scholarly journals PARE0025 “RA - DON’T GIVE UP” - LIFE WITH RHEUMATOID ARTHRITIS FROM PATIENTS’ PERSPECTIVE

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1298.2-1298
Author(s):  
T. Sobierajski ◽  
J. Grygielska ◽  
E. Godlewska

Background:Rheumatoid arthritis (RA) as chronic and progressing to disability disease decreases a quality of life of every person suffering from it. Knowledge about this influence from patient perspective is important to limit burden of RA and organize appropriate care for patients.Objectives:RA has input on every area of individual and social lives. Recognition of patients’ situation in daily life, professional life, participation in treatment, taking life decision gives possibilities to better understanding of diseases and starting activities to change lives with RA. Aim of research was to learn attitudes, knowledge and experiences of people living with RA.Methods:The study was initiated by KnowPR in partnership with Polish Rheuma Federation ‘REF’. Main researcher was Tomasz Sobierajski PhD., sociologist from Warsaw University. The first stage of the study was a workshop with patients with RA organized by REF. It was brainstorming to identify main problems, appropriate understand life with RA and discussion on questionnaire. After small pilot study on questionnaire, research was made by CAWI technique. Questionnaire had been linked on professional websites, facebook, Twitter, health forums. The data had been completed during one month - January 2019.Results of survey were presented in booklet with comments. Opinions introducing results were done from persons represented patronages of project: minister of patient rights, president of Polish Society for Rheumatology, national consultant in rheumatology, directors of National Institute of Geriatrics, Rheumatology and Rehabilitation. Publication was enriched by stories of people with RA living full lives. Publication was launched during press conference and disseminated in hard copies and on-line with free access.Results:In survey took part 619 respondents with RA - mostly women (90%). The biggest group of respondents (34%) was in age 46-60 years old. Duration of disease was different – from few months to more than 40 years. More than half of respondents are suffering from RA more than 10 years. Disease influences of every life area. Only 38% of respondents participate in decision about their treatment and took it together with rheumatologist. There are different opinions about way of taking medication. There are not differences among age groups and duration of disease in this. Majority of patients suffer from pain (73%), from limited abilities (68%) and from permanent fatigue (69%) in everyday lives. Rheumatologist has the biggest confidence among patients like a source of information about disease (73%). Other health professionals have lower confidence (35-40%). Majority of respondents (68%) note his knowledge about diseases like rather good and better. Respondents didn’t connected their decision of having a child with disease how it has been before (59%). Part of respondents had to change or resign of professional work (30%). Part of them resigned from social life and hobbies before disease. In opinion of 57% of respondents RA changed totally their lives (57%).Conclusion:Results of survey was used like a tool in lobbying for accessibility in newest treatment in RA. Further recognize of quality of life in RA is needed. Interviews of focus groups and individuals are planned.References:[1]T. Sobierajski. Codzienność z reumatoidalnym zapaleniem stawów. Warszawa 2019Disclosure of Interests:None declared

2021 ◽  
Vol 5 (6) ◽  
pp. 25-27
Author(s):  
Fang Fang ◽  
Li Liu ◽  
Pin Li ◽  
Guiyan Wen

Objective: To explore the effectiveness of continuous nursing in the treatment of patients with rheumatoid arthritis for relieving pain and improving the quality of life of patients. Methods: A total of 80 patients with rheumatoid arthritis were treated in our department from January to August 2021. All patients were treated with continuous nursing, and their quality of life and pain related content were evaluated before admission examination, and their quality of life and pain after discharge were evaluated. Results: The pain degree of patients before continuous nursing intervention was 3.26 ± 0.12, and the pain degree score after nursing was 1.22 ± 0.23, t = 70.3344, P < 0.05. The difference is obvious and comparable; The scores of emotional function, role physical, social function, physical pain, physiological function, mental health, life vitality and overall health of patients before continuous nursing intervention were 71.33 ± 1.23, 72.12 ± 1.36, 71.56 ± 1.42, 73.25 ± 2.01, 74.36 ± 0.96, 73.12 ± 2.45, 72.98 ± 1.63 and 73.56 ± 1.26 respectively, and the scores of emotional function, role physical, social function, body pain, physiological function, mental health, life vitality and overall health were 91.66 ± 1.03, 93.23 ± 1.36, 92.69 ± 1.06, 93.69 ± 1.47, 92.98 ± 1.69, 95.36 ± 1.23, 94.01 ± 1.66 and 94.06 ± 1.69 respectively, P < 0.05. The differences are comparable. Conclusion: Through continuous nursing intervention, after rheumatoid patients are discharged from hospital, the degree of pain of patients is significantly reduced, and the quality of life is significantly improved. Patients can actively integrate into social life and maintain a good attitude.


2021 ◽  
Vol 2 ◽  
pp. 152-157
Author(s):  
Zamira Shabani ◽  
Donika Shkoza ◽  
Edona Haxhija

This is a transversal (cross-sectional) descriptive study. The aim of the study is to evaluate the quality of life of patients with rheumatoid arthritis Objectives: To identify the level of pain related to daily activities in patients with RA according to gender and age groups. Conclusions: 77% of these patients have poor quality of life because of pain associated with RA. The FSI for pain resulted in 0.25, 0.39 for addiction and 0.26 for difficulty. 


2020 ◽  
Vol 16 (3) ◽  
pp. 215-223
Author(s):  
Rostislav A. Grekhov ◽  
Galina P. Suleimanova ◽  
Andrei S. Trofimenko ◽  
Liudmila N. Shilova

This review highlights the issue of psychosomatic conditions in rheumatoid arthritis, paying special attention to new researches and trends in this field. Emerging concepts in all the major parts of the problem are covered consecutively, from the impact of chronic musculoskeletal pain on the emotional state to disease influence over quality of life, socio-psychological, and interpersonal relationships. Chronic pain is closely related to emotional responses and coping ability, with a pronounced positive effect of psychotherapeutic interventions, family and social support on it. Psychosexual disorders, anxiety, depression also commonly coexist with rheumatoid arthritis, leading to further decrease in quality of life, low compliance, and high suicide risk. Influence of psychosomatic conditions on the overall treatment effect is usually underestimated by rheumatologists and general practitioners. Psychosomatic considerations are of great importance for up-to-date management of rheumatoid arthritis, as they strongly influence the quality of life, compliance, and thereby disease outcomes. Two major approaches of psychological rehabilitation exist, both coping with pain through the regulation of emotion and psychotherapeutic intervention, which not only helps patients in coping with the disease, but also aimed at improving the overall adaptation of the patient. It includes techniques of relaxation, cognitive-behavioral therapy, and biofeedback therapy. Current data about the efficacy of the additional correcting therapies for patients with rheumatoid arthritis, both emerging and common ones, are discussed in the review.


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