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Abstract(Please copy/paste the abstract send to the congress) : |
PURPOSE
Rheumatoid arthritis (RA) is the most chronic disease that causes important disability in the adult age. The physical symptoms and signs of this chronic disease are pain, fatigue, joint stiffness, disability in mobility, and anxiety. These complications have considerable impact on patient’s Quality Of Life (QOL). Evaluation of quality of life in patient helps nurses to understand what can impair their performance. So the nurses could effect on quality of their life, through implement of nursing care, and based on the results offer their cares. Achieving the patient Quality Of Life result to program the planning use of strategies for prevention, control disease activity and joint deformity and promote Quality Of Life.
METHODS
This research is a cross sectional study. 190 patients with Rheumatoid arthritis that referred clinics rheumatology and rheumatology wards of hospitals in Tehran University of Medical Sciences were selected by random selection. The data were collected through self-report, asking and answering and observation. The tool of data collection was the questionnaire and check list. The questionnaire consisted of: demographic data and disease characteristics, questionnaire of quality of life, pain severity scale (Janson10 point visual analog scale), fatigue severity scale (Roten intensity fatigue), speilberger state – trait anxiety inventory and Beck questionnaire. A check list about disability in mobility. All analysis carried out through SPSS statistical software. Score were analyzed by descriptive and inferential methods.
RESULTS
The results showed that, the patients in age range of 48-58 (85/7%) have a poor quality of life. There was a meaningful relationship between age and quality of life (p=0.000). In deed men (51/7%) and married patients (56/9%) had a lower quality of life. So between sex and marital status with quality of life was a meaningful relationship (p=0.000). In both sex, retired persons had a lower quality of life.
The results showed that quality of life in 50% of patients was low. Dimensions physical, socio economic, mental, sleep and rest, general health of quality of life were low (50%). Intensity of pain, Intensity of fatigue, Intensity of anxiety was severe, but Intensity of depression and disability in mobility were mild. There was a meaningful relationship between intensity of pain, Intensity of fatigue, Intensity of anxiety, Intensity of depression, disability in mobility and quality of life (p=0.000).
CONCLUSION/RECOMMANDATIONS
Rheumatoid arthritis is the most common and unknown chronic disease that can cause disability, especially in adults. Common complaint of patients with rheumatoid arthritis is pain, fatigue, disability in motion, anxiety and depression. These problems can affect quality of life and makes life more difficult to perform every day applications. Nurses can prevent and control disease activity through nursing intervention that promotes Quality Of Life. So it is recommended that nurses in different social setting identify the teaching needs of patients and through educational program raise the level of quality of life. By organizing educational programs for nurses can be helped them be more effective at improving quality of life. Because nurses are in a position that could be in a position to change their behavior, words, actions and be effective members of society. Nurses as health teachers can model for lifestyle choices that prevent and treat disease. |
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Keywords of your Abstract : |
Quality of life, Rheumatoid arthritis, mobility, pain, fatigue, anxiety, depression |