Effectiveness of instruction program on self-care of patients with rheumatoid arthritis
Keywords:
instructional program, self-care, rheumatoid arthritisAbstract
Objective(s): The present study aims to evaluate effectiveness of instruction program on self-care of patients with rheumatoid arthritis and to find out the relationship between self-care and their demographic characteristics of patients.
Methodology: A quasi-experimental design has been used to recruit (40) patients with rheumatoid arthritis attending the Rheumatology and Physical Rehabilitation center at Marjan Teaching Hospital, Babylon, Iraq from the period of (25th April, 2023) to (31th May, 2024). The sample was purposive non-probability consist of (40) patient. The questionnaire was used to collect the data includes socio demographic, self-care model Questionnaire. the instrument's reliability was determined to be 0.86 using Cronbach's Alpha. Data were analyzed by using (SPSS) package version 25. Descriptive data through determination of: Frequency, percentage, mean of score and standard deviation. Inferential statistical data analysis approach: used by enforcement of the T-Test and ANOVA used for determining the association between Socio-demographic characteristics and self-care.
Results: the study group, 40% of patients at age 50-60 years, 57.5% females, 47.5% high school graduate, 82.5% married, 37.5% housewife, 62.5% had insufficient monthly income, 65% urban resident. The results showed that at the pretest 90% of patients had low level of self-care and 67.5% of them had high level of self-care at posttest. there is no significant difference between patients’ self-care at pretest-posttest and age, education, marital status and period of diagnosis.
Conclusions: From the above results, there was a decrease in self-care in the pre-test, and when the instructional program was given, self-care improved in the post-test.
Recommendations: Health care providers must be able to do this by treating rheumatoid arthritis and other chronic conditions by prioritizing proven non pharmacological interventions such as an appropriate self-care program and physical activity as an effective way to improve health outcomes. Self-care educational program to be adopted as a part of the management of rheumatoid patients.
References
Rhida AS, Mahdi RJ. Prevalence of depression in a sample of iraqi patients with rheumatoid arthritis. World Bulletin of Public Health. 2022 Nov 19;16:107-16.
Ghayadh AA, Naji AB. Treatment adherence and its association to quality of life among patients with hypertension. Pakistan Heart Journal. 2023 May 16;56(2):44-9.
Almutairi K, Nossent J, Preen D, Keen H, Inderjeeth C. The global prevalence of rheumatoid arthritis: a meta-analysis based on a systematic review. Rheumatology International. 2021 May;41(5):863-77.
Jalil SF, Arshad M, Bhatti A, Ahmad J, Akbar F, Ali S, et al. Rheumatoid arthritis: what have we learned about the causing factors? Pakistan Journal of Pharmaceutical Sciences. 2016 Mar 1, 29(2).
Ahmed KM, Rashid Amen M. Effectiveness of Self-Management Educational Program on Quality of Life and Activities of Daily Living for Patients with Rheumatoid Arthritis. Health Education and Health Promotion. 2021 Dec 10;9(5):461-8.
Thomas R, Hewlett S, Swales C, Cramp F. Keeping physically active with rheumatoid arthritis: semi-structured interviews to explore patient perspectives, experiences and strategies. Physiotherapy. 2019 Sep 1;105(3):378-84.
Theis KA, Murphy LB, Guglielmo D, Boring MA, Okoro
CA, Duca LM, et al. Prevalence of arthritis and arthritis-attributable activity limitation-United States, 2016–2018. Morbidity and Mortality Weekly Report. 2021 Oct 10;70(40):1401.
Vicente-Herrero MT, Delgado Bueno S, de la Torre RI, Victoria M, Capdevila García L. Assessment of limitations in rheumatology. Tools most used in practice. Revista Colombiana de Reumatología. 2019 Sep;26(3):185-93.
Aletaha D, Smolen JS. Diagnosis and management of rheumatoid arthritis: a review. Jama. 2018 Oct 2;320(13):1360-72.
Moghadam MH, Jahanbin I, Nazarinia MA. The effect of educational program on self-efficacy of women with rheumatoid arthritis: a randomized controlled clinical trial. International Journal of Community-Based Nursing and Midwifery. 2018 Jan;6(1):12.
Hersche R, Roser K, Weise A, Michel G, Barbero M. Fatigue self-management education in persons with disease-related fatigue: A comprehensive review of the effectiveness on fatigue and quality of life. Patient Education and Counseling. 2022 Jun 1;105(6):1362-78.
Ndosi M, Johnson D, Young T, Hardware B, Hill J, Hale C, et al. Effects of needs-based patient education on self-efficacy and health outcomes in people with rheumatoid arthritis: a multicentre, single blind, randomised controlled trial. Annals of the Rheumatic Diseases, 2015 Jul 10, annrheumdis-2014.
Tonga E, Düger T, Karataş M. Effectiveness of client-centered occupational therapy in patients with rheumatoid arthritis: Exploratory randomized controlled trial. Archives of rheumatology. 2016 Mar;31(1):6.
Shinde SB, Varadharajulu G. Effect of therapeutic exercise programme in adults with early rheumatoid arthritis. Indian J Physiother Occup Ther. 2017 Jul 1;11:76-80.
Saeedifar ES, Memarian R, Fatahi S, Ghelichkhani F. Use of the Orem self-care model on pain relief in women with rheumatoid arthritis: a randomized trial. Electronic Physician. 2018 Jun;10(6):6884.
Moghadam MH, Jahanbin I, Nazarinia MA. The effect of educational program on self-efficacy of women with rheumatoid arthritis: a randomized controlled clinical trial. International Journal of Community-Based Nursing and Midwifery. 2018 Jan;6(1):12.
Elbers S, Wittink H, Pool JJ, Smeets RJ. The effectiveness of generic self‐management interventions for patients with chronic musculoskeletal pain on physical function, self‐efficacy, pain intensity and physical activity: A systematic review and meta‐analysis. European Journal of Pain. 2018 Oct;22(9):1577-96.
Senara SH, Abdel Wahed WY, Mabrouk SE. Importance of patient education in management of patients with rheumatoid arthritis: an intervention study. Egyptian Rheumatology and Rehabilitation. 2019 Jan;46:42-7.
Ibrahim MM, Mohamed AG. Effectiveness of Structured Self-Care Model on Self-Care, Disability and Pain among Patients with Rheumatoid Arthritis. Assiut Scientific Nursing Journal. 2020 Sep 1;8(22):62-71.
Elsayed Hussein E, Al-kotb H, Mohamed Ibrahim A. Effect of Nursing Instructions for Rheumatoid Arthritis self-care on Pain Intensity and Functional Ability among Arthritic Women. Egyptian Journal of Health Care. 2022 Jun 1;13(2):691-707.
Abed AL-Kaabi HJ, Mansour KA. Effectiveness of An Educational Program on the Physical and Health Status of Patients with Rheumatoid Arthritis Treated with Biological Therapy at Baghdad Teaching Hospitals. Indian Journal of Forensic Medicine & Toxicology, 2019 Oct 1, 13(4).
Gurjar NR. Effect of educational program on knowledge and self-care behavior among arthritis patients: Pre-experimental research design. International Journal of Orthopaedic and Trauma Nursing. 2024 Feb 1;52:101038.
