Assessment of education requirements for patients with rheumatoid arthritis, based on the Polish version of the Educational Needs Assessment Tool (Pol-ENAT), in the light of some health problems – A cross-sectional study
Journal Title: Annals of Agricultural and Environmental Medicine - Year 2016, Vol 23, Issue 2
Abstract
[b]Introduction.[/b] Patients with chronic rheumatoid arthritis (RA) need advice in order to face the problems of everyday life, as well as suffering associated with the disease. Health professionals should attempt to raise the level of resourcefulness and independence of the patient. [b]Objective.[/b] To assess the relationship between the deficit of knowledge about RA and the degree of pain, fatigue, morning stiffness, assessment of disease activity as well as functional efficiency. [b]Materials and method.[/b] The study was conducted on 277 patients with RA in 7 rheumatologic centres in Poland. The method applied was the questionnaire Pol-ENAT (0–156); HAQ DI (0–3); analog scales (0–100). [b]Results. [/b]Mean (SD) age was 53.28 (13.01) and disease duration 13.70 (10.63) years. The mean (SD) value was 54.93 (23.17) for pain, 52.97 (21.98) for fatigue, 48.28 (24.76) for morning stiffness (0–100 mm). HAQ DI was 1.40 (0.66), with an upward trend with duration of disease (p<0.001). There was a positive correlation between the demand for knowledge about the movement (r=0.194; p=0.001), self-care (r=0.134; p=0.026), assistance/support(r =0.163; p=0.006) and morning stiffness experienced. There was a negative correlation between the need for knowledge concerning managing pain, feelings and the arthritis process and daily ability assessed with HAQ DI. [b]Conclusions.[/b] The study shows that health education should be targeted at young patients with early RA. In the case of the severity of morning joints stiffness, there is a need to increase knowledge about the methods of mobility aids, self-care and the possibility of obtaining support.
Authors and Affiliations
Matylda Sierakowska, Małgorzata Klepacka, Stanisław Sierakowski, Katarzyna Pawlak-Buś, Piotr Leszczyński, Maria Majdan, Marzena Olesińska, Wojciech Romanowski, Małgorzata Bykowska-Sochacka, Sławomir Jeka, Justyna Sierakowska, Mwidimi Ndosi, Elżbieta Krajewska-Kułak
Comparative study of airborne [i]Alternaria[/i] conidia levels in two cities in Castilla-La Mancha (central Spain), and correlations with weather-related variables
[i]Alternaria[/i] conidia are among the airborne biological particles known to trigger allergic respiratory diseases. The presented paper reports on a study of seasonal variations in airborne Alternaria conidia concentra...
???
Seasonal occurrence of Alternaria (1993- 2004) and Epicoccum (1994-2004) spores in Trieste (NE Italy).
Fungal spores are known to trigger allergic respiratory diseases. Very little is known about airborne fungal spore presence in Trieste. This paper reports the seasonal (June-October) Alternaria (1993-2004) and Epicoccum...
Precipitin response of potato processing workers to work-related microbial allergens.
Serum samples from 61 potato processing workers and 30 urban dwellers not exposed to organic dusts (as a reference group) were examined in agar-gel precipitation test performed by Ouchterlony double diffusion method with...
Weight training and appropriate nutrient supplementation as an alternative method to pharmacological treatment in rehabilitation of post-myocardial infarction patients
The article describes the impact of weight training, micro-elements and vitamins on rehabilitation in post-myocardial infarction patients. Cardiac rehabilitation is a multi-disciplinary and multi-faceted intervention aim...