scholarly journals Effect of Continuous Nursing on Pain and Quality of Life in Patients with Rheumatoid Arthritis

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.

2020 ◽  
Vol 10 (6) ◽  
pp. 1408-1412
Author(s):  
Jungwan You ◽  
Soeun Lee ◽  
Heejae Kim ◽  
Yoojin Shim ◽  
Aram Kim ◽  
...  

This study aimed to investigate the relationship between aerobic capacity and health-related quality of life (HRQOL) in men with cerebral palsy (CP) by measuring aerobic capacity and using the Health-Related Quality of Life questionnaire. The subjects were ambulant men with CP (N = 34), with a mean age, height, weight, and body mass index of 36.6 ± 9.2 years, 163.9 ± 8.9 cm, 58.6 ± 9.1 kg, and 21.6 ± 2.9 kg·m-2, respectively. Aerobic capacity was measured during a graded exercise test and shuttle run test. Quality of life was evaluated using the Health-Related Quality of Life (Medical Outcomes Study Short Form-36 [SF-36]). The analysis performed using the physical scale of HRQOL as the dependent variable revealed that the contribution rate of physical functioning was 46.3%, role physical was 21.8%, bodily pain was 7.5%, general health was 27.3%, and physical component summary was 36.1%; the aerobic capacity differed significantly in terms of physical functioning, role physical, general health, and physical component summary (p < .05). Peak oxygen uptake was a particularly significant explanatory variable for role physical, and role physical (p < .05). However, the analysis performed using the mental scale of HRQOL as the dependent variable revealed that the contribution rate of vitality was 13.0%, social functioning was 17.3%, role emotional was 14.9%, mental health was 8.1%, and mental component summary was 15.3%; the aerobic capacity showed no significant difference. The aerobic capacity representing the athletic performance level of men with CP positively affected physical health satisfaction but not mental health satisfaction.


2008 ◽  
Vol 18 (6) ◽  
pp. 601-608 ◽  
Author(s):  
Gholam Hossein Alishiri ◽  
Noushin Bayat ◽  
Ali Fathi Ashtiani ◽  
Seyed Abbas Tavallaii ◽  
Shervin Assari ◽  
...  

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e16502-e16502
Author(s):  
Anne Hudson Blaes ◽  
Kevin Scott Baker ◽  
Brad Benson ◽  
Robin L. Bliss ◽  
Jill Lunsford Lee ◽  
...  

e16502 Background: Assessments of quality of life (QOL) among cancer survivors have had mixed results. Literature suggests that those treated with cranial irradiation (CNS) or stem cell transplantation (SCT) have a poorer quality of life. Methods: 309 cancer survivors (37 adult and 241 childhood malignancies, 31 SCT survivors) completed the Medical Outcomes Study 36-Item Short Form Healthy Survey (MOS SF-36). Demographic, disease and treatment characteristics were assessed and inter-group heterogeneity tested across three survivor groups (F-test for age; chi-square for disease and treatment characteristics). Aggregate data analysis for SF-36 composite and norm-based scoring measures was undertaken by using the mixed effect model with unequal random effect variances across studies. Treatment characteristics included age at diagnosis, current age, site of disease [cranial (y/n)], chemotherapy (y/n), radiation therapy (y/n), SCT with/without total body irradiation (TBI). All statistical tests were two-sided, P-values < 0.05 considered statistically significant. Results: The mean age at assessment was 33.4 years. 255 (83.9%) received chemotherapy, 187 (60.7%) radiation, 49 (15.9%) underwent SCT. Among those irradiated, 28 (9.1%) had TBI and 62 (20.1%) had CNS irradiation. The MOS SF-36 physical composite score was 50.5 (9.5-73.3) and mental health composite score was 50.2 (9.2-55.9). Pooled results for the MOS SF-36 included: bodily pain 51.9 (19.9-62.1), general health perceptions 46.7 18.6-63.9), mental health 50.6 (16.2-64.1, physical functioning 51.0 (14.9-57.0), role emotion 50.2 (9.2-55.9), role physical 50.2 (17.7-56.9), social functioning 49.5 (13.2-56.9) and vitality 51.9 (20.9-70.8). No significant variation from the general population median normative values (50.0) was identified, including those treated with CNS and SCT. There was no difference in QOL amongst those treated as children, young adults (ages 15-30 years) or adults. Role physical declined significantly with advancing age (p=0.02). Conclusions: In spite of the chronic conditions prevalent among cancer survivors, the overall QOL of most cancer survivors, including those who have received CNS or SCT, is comparable to that of the general population.


2019 ◽  
Vol 25 (1) ◽  
pp. 25-31
Author(s):  
M.R. Gzhegotsky ◽  
O.V. Tymoschuk ◽  
V.G. Cherkasov ◽  
S.V. Dmytrenko ◽  
O.M. Shapoval

Recently, while conducting scientific research in the field of theoretical and preventive medicine, biomedical preventive anthropology and statistical processing of their results, one of the leading places is the cluster analysis procedure, which involves the search for the patterns of grouping as research objects and their leading features in separate local plural and subset, that is, in separate clusters. Researches that provided for determining the leading characteristics of the quality of life and the peculiarities of the course of psychological adaptation processes based on the use of commonly accepted psychohygienic practices of personal questionnaires were conducted on the basis of educational institutions in Ivano-Frankivsk. Statistical analysis of the obtained data provided for the use of descriptive statistics and cluster analysis procedures using the licensed standardized application package of the multivariate statistical analysis “Statistica 6.1 for Windows” (license number ВXXR901E245722FA). The results of the conducted research indicate the existence of an extremely stable structure of the identified groups, among which in all investigated cases, it necessary to note the cluster associated with the leading indicators of quality of life, which united in its structure characteristics of quality of life on the scales Bodily Pain (BP, scale (Physical Functioning), Mental Health (MH, Mental Health Scale), General Health (GH, General Health Scale), Vitality (VT, Viability Scale), and Social Functioning (SF, scale of social functioning), neuro-psychical cluster combining personal and situational anxiety, depressive and asthenic states, as well as an integral cluster that included in its structure the characteristics of quality of life on the scale of Role-Emotional (RE, role-playing role scale) and Role-Physical (RP, scale of role-physical functioning) and indicators of subjective control in health and disease and neuroticism. The obtained data should further find a proper place in the structure of diagnostic and preventive approaches to assess the state of health and functional state of the body of pupils and students.


2009 ◽  
Vol 37 (2) ◽  
pp. 296-304 ◽  
Author(s):  
FREDERICK WOLFE ◽  
KALEB MICHAUD ◽  
TRACY LI ◽  
ROBERT S. KATZ

Objective. The Medical Outcomes Study Short-form 36 (SF-36) provides numerical measurement of patient health, but does not include preferences for health states and cannot be used directly in cost-effectiveness analyses. By contrast the Euroqol EQ-5D can be used for cost-effectiveness analyses. The EQ-5D has rarely been used in systemic lupus erythematosus (SLE). We compared SF-36 and EQ-5D values across rheumatic diseases.Methods. We studied 1316 patients with SLE, 13,722 with rheumatoid arthritis (RA), 3623 with non-inflammatory rheumatic disorders (NIRD), and 2733 with fibromyalgia (FM).Results. The mean EQ-5D, physical (PCS) and mental (MCS) component summary scores were 0.72, 36.3, and 44.3, respectively, in SLE. There was essentially no difference among EQ-5D and PCS scores for patients with SLE, RA, or NIRD. MCS was lower in SLE compared with RA and NIRD (44.3, 49.1, 50.8, respectively). All scores were more abnormal in FM (0.61, 31.9, 41.9). Within SF-36 domains, physical function was better, but general health, vitality, social function, role-emotional, and mental health were more impaired in SLE compared with RA and NIRD. In SLE, quality of life (QOL) was predicted by damage, comorbidity, income, education, and age. Fifteen percent of patients with SLE were very satisfied with their health, and their QOL scores (0.84, 45.4, 50.1) were similar to those found in the US population for EQ-5D and MCS, but were slightly reduced for PCS.Conclusion. EQ-5D and PCS are at the same levels in SLE as in RA and NIRD, but are more abnormal in SLE in the MCS and mental health domains. EQ-5D values allow preference-based comparisons with other chronic conditions.


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 3 (2) ◽  
pp. 34
Author(s):  
Manoj Gedam ◽  
Dipti Sarma

Introduction: Acromegaly is chronic progressive disease with multisystem involvement characterised by an excess secretion of growth hormone and increased circulating insulin like growth factor 1 concentration.Aims and Objectives: To assess surgical outcome of acromegaly patients at tertiary care institute using SF 36 quality of life questionnaire. SF-36 scores comprise 3 components: the physical component summary (PCS), the mental component summary (MCS) and role-social component summary (RCS).30 acromegaly patients admitted in Guwahati medical college were enrolled in study and followed up post operatively for surgical remission. All participants completed the SF-36 preoperatively, 1 year and 2 years postoperatively.Material and Method: Out of 30 patients 6 patients had surgical remission post operatively on the basis of postoperative glucose suppressed GH Level done after 12 weeks. Preoperatively subscale scores (physical functioning, role physical, general health) which were below the set standards for the normal population show significant postoperative improvements along with mental health (MH) scores. Similarly, PCS, MCS and RCS scores changed significantly after surgery. We also compared the QOL of 6 patients whose peak GH level was < 0.4 µg/L during postoperative oral glucose tolerance testing with those patients whose nadir GH level was ≥ 0.4 µg/L. There was significant difference between partial and complete remission group in subscale score role physical, social function and mental health. Similarly, PCS and RCS score significantly different in partial and complete remission group than MCS score.Conclusions: QOL is considerably reduced in patients with acromegaly compared to general population which improves significantly after surgical treatment. Patients achieving the new remission criteria had significant improvement in physical and social components than those who did not.


2021 ◽  
Vol 9 (T3) ◽  
pp. 270-273
Author(s):  
Lilis Nurhayati Sinta Marito Marpaung ◽  
Tina Christina Lumban Tobing ◽  
Rina Amalia Caromina Saragih

Background: Rheumatic heart disease is an acquired disease that has characterized damaged valve and it effects the quality of life in children. Aim: To asses quality of life in patient with rheumatic heart disease by using Pediatric Quality of Life Inventory (PedsQL) instrument at pediatric cardiologist. Methods: A descriptive study with cross sectional study conduct among children aged 5 to 18 years old attend the Pediatric Cardiology at Haji Adam Malik Hospital Medan, from 2016 to 2018. Result: A hundred children with rheumatic heart disease in this study who had affected quality of life-based on group age with 5 to 7 year old in physical function was 6 subjects (85.7%), social function was 1 subject (14.2%), and school function was 2 subjects (28.5%) (Table 3); group age with 8 to 12 year old in physical function was 100 subjects (100%), emotional function was 3 subjects (3%), social function was 1 subject (3%), and school function was 5 subjects (15.1%); group aged 13 to 18 year old in physical function was 60 subjects (100%), emotional function was 1 subject (16.7%), and school function was 51 subjects (85%). Conclusion: From 100 children with RHD dominant in group aged 13-18 years old and male, mal malnutrition status, using of erythromycin, high senior school of level parents’ education, and valve disorder was mitral regurgitation. The quality of life was affected in all age groups, especially in the domain of physical function, and school functions with RHD.


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