Research Article

Evaluation of Quality of Life Scales According to Disease Activity in Rheumatoid Arthritis

Volume: 13 Number: 3 July 1, 2022
EN

Evaluation of Quality of Life Scales According to Disease Activity in Rheumatoid Arthritis

Abstract

Objective: In addition to disease activity in rheumatoid arthritis patients; variables such as pain, fatigue, depression, anxiety, and sleep quality are also associated with quality of life. We aimed to evaluate the relationship between disease activity and quality of life scales in rheumatoid arthritis. Methods: In this cross-sectional study, 92 consecutive rheumatoid arthritis patients who applied to Ankara City Hospital Rheumatology outpatient clinic in January-December 2020 were included. Demographic, clinical features and laboratory data were recorded. DAS28 for disease activity and pain-visual analogue score(VAS) and fatigue-VAS, hospital anxiety-depression(HAD), Pittsburgh Sleep Quality Index (PSQI), and Nottingham Health Profile (NHP) forms for quality of life assessment were filled by one-on-one interviews. Patients were grouped according to disease activity such as: “Low-DAS28 group” and “High-DAS28 group”. Results: In comparison with DAS28, pain-VAS, and fatigue-VAS, and some NHP scores (such as the total score and pain, physical activity, and fatigue subgroup scores) were statistically significantly higher in the High-DAS28 group than the Low-DAS28 group. However, no difference was found in HAD scores. Except the sleep disorder subgroup was higher in the High-DAS28 group, total and other subgroups scores of the PSQI were similar. Conclusion: Improving the quality of life in patients with rheumatoid arthritis is one of the main objectives of treatment. A high disease activity seems to be more affecting the patients in terms of pain-VAS, fatigue-VAS, NHP total scores and NHP-pain, NHP physical activity subgroups than other the quality of life scales in patients with rheumatoid arthritis.

Keywords

References

  1. 1.Smolen JS, Aletaha D, McInnes IB. Rheumatoid arthritis. Lancet (London, England) 2016; 388(10055): 2023-38.
  2. 2.Wildier R. Rheumatoid arthritis, epidemiology, pathology and pathogenesis. In: Schumcher RH, editor. Primer on the Rheumatic Diseases. Atlanta, GA, USA: Arthritis Foundation; 1993. pp. 86-89.
  3. 3.Prevoo ML, van 't Hof MA, Kuper HH, van Leeuwen MA, van de Putte LB, van Riel PL. Modified disease activity scores that include twenty-eight-joint counts. Development and validation in a prospective longitudinal study of patients with rheumatoid arthritis. Arthritis and rheumatism 1995; 38(1): 44-8.
  4. 4.Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Research in nursing & health 1990; 13(4): 227-36.
  5. 5.Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta psychiatrica Scandinavica 1983; 67(6): 361-70.
  6. 6.Hunt SM, McEwen J, McKenna SP. Measuring health status: a new tool for clinicians and epidemiologists.The Journal of the Royal College of General Practitioners 1985; 35(273):85-8
  7. 7.Kücükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. International journal of rehabilitation research Internationale Zeitschrift fur Rehabilitationsforschung Revue internationale de recherches de readaptation 2000; 23(1):31-8.
  8. 8.Buysse DJ, Reynolds CF, 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research 1989; 28(2): 193-213.

Details

Primary Language

English

Subjects

Rheumatology and Arthritis

Journal Section

Research Article

Publication Date

July 1, 2022

Submission Date

December 4, 2021

Acceptance Date

January 21, 2022

Published in Issue

Year 2022 Volume: 13 Number: 3

EndNote
Doğan İ, Gök K, Apaydın H, Armağan B (July 1, 2022) Evaluation of Quality of Life Scales According to Disease Activity in Rheumatoid Arthritis. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13 3 374–378.