Self Management Behaviors in Rheumatoid Arthritis Patients and Associated Factors in Tehran 2013

Abstract

Introduction:Rheumatoid Arthritis (RA) is a systemic, autoimmune and inflammatory disease with an unknown etiology that is associated with progressive joint degeneration, limitation of physical activity and disability. The aim of the study was to evaluate self-management behaviors and their associated factors in RA patients.Material and Method:This cross-sectional study was performed in 2013 on 185 patients in Iran. Data were selected through convenient sampling. The collected data included demographic variables, disease related variables, Arthritis Impact Measurement Scale 2 (AIMS-2SF), and Self-Management Behaviors (SMB). Data were analyzed by SPSS17 using Spearman correlation and logistic regression test.Result:In this study drug management, regular follow-up, and food supplement were used as the most frequently applied SMB and aquatic exercise, diet, massage therapy, and relaxation were the least common SMBs. Age, education, health status, occupation, marital status, sex, DAS28 (Disease Activity Score 28 joints), and PGA (Physician Global Assessment) were significantly related with SMB.Conclusion:The result of the study highlight the influence of demographic variables, health status, and disease related data on SMB. Thus, more studies are required to find factors influencing SMB in order to improve SMB.

Effectiveness of self-management interventions in inflammatory arthritis: a systematic review informing the 2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis

“…On the other hand, self-management behaviours are influenced by sociodemographic variables, health status and disease. 69 This may lead to some components not having the same applicability between different contexts or countries. The multiform way of offering these interventions also makes it difficult to analyse their individual effectiveness because most of them are centred in hospitals, which is distorted by the very concept of self-management interventions.…”

Development and psychometric properties of a self-care behaviors scale (SCBS) among patients with rheumatoid arthritis

“…In the present study, we reported the development and psychometric properties of the SCBS (Additional file 1: Table S1) to assess self-care behaviors among patients with RA. Despite the importance of self-care behaviors among RA patients [22, 29, 30, 32–34], there is a scarcity in the valid and reliable instruments to be applied for investigating the behaviors during health promotion interventions among RA patients. Although the initial version of the scale was developed in a previous study [26], psychometric properties of the scale were still unclear.…”

Treatment-Seeking Behaviors of Persons With Rheumatoid Arthritis

“…Reasons for not talking about pain lend insights into the need for health care providers to understand the need to educate patients on how to improve the communication of their pain experience to providers, friends, and family (Chaleshgar Kordasiabi et al, 2015; Wysocka-Skurska et al, 2016). Patients attempting to ignore their pain as a means of resolving it may most benefit from learning more effective techniques to communicate their pain and then may learn how to better manage their pain; a further important outcome may be that they are then offered more effective analgesia.…”

“…Rheumatoid arthritis (RA) is a significant burden on the population worldwide (McDougall, Hurd, & Barnabe, 2016). As a chronic inflammatory condition with no clear etiology, RA is known for its physical and psychosocial correlates of pain (Chaleshgar Kordasiabi et al, 2015), but there is scant information as to what motivates individuals to share their pain experiences with providers or what complementary health approaches individuals use to treat their pain. Treatment of the RA disease process, which is characterized by remissions and exacerbations (Dickens, McGowan, Clark-Carter, & Creed, 2002), aimed at reducing the symptoms associated with the systemic effects, modifying the disease process (Noack, Ndongo-Thiam, & Miossec, 2016), and reducing disability.…”