eISSN: 1896-9151
ISSN: 1734-1922
Archives of Medical Science
Current issue Archive Manuscripts accepted About the journal Special issues Editorial board Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
5/2018
vol. 14
 
Share:
Share:
more
 
 
abstract:
Clinical research

The role of demographic and clinical variables in assessing the quality of life of outpatients with rheumatoid arthritis

Grażyna Bączyk, Katarzyna Kozłowska

Arch Med Sci 2018; 14, 5: 1070–1079
Online publish date: 2018/07/20
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Introduction
Introduction: The aim of this study was to assess quality of life among patients with rheumatoid arthritis (RA) treated as outpatients. The specific question was: does the quality of life of RA patients depend on demographic variables and clinical variables?

Material and methods
The study included 240 patients with RA recruited from outpatients. To assess quality of life, the Polish version of the Arthritis Impact Measurement Scales 2 (AIMS2) was applied. Clinical tests: Visual Analogue Scale, Morning Stiffness, Grip Strength, Richie Articular Index

Results
Results: The analysis of life quality for the total group was carried out in the particular AIMS2 of the mean scores for joint pain – 7.37; walking and bending – 6.62; social activity – 5.52; level of tension – 5.17; satisfaction – 5.17; hand and finger function – 4.28; mood – 4.03; physical activity – 3.27; arm function – 3.16; household tasks – 2.67; self-care – 2.18; and support from family and friends – 1.75. The arthritis impact score was 6.01. The analysis of the correlation between clinical variables and individual AIMS2 subscales showed a statistically significant relationship between the VAS Pain, Grip Strength Measurement, Morning Stiffness and quality of life subscales. The strongest correlation was found between Grip Strength Measurement and arthritis pain, work, hand and finger function. Moreover, a strong correlation for satisfaction was found.

Conclusions
The study results may be helpful for further health-related studies on quality of life among RA studies and in making therapeutic decisions concerning quality of life improvement.

keywords:

quality of life, RA patients, outpatients, Arthritis Impact Measurement Scales 2

references:
Whalley D, McKenna SP, de Jong Z, van der Heijde D. Quality of life in rheumatoid arthritis. Br J Rheumatol 1997; 36: 884-8.
Eberhardt K, Larsson BM, Nived K, Lindqvist E. Work disability in rheumatoid arthritis – development over 15 years and evaluation of predictive factors over time. J Rheumatol 2007; 34: 481-7.
Tłustochowicz W, Samborski W. The position of the Group of Experts for the National Consultant. Rheumatology the diagnosis and treatment of rheumatoid arthritis. Reumatologia 2008; 46: 111-4.
WHQOOL Group. The World Health Organization Quality of Life Assessment (WHOQOL). Position paper from the World Health Organization. Soc Sci Med 1995; 41: 1403-9.
Schipper H, Clnich J, Powell V. Quality of life studies: definitions and conceptual issues. In: Quality of Life and Pharmacoeconomics in Clinical Trials. Spilker B (ed.) Lippinocott-Raven, Philadelphia, 1996; 11-24.
Lawton PM. A multidimensional view of quality of life in frail elders: In: The Concept and Measurement of Quality of Life in the Frail Elderly. JE Birren JE, Lubben JE, Rowe JC, Deurhman DE (eds.), Academic Press Inc, New York 1991.
Ferrans CE, Powers MJ. Psychometric assessment of the quality of life index. Res Nur Health 1992; 15: 29-38.
Bowling A. Measuring Disease: Review of Disease – Specific Quality of Life Measurement Scales. Open University Press, Buckingham, Philadelphia, 1995; 210-33.
Hill J, Bird H, Lawton C, Wright V. The Arthritis Impact Measurement Scales: an anglicized version to assess the outcome of British patients with rheumatoid arthritis. Br J Rheumatol 1990; 29: 193-6.
Abello-Banfi M, Cardie MH. Quality of life in rheumatoid arthritis: validation of a Spanish version at the Arthritis Impact Measurement Scales (Spanish-AIMS). J Rheumatol 1994; 21: 1250-5.
Archenholtz B, Bjelle A. Reliability, validity and sensitivity of a Swedish version of the revised and expanded Arthritis Impact Measurement Scales (AIMS-2). J Rheumatol 1997; 24: 1370-7.
Bączyk G. The evaluation of the functioning and of the quality of life of patients with rheumatoid arthritis. Annales Academiae Medicae Bialostocensis 2005; 50 Suppl. 1: 170-17.
Arnett FC, Edworthy SM, Bloch DA, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 1988; 31: 315-24.
Aletaha D, Neogi T, Silman AJ, et al. Rheumatoid Arthritis Classification Criteria. An American College of Rheumatology/European League Against Rheumatism Collaborative Initiative. Arthritis Rheum 2010; 62: 2569-81.
Meenan R, Mason J, Anderson J, et al. AIMS-2: The content and properties of a revised and expanded arthritis impact measurement scales health status questionnaire. Arthritis Rheum 1992; 35: 1-10.
Bączyk G, Kleka P, Ochmańska M. Evaluation of psychometric Polish version of the Arthritis Impact Measurement Scales-2 (AIMS-2) in patients with rheumatoid arthritis. Reumatologia 2009; 47: 282-9.
Huskisson EC. Measurement of pain. Lancet 1974; 2: 1127-31.
Ritchie D, Bouyle J, McInnes J, et al. Clinical studies with an articular index for the assessment of joint tenderness in patients with rheumatoid arthritis. Q J Med 1968; 37: 393-406.
Steinbrocker O, Traeger C, Batterman R. Therapeutic criteria in rheumatoid arthritis. Am J Med Assoc 1949; 140: 659-61.
Bączyk G, Samborski P, Pieścikowska J, Kmieciak M. Comparison functioning and quality of life of patients with osteoarthritis and rheumatoid arthritis. Adv Med Sci 2007; 52 suppl. 1: 55-9.
Sierakowska M, Matys A, Kosior A, et al. Evaluation of quality of life in patients with rheumatoid arthritis. Reumatologia 2006; 44: 298-30.
Pincus T, Callahan LF. Association of low formal education level and poor health status – behavioral, in addition to demographic and medical explanations? J Clin Epidemiol 1994; 47: 355-61.
Gamal RM, Mahran SA, Fetoh NAE, Janbi F. Quality of life assessment in Egyptian rheumatoid arthritis patients: relation to clinical features and disease activity. Egypt Rheumatol 2016; 38: 65-70.
Haroon N, Aggarwal A, Lawrence A, Agarwal V, Misra R. Impact of rheumatoid arthritis on quality of life. Mod Rheumatol 2007; 17: 290-5.
Nordenskiold U, Grimby G. Assessments of disability in women with rheumatoid arthritis in relation to grip force and pain. Disabil Rehabil 1997; 19: 13-9.
Fitzpatrick R. The measurement of health status and quality of life in rheumatological disorders. Baill Clin Rheum 1993; 7: 207-317.
Rupp I, Boshuizen HC, Dinant HJ, Jacobi CE, van den Bos GA. Disability and health-related quality of life among patients with rheumatoid arthritis: association with radiographic joint damage, disease activity, pain, and depressive symptoms. Scand J Rheumatol 2006; 35: 175-81.
Sariyildiz MA, Batmaz I, Bozkurt M, et al. Sleep quality in rheumatoid arthritis: relationship between the disease severity, depression, functional status and the quality of life. J Clin Med Res 2014; 6: 44-52.
Borstlap M, van de Laar M, Zant J, van der Korst J. Components of health: an analysis in rheumatoid arthritis using quality of life questionnaires and clinical and laboratory variables. Ann Rheum Dis 1993; 52: 650-4.
Bijlsma JW, Huiskes CJ, Kraaimaat FW, Vanderveen MJ, Huber-Bruning O. Relation between patients’ own health assessment and clinical and laboratory findings in rheumatoid arthritis. J Rheumatol 1991; 18: 650-3.
Kumar S, Pangtey G, Gupta R, Rehan HS, Gupta LK. Assessment of anti-CarP antibodies, disease activity and quality of life in rheumatoid arthritis patient on conventional and biological disease-modifying antirheumatic drugs. Reumatologia 2017; 55: 4-9.
Marshall NJ, Wilson G, Lapworth K, Kay LJ. Patients’ perception of treatment with anti-TNF therapy for rheumatoid arthritis: a qualitative study. Rheumatology 2004; 43: 1034-8.
Matcham F, Rayner L, Hutton J, Monk A, Steel C, Hotopf M. Self-help interventions for symptoms of depression, anxiety and psychological distress in patients with physical illnesses: a systematic review and meta-analysis. Clin Psychol Rev 2014; 34: 141-57.
Matcham F, Scott I, Rayner L, et al. The impact of rheumatoid arthritis on quality of life assessed using the SF-36: a systematic review and meta-analysis. Semi Arthritis Rheum 2014; 44: 123-30.
FEATURED PRODUCTS
Quick links
© 2018 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe