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The assessment of knowledge level about their disease in patients with rheumatoid arthritis

Year 2014, Volume: 5 Issue: 3, 429 - 434, 01.09.2014
https://doi.org/10.5799/ahinjs.01.2014.03.0433

Abstract

Objective: This study aims to evaluate, the level of knowledge about the disease of patients with rheumatoid arthritis (RA) and its relationship with the disease activity. Methods: A total of 50 patients with RA, diagnosed according to 2010 ACR/EULAR Rheumatoid Arthritis classification criteria, included in this study. Demographic features of patients were recorded. Turkish version of Patient Knowledge Questionnaire (PKQ) used to evaluate the level of knowledge about the disease of patients with RA. Daily activity score (DAS-28), Health Assessment Questionnaire (HAQ) and visual analog scale (VAS) were used to evaluate the activity of the disease. Results: The mean age of patients was 57.2±12.2 (36 females and 14 males). The mean of disease duration was 6.2±5.8 years. The mean was 3.2 (maximum value 9) for etiology, symptom and laboratory components, the mean of medication component: 2.9 (maximum value 7), the mean of exercise component: 2.4 (maximum value 7), the mean of protection of joints and energy component: 2.4 (maximum value 7) of PKQ. The total mean point was 10.9 (maximum value 30). There was no correlation between PKQ points and HAQ, DAS-28 and VAS parameters but there was a positive correlation between disease duration and PKQ points. Conclusion: The results of the study show no relationship between level of knowledge about the disease and disease activity and also functional status. On the other hand the level of knowledge about disease of patients with RA is very low. The results show the need for education programs and informative activities about RA. J Clin Exp Invest 2014; 5 (3): 429-434

References

  • Scott DL, Wolfe F, Huizinga TW. Rheumatoid arthritis. Lancet 2010;376:1094-1108.
  • Yilmaz L, Aslan G, Bodur H. Second line drug therapy in patients with rheumatoid arthritis. Turk J Rheumatol 2003;3:141-150.
  • Akar S, Akkoc N. Epidemiology of rheumatoid arthritis. Turkiye Klinikleri J Int Med Sci 2006;2:1-6.
  • Tekeoglu I, Hiz O, Ozbay B, Toprak M, Avcu S. Pulmo- nary involvement in rheumatic diseases: HRCT find- ings. J Clin Anal Med 2011;2:36-39.
  • Onal G, Civaner M. The directive for practice of patient rights: a step to putting into practice the patient rights in Turkey. Turkiye Klinikleri J Med Ethics 2005;13:203- 208.
  • Smolen JS, Aletaha D, Bijlsma JW, et al. Treating rheu- matoid arthritis to target: recommendations of an in- ternational task force. Ann Rheum Dis 2010;69:631– 637.
  • Aletaha D, Neogi T, Silman AJ, et al. 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheu- matism collaborative initiative. Arthritis&Rheumatism 2010;62:2569-2581.
  • Hill J, Bird HA, Hopkins R, Lawton C, Wright V. The development and use of patient knowledge ques- tionnaire in rheumatoid arthritis. Br J Rheumatol 1991;30:45-49.
  • Jennings F, Toffolo S, de Assis MR, Natour J. Brazil Pa- tient Knowledge Questionnaire (PKQ) and evaluation of disease-specific knowledge in patients with rheu- matoid arthritis. Clin Exp Rheumatol 2006;24:521- 528.
  • Prevoo MLL, van ‘t Hof MA, Kuper HH, et al. Modified disease activity scores that include twenty-eight-joint counts. Development and validation in a prospective longitudinal study of patients with rheumatoid arthritis. Arthritis Rheum 1995;38:44-48.
  • Kucukdeveci AA, Sahin H, Ataman S, Griffiths Bi 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 & Rheumatism (Arthritis Care & Research) 2004;51:14-19.
  • Gülfe A, Geborek P, Saxne T. Response criteria for rheumatoid arthritis in clinical practice: how useful are they? Ann Rheum Dis 2005;64:1186-1189.
  • Lineker SC, Badley EM, Hughes EA, Bell MJ. Devel- opment of an instrument to measure knowledge in individuals with rheumatoid arthritis: the ACREU rheu- matoid arthritis knowledge questionnaire. J Rheuma- tol 1997;24:647-653.
  • Hennell SL, Brownsell C, Dawson JK. Development, validation and use of a patient knowledge question- naire (PKQ) for patients with early rheumatoid arthri- tis. Rheumatology (Oxford) 2004;43:467-471.
  • Helliwell PS, O’Hara M, Holdsworth J, Hesselden A, King T, Evans P. A 12-month randomized controlled trial of patient education on radiographic changes and quality of life in early rheumatoid arthritis. Rheumatol- ogy (Oxford) 1999;38:303-308.
  • Vignos PJ, Parker WT, Thompson HM. Evaluation of a clinic education program for patients with rheumatoid arthritis. J Rheumatol 1976;3:155-165.
  • Barlow JH, Cullen LA, Rowe IF. Comparison of knowl- edge and psychological well-being between patients with a short disease duration (< or = 1 year) and patients with more established rheumatoid arthri- tis (> or = 10 years duration). Patient Educ Couns 1999;38:195-203.
  • Barlow JH, Cullen LA, Rowe IF. Educational prefer- ences, psychological well-being and self-efficacy among people with rheumatoid arthritis. Patient Educ Couns 2002;46:11-19.

Romatoid artrit olgularının hastalıkları konusundaki bilgi düzeylerinin değerlendirilmesi

Year 2014, Volume: 5 Issue: 3, 429 - 434, 01.09.2014
https://doi.org/10.5799/ahinjs.01.2014.03.0433

Abstract

Amaç: Bu çalışmada Romatoid Artrit (RA) tanısı ile tedavi görmekte olan olguların, hastalıkları konusundaki bilgi düzeylerinin belirlenmesi ve hastaların bilgi düzeyi ile hastalık aktivitesi arasındaki ilişkinin değerlendirilmesi amaçlandı. Yöntemler: Çalışmaya 2010 ACR/EULAR Romatoid Artrit Klasifikasyon Kriterleri\'ne göre RA tanısı konulmuş 50 olgu alındı. Hastaların demografik özellikleri kaydedildi. RA hakkındaki bilgi düzeylerini değerlendirmek için, RA hastaları için tasarlanmış olan Patient Knowledge Questionnaire (PKQ)\'in Türkçe çevirisi, RA aktivitesini değerlendirmek için Günlük Aktivite Skoru (DAS-28), fonksiyonel durum değerlendirmesi için Sağlık Değerlendirme Anketi (SDA) ve ağrı değerlendirmesi için Görsel Analog Skala (VAS) kullanıldı. Bulgular: Çalışmaya alınan 36 kadın ve 14 erkek RA hastasının ortalama yaşı 57,2&plusmn;12,2, ortalama hastalık süresi 6,2&plusmn;5,8 yıl idi. RA hastaların PKQ\'nun etiyoloji, semptom ve laboratuvar testlerini içeren bileşeni için ortalama puan 3,2 (maksimum değer 9), medikasyon bileşeni için ortalama puan 2,9 (maksimum değer 7), egzersiz bileşeni için ortalama puan 2,4 (maksimum değer 7), eklemlerin ve enerjinin korunması bileşeni için ortalama puan 2,4 (maksimum değer 7) ve toplam ortalama puan 10,9 (maksimum değer 30) bulundu. PKQ puanları ile SDA, DAS-28 ve VAS parametreleri arasında korelasyon izlenmezken, hastaların eğitim düzeyi ve hastalık süresi değerleri ile PKQ puanları arasında pozitif yönde korelasyon mevcuttu. Sonuç: Çalışmamızda RA olgularında hastalık bilgi düzeyi ile hastalık aktivitesi ve fonksiyonel durum arasında belirgin bir ilişki saptanmamıştır. Ancak elde edilen sonuçlara göre hastalık bilgi düzeyleri düşük bulunmuştur. RA olguları hastalıkları konusunda daha fazla eğitim ve bilgilendirmeye ihtiyaç duymaktadırlar.

References

  • Scott DL, Wolfe F, Huizinga TW. Rheumatoid arthritis. Lancet 2010;376:1094-1108.
  • Yilmaz L, Aslan G, Bodur H. Second line drug therapy in patients with rheumatoid arthritis. Turk J Rheumatol 2003;3:141-150.
  • Akar S, Akkoc N. Epidemiology of rheumatoid arthritis. Turkiye Klinikleri J Int Med Sci 2006;2:1-6.
  • Tekeoglu I, Hiz O, Ozbay B, Toprak M, Avcu S. Pulmo- nary involvement in rheumatic diseases: HRCT find- ings. J Clin Anal Med 2011;2:36-39.
  • Onal G, Civaner M. The directive for practice of patient rights: a step to putting into practice the patient rights in Turkey. Turkiye Klinikleri J Med Ethics 2005;13:203- 208.
  • Smolen JS, Aletaha D, Bijlsma JW, et al. Treating rheu- matoid arthritis to target: recommendations of an in- ternational task force. Ann Rheum Dis 2010;69:631– 637.
  • Aletaha D, Neogi T, Silman AJ, et al. 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheu- matism collaborative initiative. Arthritis&Rheumatism 2010;62:2569-2581.
  • Hill J, Bird HA, Hopkins R, Lawton C, Wright V. The development and use of patient knowledge ques- tionnaire in rheumatoid arthritis. Br J Rheumatol 1991;30:45-49.
  • Jennings F, Toffolo S, de Assis MR, Natour J. Brazil Pa- tient Knowledge Questionnaire (PKQ) and evaluation of disease-specific knowledge in patients with rheu- matoid arthritis. Clin Exp Rheumatol 2006;24:521- 528.
  • Prevoo MLL, van ‘t Hof MA, Kuper HH, et al. Modified disease activity scores that include twenty-eight-joint counts. Development and validation in a prospective longitudinal study of patients with rheumatoid arthritis. Arthritis Rheum 1995;38:44-48.
  • Kucukdeveci AA, Sahin H, Ataman S, Griffiths Bi 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 & Rheumatism (Arthritis Care & Research) 2004;51:14-19.
  • Gülfe A, Geborek P, Saxne T. Response criteria for rheumatoid arthritis in clinical practice: how useful are they? Ann Rheum Dis 2005;64:1186-1189.
  • Lineker SC, Badley EM, Hughes EA, Bell MJ. Devel- opment of an instrument to measure knowledge in individuals with rheumatoid arthritis: the ACREU rheu- matoid arthritis knowledge questionnaire. J Rheuma- tol 1997;24:647-653.
  • Hennell SL, Brownsell C, Dawson JK. Development, validation and use of a patient knowledge question- naire (PKQ) for patients with early rheumatoid arthri- tis. Rheumatology (Oxford) 2004;43:467-471.
  • Helliwell PS, O’Hara M, Holdsworth J, Hesselden A, King T, Evans P. A 12-month randomized controlled trial of patient education on radiographic changes and quality of life in early rheumatoid arthritis. Rheumatol- ogy (Oxford) 1999;38:303-308.
  • Vignos PJ, Parker WT, Thompson HM. Evaluation of a clinic education program for patients with rheumatoid arthritis. J Rheumatol 1976;3:155-165.
  • Barlow JH, Cullen LA, Rowe IF. Comparison of knowl- edge and psychological well-being between patients with a short disease duration (< or = 1 year) and patients with more established rheumatoid arthri- tis (> or = 10 years duration). Patient Educ Couns 1999;38:195-203.
  • Barlow JH, Cullen LA, Rowe IF. Educational prefer- ences, psychological well-being and self-efficacy among people with rheumatoid arthritis. Patient Educ Couns 2002;46:11-19.
There are 18 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Ali Yavuz Karahan This is me

Sinan Bağçacı This is me

Ender Salbaş This is me

Kemal Erol This is me

Savaş Karpuz

Adem Küçük This is me

Publication Date September 1, 2014
Published in Issue Year 2014 Volume: 5 Issue: 3

Cite

APA Karahan, A. Y., Bağçacı, S., Salbaş, E., Erol, K., et al. (2014). Romatoid artrit olgularının hastalıkları konusundaki bilgi düzeylerinin değerlendirilmesi. Journal of Clinical and Experimental Investigations, 5(3), 429-434. https://doi.org/10.5799/ahinjs.01.2014.03.0433
AMA Karahan AY, Bağçacı S, Salbaş E, Erol K, Karpuz S, Küçük A. Romatoid artrit olgularının hastalıkları konusundaki bilgi düzeylerinin değerlendirilmesi. J Clin Exp Invest. September 2014;5(3):429-434. doi:10.5799/ahinjs.01.2014.03.0433
Chicago Karahan, Ali Yavuz, Sinan Bağçacı, Ender Salbaş, Kemal Erol, Savaş Karpuz, and Adem Küçük. “Romatoid Artrit olgularının hastalıkları Konusundaki Bilgi düzeylerinin değerlendirilmesi”. Journal of Clinical and Experimental Investigations 5, no. 3 (September 2014): 429-34. https://doi.org/10.5799/ahinjs.01.2014.03.0433.
EndNote Karahan AY, Bağçacı S, Salbaş E, Erol K, Karpuz S, Küçük A (September 1, 2014) Romatoid artrit olgularının hastalıkları konusundaki bilgi düzeylerinin değerlendirilmesi. Journal of Clinical and Experimental Investigations 5 3 429–434.
IEEE A. Y. Karahan, S. Bağçacı, E. Salbaş, K. Erol, S. Karpuz, and A. Küçük, “Romatoid artrit olgularının hastalıkları konusundaki bilgi düzeylerinin değerlendirilmesi”, J Clin Exp Invest, vol. 5, no. 3, pp. 429–434, 2014, doi: 10.5799/ahinjs.01.2014.03.0433.
ISNAD Karahan, Ali Yavuz et al. “Romatoid Artrit olgularının hastalıkları Konusundaki Bilgi düzeylerinin değerlendirilmesi”. Journal of Clinical and Experimental Investigations 5/3 (September 2014), 429-434. https://doi.org/10.5799/ahinjs.01.2014.03.0433.
JAMA Karahan AY, Bağçacı S, Salbaş E, Erol K, Karpuz S, Küçük A. Romatoid artrit olgularının hastalıkları konusundaki bilgi düzeylerinin değerlendirilmesi. J Clin Exp Invest. 2014;5:429–434.
MLA Karahan, Ali Yavuz et al. “Romatoid Artrit olgularının hastalıkları Konusundaki Bilgi düzeylerinin değerlendirilmesi”. Journal of Clinical and Experimental Investigations, vol. 5, no. 3, 2014, pp. 429-34, doi:10.5799/ahinjs.01.2014.03.0433.
Vancouver Karahan AY, Bağçacı S, Salbaş E, Erol K, Karpuz S, Küçük A. Romatoid artrit olgularının hastalıkları konusundaki bilgi düzeylerinin değerlendirilmesi. J Clin Exp Invest. 2014;5(3):429-34.