Self-care recommendations for patients with rheumatic diseases during the COVID-19 pandemic

Kim, Hyun Sook; Lee, Myeung Su; Kim, Hyung Jin; Sung, Yoon Kyoung; Lee, Sang Hoon; Shim, Seung Cheol; Park, Sung Hwan; Baek, Han Joo

doi:10.1007/s00296-020-04614-4

Cited by 9 publications

(3 citation statements)

References 9 publications

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“…Vitamin D has immunity boosting and anti-inflammatory properties and has been recommended in vulnerable populations [ 53 ]. The Korean College of Rheumatology recommends spending 15 min per day under sunlight (except Systemic Lupus Erythematosus patients) for vitamin D [ 54 ].…”

Section: Pharmacological Managementmentioning

confidence: 99%

Managing rheumatoid arthritis during COVID-19

Roongta

Ghosh

2020

Clin Rheumatol

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The outbreak of coronavirus in the world has led to an uncertainty about treatment of patients with autoimmune disorders because of their weakened immune system coupled with immunosuppressive agents they take which predisposes them to a host of infections. Data on COVID-19 patients with underlying rheumatological diseases has been emerging mostly in the form of small case series and one global registry. From these data, it seems like our patients, although immunosuppressed, are not particularly susceptible to the coronavirus infection and if infected, do not have significantly worse outcomes than other patients. In fact, drugs like hydroxychloroquine, dexamethasone, and tocilizumab have been studied for treatment of COVID-19. However, this is only preliminary data, and since a few parts of the world are still grappling with the pandemic at its peak, we need to be equipped on how to protect and manage our immunosuppressed patients. Published evidence to guide treatment decisions are lacking and doubts regarding continuation and initiation of immunosuppressants remain. Rheumatoid arthritis (RA) is the most common immune-mediated disorder in COVID-19 patients, and in this review, we discuss how the commonly used drugs in RA alter the patients' susceptibility to this infection. The review also summarizes the recommendations from the major bodies on how to manage this disease in these times.

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Section: Pharmacological Managementmentioning

confidence: 99%

Managing rheumatoid arthritis during COVID-19

Roongta

Ghosh

2020

Clin Rheumatol

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“…The most common self-care and protection recommendations during the COVID-19 pandemic were the universal use of facial masks, frequent handwashing or use of alcohol, and distancing when staying out (at least 1 m from someone who doesn't live with you) [ 18 ]. The cumulative protective effect might buffer transmission rates and help to control the pandemic.…”

Section: Introductionmentioning

confidence: 99%

Social Determinants in Self-Protective Behavior Related to COVID-19: Association Rule–Mining Study

Urbanin

Meira

Serpa

et al. 2022

JMIR Public Health Surveill

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Background Human behavior is crucial in health outcomes. Particularly, individual behavior is a determinant of the success of measures to overcome critical conditions, such as a pandemic. In addition to intrinsic public health challenges associated with COVID-19, in many countries, some individuals decided not to get vaccinated, streets were crowded, parties were happening, and businesses struggling to survive were partially open, despite lockdown or stay-at-home instructions. These behaviors contrast with the instructions for potential benefits associated with social distancing, use of masks, and vaccination to manage collective and individual risks. Objective Considering that human behavior is a result of individuals' social and economic conditions, we investigated the social and working characteristics associated with reports of appropriate protective behavior in Brazil. Methods We analyzed data from a large web survey of individuals reporting their behavior during the pandemic. We selected 3 common self-care measures: use of protective masks, distancing by at least 1 m when out of the house, and handwashing or use of alcohol, combined with assessment of the social context of respondents. We measured the frequency of the use of these self-protective measures. Using a frequent pattern–mining perspective, we generated association rules from a set of answers to questions that co-occur with at least a given frequency, identifying the pattern of characteristics of the groups divided according to protective behavior reports. Results The rationale was to identify a pool of working and social characteristics that might have better adhesion to behaviors and self-care measures, showing these are more socially determined than previously thought. We identified common patterns of socioeconomic and working determinants of compliance with protective self-care measures. Data mining showed that social determinants might be important to shape behavior in different stages of the pandemic. Conclusions Identification of context determinants might be helpful to identify unexpected facilitators and constraints to fully follow public policies. The context of diseases contributes to psychological and physical health outcomes, and context understanding might change the approach to a disease. Hidden social determinants might change protective behavior, and social determinants of protective behavior related to COVID-19 are related to work and economic conditions. Trial Registration Not applicable.

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“…11 Health care organizations have recommended individuals not to leave their houses due to the high rate of spread of the new virus; hence, attention is drawn to the self-care guidelines for better management of the disease. 5,7…”

Section: Introductionmentioning

confidence: 99%

Identifying data elements and key features of a mobile-based self-care application for patients with COVID-19 in Iran

Heydari

Monaghesh

Mehraeen

et al. 2021

Health Informatics J

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Mobile Health applications have shown different usages in the COVID-19 pandemic, which consisted of empowering patient’s awareness, promoting patient’s self-care, and self-monitor behaviors. The purpose of this study is to identify key features and capabilities of a mobile-based application for self-care and self-management of people with COVID-19 disease. This study was a descriptive-analytical study that was conducted in two main phases in 2020. In the first phase, a literature review study was performed. In the second phase, using the information obtained from the review of similar articles, a questionnaire was designed to validate identified requirements. Based on the results of the first phase, 53 data elements and technical key features for mobile-based self-care application for people with COVID-19 were identified. According to the statistical population, 11 data elements for demographic requirements, 11 data elements for clinical requirements, 15 data elements for self-care specifications, and 16 features for the technical capability of this app were determined. Most of the items were selected by infectious and internal medicine specialists (94%). This study supports that the use of mobile-based applications can play an important role in the management of this disease. Software design and development could help manage and improve patients’ health status.

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Self-care recommendations for patients with rheumatic diseases during the COVID-19 pandemic

Cited by 9 publications

References 9 publications

Managing rheumatoid arthritis during COVID-19

Managing rheumatoid arthritis during COVID-19

Social Determinants in Self-Protective Behavior Related to COVID-19: Association Rule–Mining Study

Identifying data elements and key features of a mobile-based self-care application for patients with COVID-19 in Iran

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