Health Needs and Self Efficacy for Rheumatoid Arthritis Patients

Author

Medical Surgical Nursing – Faculty of Nursing – Port-Said University

Abstract

Background:Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease that greatly impacts all aspects of health-related quality of life, including physical, emotional, social and spiritual. Aim: This study aimed at assessing health needs and self-efficacy for rheumatoid arthritis patients.A descriptive research design was conducted. Setting: At rheumatology outpatient clinics at Port-Said general hospital and Port-Fouad general hospital which are affiliated to the Ministry of Health in Port-Said governorate.A convenient sampleof 50 adult rheumatoid arthritis patients was included in the study. Tools of data collection: Tool (1) A Structured Interview consisted of two parts- a) Socio-demographic characteristics and medical history-b) Health Needs Questionnaire. Tool (2)Arthritis Self-Efficacy Scale (ASES). Results: More than half of study patients have health needs. The highest needs are in relation to psychological needs; then physical needs; then educational needs. The lowest needs are in relation to social and spiritual needs. Also, most of patients   have high self-efficacy and there is statistically significant negative relation between health needs of RA patients and their self-efficacy. Conclusion: More than half of RA patients have health needs, although most of them have high self-efficacy. The highest needs are in relation to psychological needs, then physical needs, then educational needs, while the lowest needs are in relation to social and spiritual needs. Recommendations: Further study for assessment of factors influencing health needs and self-efficacy of RA patients.

Keywords


Ahlstrand, I., Björk, M., Thyberg, I., Börsbo, B., & Falkmer, T. (2012). Pain and daily activities in rheumatoid arthritis. Disability and Rehabilitation, 34(15), 1245-1253.
Ahmed, S. T., Sobeih, H. S., & Ahamed, N. G. (2012). Effect of Discharge Planning On Knowledge and Self-Efficacy of Patients with Rheumatoid Arthritis. Journal of American Science, 8(9), 7-15.
Almeida, M., Almeida, J., & Bertolo, M. (2014). Demographic and clinical features of patients with rheumatoid arthritis in Piauí, Brazil – evaluation of 98 patients. Revista Brasileira de Reumatologia (English Edition), 54(5), 360-365.
Barlow, J. (2013). Self-efficacy in the context of rehabilitation. International Encyclopedia of Rehabilitaition.‏
Brand, C., Claydon-Platt, K., McColl, G., & Bucknall, T. (2010). Meeting the needs of people diagnosed with rheumatoid arthritis: an analysis of patient-reported experience. Journal of Nursing and Healthcare of Chronic Illness, 2(1).
Carlsson, E.,Berndtsson, I., Hallen, A., & Lindholm, E. (2010). Concerns and quality of life before surgery and during the recovery period in patients with rectal cancer and an ostomy. Journal of Wound Ostomy Continence Nurse, 37(3),654-661.
Cho, S. K., Kim, D., Jun, J. B., Bae, S. C., & Sung, Y. K. (2013). Factors influencing quality of life (QOL) for Korean patients with rheumatoid arthritis (RA). Rheumatology international, 33(1), 93-102.
Cooney, J. K., Law, R. J., Matschke, V., Lemmey, A. B., Moore, J. P., Ahmad, Y., Jones, J. G., Maddison, P.,  & Thom, J. M. (2011). Benefits of exercise in rheumatoid arthritis. Journal of Aging Research, 2011(2011), 1-14.
Feldthusen, C., Björk, M., Forsblad-d’Elia, H., Mannerkorpi, K., & University of Gothenburg Centre for Person-Centred Care (GPCC. (2013). Perception, consequences, communication, and strategies for handling fatigue in persons with rheumatoid arthritis of working age—a focus group study. Clinical Rheumatology, 32(5), 557-566.‏
Ferri, F. F. (2017). Ferri' s Clinical Advisor 2017: 5 Books in 1. Philadelphia: Elsevier, P. 1111.
Ho, R., Fu, E. H., Chua, A. N., Cheak, A. A., & Mak, A. (2011). Clinical and psychosocial factors associated with depression and anxiety in Singaporean patients with rheumatoid arthritis. International Journal of Rheumatic Diseases, 14(1), 37-47.‏
Hurlbert, I. B. (2002). A cross sectional survey of self-reported quality of life in females and males with rheumatoid arthritis. Publihed master thesis. Calgary Un; Fac. Nursing, pp. 89-103
Kostova,  Z., Caiata-Zufferey, M., & Schulz, P. J. (2014). The process of acceptance among rheumatoid arthritis patients in Switzerland: A qualitative study. Pain Research and Management, 19(2), 61-68.‏
Lack, S., Noddings, R., & Hewlett, S. (2011). Men's experiences of rheumatoid arthritis: An inductive thematic analysis. Musculoskeletal Care, 9(2), 102-112.‏
Larkin, L., & Kennedy, N. (2014). Correlates of physical activity in adults with rheumatoid arthritis: a systematic review. Journal of Physical Activity and Health, 11(6), 1248-1261.‏
Lee, H. C., Tsai, Y. F., Luo, S. F., & Tsay, P. K. (2010). Predictors of disability in Taiwanese patients with rheumatoid arthritis. Journal of Clinical Nursing, 19(21-22),  2989–2996.
Lesko, M., Young, M., & Higham, R. (2010). Managing inflammatory arthritides: Role of the nurse practitioner and physician assistant. Journal of the American Academy of Nurse Practitioners, 22(7), 382-92.
Lin, W. C., Gau, M. L., Lin, H. C., & Lin, H. R. (2011). Spiritual well-being in patients with rheumatoid arthritis. Journal of Nursing Research, 19(1), 1-12.‏
Lorig, K., Chastain, R. L., Ung, E., Shoor, S., & Holman, H. R.( 1989). Development and evaluation of a scale to measure self-efficacy in people with arthritis. Arthritis and Rheumatism, 32 (1), 37-44.
Mohamed, W. I. (2012). Concerns of patients with rheumatoid arthritis. Published master thesis. Alexandria Un; Fac. Nursing, pp. 30-34.
Mostafa, H., & Radwan, A. (2013). The relationship between disease activity and depression in Egyptian patients with rheumatoid arthritis. The Egyptian Rheumatologist, 35(4), 193-199.‏
Poh, L. W., He, H. G., Lee, C. S. C., Cheung, P. P., & Chan, W. (2015). An integrative review of experiences of patients with rheumatoid arthritis. International Nursing Review, 62(2), 231-247.‏
Poole, J. L. (2011). Measures of hand function: Arthritis Hand Function Test (AHFT), Australian Canadian Osteoarthritis Hand Index (AUSCAN), Cochin Hand Function Scale, Functional Index for Hand Osteoarthritis (FIHOA), Grip Ability Test (GAT), Jebsen Hand Function Test (JHFT), and Michigan Hand Outcomes Questionnaire (MHQ). Arthritis care & research, 63(S11), S189-S199.‏
Primdahl, J., Wagner, L., & Hørslev-Petersen, K. (2011). Self-Efficacy as an Outcome Measure and its Association with Physical Disease-Related Variables in Persons with Rheumatoid Arthritis: A Literature Review. Musculoskeletal Care, 9(3), 125–140.
Sinikallio, S. H., Helminen, E. E., Valjakka, A. L., Väisänen-Rouvali, R. H., & Arokoski, J. P. (2014). Multiple psychological factors are associated with poorer functioning in a sample of community-dwelling knee osteoarthritis patients. JCR: Journal of Clinical Rheumatology, 20(5), 261-267.‏

Smolen, J. S., Aletaha, D., & McInnes, I. B. (2016). Rheumatoid arthritis. The Lancet, 388(10055), 2023-2038.

Sperber, N., Hall, K. S., Allen, K., DeVellis, B. M., Lewis, M., & Callahan, L. F. (2014). The role of symptoms and self-efficacy in predicting physical activity change among older adults with arthritis. Journal of Physical Activity and Health, 11(3).‏

Usenbo, A., Kramer, V., Young, T., & Musekiwa, A. (2015). Prevalence of arthritis in Africa: A systematic review and meta-analysis. PloS one, 10(8), e0133858.‏

Zuidema, R. M., Repping-Wuts, H., Evers, A. W. M., Van Gaal, B. G. I., & Van Achterberg, T. (2015). What do we know about rheumatoid arthritis patients’ support needs for self-management? A scoping review. International Journal of Nursing Studies, 52(10), 1617-1624.