Tokem Yasemin, Akyol Asiye Durmaz, Argon Gulumser
School of Nursing, Department of Internal Medicine Nursing, Ege University, Bornova-Izmir, Turkey.
J Clin Nurs. 2007 Mar;16(3A):44-50. doi: 10.1111/j.1365-2702.2006.01742.x.
This study aims to determine the relationship between disability levels and self care agency scores in Turkish patients with rheumatoid arthritis and to investigate the factors affecting them.
Self-care agency is the complex acquired ability to meet one's constant requirements for care that regulates life processes, maintains or promotes the integrity of human structure, functioning and development, and promotes well-being.
Forty-three consecutive patients with Rheumatoid Arthritis (M/F: 11/32; mean age 49.53 +/- 13.37 years; disease duration 118.32 +/- 76.55 months), being followed up by Ege University Rheumatology Outpatient Department and all fulfilling ACR 1987 criteria were included in this study. Data collection instruments used in this study were Informative-Demographic Data Form, Health Assessment Questionnaire (including disability index and pain scale) and Self-as-Carer Inventory.
The mean disability index, the mean pain score and the mean self-care agency score of patients were 0.53 (SD 0.45), 1.48 (SD 0.74) and 80.95 (SD 27.80) were respectively. Self-care agency of patients found moderate level. It was found that a positive correlation between the disability index and the self-care agency scores (r = 0.488; p < 0.01). It was found that in male (t = 0.907; p = 0.000), in patients graduate from university (F = 0.271; p = 0.001), the self-care agency was better than other patients.
In conclusion we found that in Turkish patients with Rheumatoid Arthritis, the higher the disability rate was, the lower the self-care agency score was.
Disability, pain and their impact on self-care agency should be focused on in everyday care for Rheumatoid Arthritis patients. These areas are most important in nursing care and should be considered while organizing the medical treatment and rehabilitation programme.
本研究旨在确定土耳其类风湿关节炎患者的残疾水平与自我护理能力得分之间的关系，并调查影响它们的因素。
自我护理能力是一种复杂的后天获得的能力，用于满足个人对护理的持续需求，这种护理调节生命过程，维持或促进人体结构、功能和发育的完整性，并促进幸福感。
本研究纳入了43例连续的类风湿关节炎患者（男/女：11/32；平均年龄49.53±13.37岁；病程118.32±76.55个月），这些患者由伊兹密尔埃杰大学风湿病门诊随访，且均符合美国风湿病学会1987年标准。本研究使用的数据收集工具包括信息性人口统计学数据表、健康评估问卷（包括残疾指数和疼痛量表）以及自我护理者量表。
患者的平均残疾指数、平均疼痛评分和平均自我护理能力得分分别为0.53（标准差0.45）、1.48（标准差0.74）和80.95（标准差27.80）。患者的自我护理能力处于中等水平。发现残疾指数与自我护理能力得分之间存在正相关（r = 0.488；p < 0.01）。发现男性患者（t = 0.907；p = 0.000）、大学毕业的患者（F = 0.271；p = 0.001）的自我护理能力优于其他患者。
总之，我们发现土耳其类风湿关节炎患者的残疾率越高，自我护理能力得分越低。
在类风湿关节炎患者的日常护理中，应关注残疾程度、疼痛及其对自我护理能力得分的影响。这些方面在护理中最为重要，在组织医疗治疗和康复计划时应予以考虑。
