Department of Nursing, School of Health, Gaziantep University, Gaziantep, Turkey.
J Clin Nurs. 2012 Jan;21(1-2):101-10. doi: 10.1111/j.1365-2702.2011.03710.x. Epub 2011 Mar 3.
To assess the relationship between self-care agency scores, disability levels and factors regarding these situations among Turkish patients with rheumatoid arthritis.
Rheumatoid arthritis is characterised by severe to slight synovial joint inflammation that can lead to pain, stiffness and joint destruction with subsequent physical deformities, disabilities and reduced self-care. Self-care is an important component of comprehensive chronic disease management such as rheumatoid arthritis. If patients have high levels of self-care and adhere to rheumatoid arthritis treatment, it can be expected that they will have fewer symptoms and better functional capabilities.
A cross-sectional, design was used.
This study was conducted with 467 rheumatoid arthritis patients who applied at the Rheumatology Outpatient Department of Gaziantep University between September 2008-February 2009. The data collection instruments used in this study were the Demographic Data Form, Health Assessment Questionnaire (including disability index and pain scale) and Self-as-Carer Inventory. The frequency, mean, Student's t-test, one-way anova, Kruskal-Wallis, chi-square, correlation and regression analysis were used; p < 0·05 was accepted as statistically significant.
For patients the self-care agency classification of 13·7% and 86·3% were 'moderate' and 'poor', respectively; while the disability levels of 12·2 51·2 and 36·6% were 'mild', 'moderate' and 'severe', respectively; and their pain average was 'moderate'. It was also determined that, as the patients' self-agency scores declined, their disability levels deteriorated even further and their pain levels increased even more.
In conclusion we found that in Turkish patients with Rheumatoid Arthritis, the higher disability and pain rate were, the lower self-care agency score was.
Nurses should strive to provide individuals with RA the knowledge, skills and resources necessary for active participation in self-care, as this might promote the capacity for self-care.
评估土耳其类风湿关节炎患者的自我护理能力评分、残疾程度以及这些情况的相关因素之间的关系。
类风湿关节炎的特征是严重到轻微的滑膜关节炎症，可导致疼痛、僵硬和关节破坏，随后出现身体畸形、残疾和自我护理能力下降。自我护理是类风湿关节炎等慢性疾病综合管理的重要组成部分。如果患者具有较高的自我护理水平并坚持类风湿关节炎治疗，可以预期他们的症状会更少，功能能力会更好。
采用横断面设计。
本研究于 2008 年 9 月至 2009 年 2 月在加济安泰普大学风湿病门诊对 467 名类风湿关节炎患者进行，使用的资料收集工具包括人口统计学资料表、健康评估问卷（包括残疾指数和疼痛量表）和自我护理能力量表。使用频率、均值、学生 t 检验、单因素方差分析、克鲁斯卡尔-沃利斯检验、卡方检验、相关和回归分析；p<0.05 为统计学显著。
对于患者，自我护理能力分类中 13.7%和 86.3%分别为“中度”和“较差”；而残疾程度中 12.2%、51.2%和 36.6%分别为“轻度”、“中度”和“重度”；疼痛平均为“中度”。还确定，随着患者自我代理评分下降，他们的残疾程度进一步恶化，疼痛水平进一步增加。
总之，我们发现，在土耳其类风湿关节炎患者中，残疾程度和疼痛率越高，自我护理能力评分越低。
护士应努力为类风湿关节炎患者提供必要的知识、技能和资源，以积极参与自我护理，这可能会促进自我护理能力。
