Yıl: 2011 Cilt: 26 Sayı: 2 Sayfa Aralığı: 89 - 93 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and

Öz:
Amaç: Bu çalışmada Sağlık Değerlendirme Anketi'nin (SDA) temel öz bakım alarından olan giyinme ve kendi kendine çeki düzen verme, yemek yeme ve hijyen aktivitelerindeki bozulmalar belirlendi ve bu bozulmalarla hastalık aktivitesi ve deformite arasındaki ilişkiler araştırıldı.Hastalar ve yöntemler: Çalışmaya romatoid artritli toplam 152 hasta (113 kadın, 39 erkek; ort. yaş 52.3±14.1 yıl; dağılım 24-80 yıl) alındı. Hastalık aktivitesi; American College of Rheumatology (ACR) hassas ve şiş eklem sayısı, görsel analog ölçeği-ağrı (GAÖ-ağrı), hasta ve hekimin global değerlendirmesi, 28 eklemin Hastalık Aktivite Skoru (DAS28), eritrosit sedimantasyon hızı (ESH) ve C-reaktif protein (CRP) ile ölçüldü. Fonksiyonel durum SDA ile değerlendirildi.Bulgular: Ortalama DAS28 skoru 4.5±1.4 idi. Ortalama ACR hassas ve şiş eklem sayısı sırasıyla 11.1±1.9 ve 0.7±0.2 idi. Hasta ve hekimin global değerlendirme skorları sırasıyla 5.2±2.5 ve 4.7±2.4 idi. Tüm SDA özbakım alanlarındaki fonksiyonel kısıtlamalarla DAS28 skoru, ACR hassas eklem sayısı, GAÖ-ağrı, hasta ve hekim global değerlendirmesi, ESH ve eklem deformitesi arasında anlamlı pozitif ilişkiler saptandı (p<0.01). Et kesme ve tuvalete oturma ve kalkma en çok etkilenen özbakım aktiviteleri idi.Sonuç: Romatoid artritli hastalarda özbakım aktivitelerinde birçok bozukluk saptanabilir. Saptanan bozukluğa göre rehabilitasyon stratejileri geliştirilmelidir. Sağlık değerlendirme anketi özbakım alanları bu hasta grubunda, klinik hastalık aktivitesiyle ilişkili bulundu.
Anahtar Kelime:

Konular: Romatoloji

Romatoid Artritte Kendine Bakım Aktivitelerinde Karşılaşılan Sorunlar ile Hastalık Aktivitesi ve El Deformitesi Arasındaki İlişki

Öz:
Objectives: We aimed to investigate the impairments in the following basic self-care domains of the Health Assessment Questionnaire (HAQ): dressing and grooming, eating, and hygiene and to determine the relationships between these impairments and disease activity and deformity in this study. Patients and methods: A total of 152 patients (113 females, 39 males; mean age 52.3±14.1 years; range 24 to 80 years) with rheumatoid arthritis were included in this study. Disease activity was measured by the American College of Rheumotology (ACR) tender and swollen joint counts, the visual analog scale- pain (VAS-pain), patient and physician global assessments, the Disease Activity Score of 28 joints (DAS28), the erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP). The functional state was evaluated using HAQ. Results: The mean score of DAS28 was 4.5±1.4. The mean ACR tender and swollen joint counts were 11.1±1.9 and 0.7±0.2, respectively. The mean patient and physician global assessment scores were 5.2±2.5 and 4.7±2.4, respectively. There were statistically significant relationships between the functional limitations in all self-care domains of the HAQ and DAS28, ACR tender joint count, VAS-pain, patient and physician global assessment, ESR, and joint deformity (p<0.01). Cutting meat and getting on and off the toilet were the most affected self-care activities. Conclusion: Many impairments can be detected in self-care activities of patients with rheumatoid arthritis. Rehabilitation strategies should be developed according to the indicated impairment. The self-care domains of HAQ were found to be associated with clinical disease activity in this patient group.
Anahtar Kelime:

Konular: Romatoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Gordon DA, Hastings DE. Clinical features of rheumatoid arthritis. In: Hochberg MC, Silman AJ, Smolen JS, Wenblatt ME, Weisman MH, editors. Rheumatology. 3rd ed. London: Mosby; 2003. p. 765-78.
  • Wolfe F. A reappraisal of HAQ disability in rheumatoid arthritis. Arthritis Rheum 2000;43:2751-61.
  • Bruce B, Fries JF. The Stanford Health Assessment Questionnaire: a review of its history, issues, progress, and documentation. J Rheumatol 2003;30:167-78.
  • Küçükdeveci AA, Sahin H, Ataman S, Griffiths B, Tennant A. Issues in cross-cultural validity: example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. Arthritis Rheum 2004;51:14-9.
  • Scott DL, Garrood T. Quality of life measures: use and abuse. Baillieres Best Pract Res Clin Rheumatol 2000;14:663-87.
  • Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 1988;31:315-24.
  • Tugwell P, Boers M. Developing consensus on preliminary core efficacy endpoints for rheumatoid arthritis clinical trials. OMERACT Committee. J Rheumatol 1993;20:555-6.
  • van Riel PL. Provisional guidelines for measuring disease activity in clinical trials on rheumatoid arthritis. Br J Rheumatol 1992;31:793-4.
  • Felson DT, Anderson JJ, Boers M, Bombardier C, Chernoff M, Fried B, et al. The American College of Rheumatology preliminary core set of disease activity measures for rheumatoid arthritis clinical trials. The Committee on Outcome Measures in Rheumatoid Arthritis Clinical Trials. Arthritis Rheum 1993;36:729-40.
  • van der Heijde DM, van 't Hof MA, van Riel PL, Theunisse LA, Lubberts EW, van Leeuwen MA, et al. Judging disease activity in clinical practice in rheumatoid arthritis: first step in the development of a disease activity score. Ann Rheum Dis 1990;49:916-20.
  • van der Heijde DM, van 't Hof M, van Riel PL, van de Putte LB. Development of a disease activity score based on judgment in clinical practice by rheumatologists. J Rheumatol 1993;20:579-81.
  • Pincus T, Callahan LF, Brooks RH, Fuchs HA, Olsen NJ, Kaye JJ. Self-report questionnaire scores in rheumatoid arthritis compared with traditional physical, radiographic, and laboratory measures. Ann Intern Med 1989;110:259-66.
  • Borman P, Yılmaz L, Gündüz H, Barça N, Duruğ MT. Comparison of functional disability measures and clinical variables in rheumatoid arthritis. Romatoloji ve Tıbbi Rehabilitasyon Dergisi 2003;14:150-8.
  • Molenaar ET, Voskuyl AE, Dijkmans BA. Functional disability in relation to radiological damage and disease activity in patients with rheumatoid arthritis in remission. J Rheumatol 2002;29:267-70.
  • van Leeuwen MA, van der Heijde DM, van Rijswijk MH, Houtman PM, van Riel PL, van de Putte LB, et al. Interrelationship of outcome measures and process variables in early rheumatoid arthritis. A comparison of radiologic damage, physical disability, joint counts, and acute phase reactants. J Rheumatol 1994;21:425-9.
  • Escalante A, del Rincón I. How much disability in rheumatoid arthritis is explained by rheumatoid arthritis? Arthritis Rheum 1999;42:1712-21.
  • Spiegel JS, Leake B, Spiegel TM, Paulus HE, Kane RL, Ward NB, et al. What are we measuring? An examination of self-reported functional status measures. Arthritis Rheum 1988;31:721-8.
  • Welsing PM, van Gestel AM, Swinkels HL, Kiemeney LA, van Riel PL. The relationship between disease activity, joint destruction, and functional capacity over the course of rheumatoid arthritis. Arthritis Rheum 2001;44:2009-17.
  • Guillemin F, Briançon S, Pourel J. Functional disability in rheumatoid arthritis: two different models in early and established disease. J Rheumatol 1992;19:366-9.
  • Drossaers-Bakker KW, de Buck M, van Zeben D, Zwinderman AH, Breedveld FC, Hazes JM. Long-term course and outcome of functional capacity in rheumatoid arthritis: the effect of disease activity and radiologic damage over time. Arthritis Rheum 1999; 42:1854-60.
  • Patel AT, Coarbar LM. Upper limb orthotic devices. In: Braddom RL, editor. Physical medicine and rehabilitation. 2nd ed. Philadelphia:W.B. Saunders; 2007. p. 325-43.
APA KÖYBAŞI M, Ayhan F, BORMAN P, YORGANCIOĞLU R (2011). Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and. , 89 - 93.
Chicago KÖYBAŞI Mine,Ayhan Fikriye Figen,BORMAN Pınar,YORGANCIOĞLU Rezan Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and. (2011): 89 - 93.
MLA KÖYBAŞI Mine,Ayhan Fikriye Figen,BORMAN Pınar,YORGANCIOĞLU Rezan Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and. , 2011, ss.89 - 93.
AMA KÖYBAŞI M,Ayhan F,BORMAN P,YORGANCIOĞLU R Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and. . 2011; 89 - 93.
Vancouver KÖYBAŞI M,Ayhan F,BORMAN P,YORGANCIOĞLU R Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and. . 2011; 89 - 93.
IEEE KÖYBAŞI M,Ayhan F,BORMAN P,YORGANCIOĞLU R "Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and." , ss.89 - 93, 2011.
ISNAD KÖYBAŞI, Mine vd. "Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and". (2011), 89-93.
APA KÖYBAŞI M, Ayhan F, BORMAN P, YORGANCIOĞLU R (2011). Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 26(2), 89 - 93.
Chicago KÖYBAŞI Mine,Ayhan Fikriye Figen,BORMAN Pınar,YORGANCIOĞLU Rezan Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and. Turkish Journal of Rheumatology(.)Archives of Rheumatology 26, no.2 (2011): 89 - 93.
MLA KÖYBAŞI Mine,Ayhan Fikriye Figen,BORMAN Pınar,YORGANCIOĞLU Rezan Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.26, no.2, 2011, ss.89 - 93.
AMA KÖYBAŞI M,Ayhan F,BORMAN P,YORGANCIOĞLU R Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2011; 26(2): 89 - 93.
Vancouver KÖYBAŞI M,Ayhan F,BORMAN P,YORGANCIOĞLU R Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2011; 26(2): 89 - 93.
IEEE KÖYBAŞI M,Ayhan F,BORMAN P,YORGANCIOĞLU R "Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 26, ss.89 - 93, 2011.
ISNAD KÖYBAŞI, Mine vd. "Problems of Self-Care Activities Encountered in Rheumatoid Arthritis and Their Relationship with Disease Activity and". Turkish Journal of Rheumatology(.)Archives of Rheumatology 26/2 (2011), 89-93.