020;44:1084-7.
  • 26. Alenzi F, Al-Sheikh H, Alnasser M, Al Adwani M, Aldhuwayhi R. The level of knowledge about rheumatic diseases in Saudi Arabia: A community-based survey. International Journal of Academic Medicine 2022;8:145-50.
  • 27. Dahman HAB. Challenges in the diagnosis and management of pediatric rheumatology in the developing world: lessons from a newly established clinic in Yemen. Sudanese Journal of Paediatrics. 2017;17:21.
  • 28. Ali DH, Kudsi M. Awareness about rheumatic diseases: A study on the Syrian population 2023; https://doi.org/ 10.21203/rs.3.rs-2515336/v1.
  • 29. Van Der Wardt EM, Taal E, Rasker JJ. General public's knowledge and perceptions about rheumatic diseases. Ann Rheum Dis. 2000;59:32–8.
  • 30. Severo M, Gaio R, Lucas R, Barros H. Assessment of the general public's knowledge about rheumatic diseases: evidence from a Portuguese population-based survey. BMC Musculoskeletal Disorder. 2010;11:1–7.
  • 31. des Bordes JKA, Gonzalez E, Lopez-Olivo MA, Shethia M, Nayak P. Assessing information needs and use of online resources for disease self-management in patients with rheumatoid arthritis: a qualitative study. Clin Rheumatol. 2018;37:1791-7. doi:10.1007/s10067-018-4047-9.
  • 32. Kocyigit BF, Nacitarhan V, Koca TT, Berk E. YouTube as a source of patient information for ankylosing spondylitis exercises. Clinical rheumatology. 2019;38: 1747-51.
  • 33. Gordon MM, Capell HA, Madhok R. Use of the internet as a source of health information among patients applying to a rheumatology clinic. Rheumatology. 2002;41:1402-5.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Halk Sağlığı Hemşireliği, Hemşirelik (Diğer)
Bölüm Araştırma Makaleleri
Yazarlar

Canan Sarı 0000-0002-3686-5343

Mukaddes Kalyoncu 0000-0001-5378-939X

Birsel Canan Demirbağ 0000-0002-7533-7201

Yayımlanma Tarihi 23 Mart 2025
Gönderilme Tarihi 26 Aralık 2024
Kabul Tarihi 10 Şubat 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 14 Sayı: 1

Kaynak Göster

APA Sarı, C., Kalyoncu, M., & Demirbağ, B. C. (2025). Assessing Symptoms and Knowledge Levels among Caregivers of Children Receiving Treatment for Rheumatic Diseases. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 14(1), 94-103.
AMA Sarı C, Kalyoncu M, Demirbağ BC. Assessing Symptoms and Knowledge Levels among Caregivers of Children Receiving Treatment for Rheumatic Diseases. Gümüşhane Sağlık Bilimleri Dergisi. Mart 2025;14(1):94-103.
Chicago Sarı, Canan, Mukaddes Kalyoncu, ve Birsel Canan Demirbağ. “Assessing Symptoms and Knowledge Levels Among Caregivers of Children Receiving Treatment for Rheumatic Diseases”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14, sy. 1 (Mart 2025): 94-103.
EndNote Sarı C, Kalyoncu M, Demirbağ BC (01 Mart 2025) Assessing Symptoms and Knowledge Levels among Caregivers of Children Receiving Treatment for Rheumatic Diseases. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14 1 94–103.
IEEE C. Sarı, M. Kalyoncu, ve B. C. Demirbağ, “Assessing Symptoms and Knowledge Levels among Caregivers of Children Receiving Treatment for Rheumatic Diseases”, Gümüşhane Sağlık Bilimleri Dergisi, c. 14, sy. 1, ss. 94–103, 2025.
ISNAD Sarı, Canan vd. “Assessing Symptoms and Knowledge Levels Among Caregivers of Children Receiving Treatment for Rheumatic Diseases”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14/1 (Mart 2025), 94-103.
JAMA Sarı C, Kalyoncu M, Demirbağ BC. Assessing Symptoms and Knowledge Levels among Caregivers of Children Receiving Treatment for Rheumatic Diseases. Gümüşhane Sağlık Bilimleri Dergisi. 2025;14:94–103.
MLA Sarı, Canan vd. “Assessing Symptoms and Knowledge Levels Among Caregivers of Children Receiving Treatment for Rheumatic Diseases”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 14, sy. 1, 2025, ss. 94-103.
Vancouver Sarı C, Kalyoncu M, Demirbağ BC. Assessing Symptoms and Knowledge Levels among Caregivers of Children Receiving Treatment for Rheumatic Diseases. Gümüşhane Sağlık Bilimleri Dergisi. 2025;14(1):94-103.