ABSTRACT
PURPOSE: The aim of this study was to explore how individual factors, physiologic factors, symptoms, environmental factors, functional status and health perception predict the quality of life (QOL) for older adults with osteoarthritis and to provide guidelines for interventions and strategies to improve QOL in these patients. The conceptual model was based on the Wilson and Cleary's Model. METHODS: Data were analyzed using SPSS WIN 20.0 and AMOS 19.0 program. RESULTS: The proposed model was a good fit for the data based on the model fit indices. Based on the constructed model, individual factors, social support, functional status and health perception were founded to have direct effects on QOL. Symptom had a indirect effect on QOL. Social support had a significant effect on QOL, and this model explained 63.6% of the variance in QOL. CONCLUSION: The results of this study suggest that nursing strategies to increase QOL in this population should contain social support to promote QOL and manage functional limitations and health perception.
Subject(s)
Aged , Aged, 80 and over , Female , Humans , Male , Activities of Daily Living , Attitude to Health , Depression , Models, Theoretical , Osteoarthritis/psychology , Pain Management , Quality of Life , Surveys and Questionnaires , Social SupportABSTRACT
OBJECTIVE: To determine the prevalence of depressive and anxiety symptoms in patients with rheumatoid arthritis (a chronic inflammatory disease) in comparison to a control group with osteoarthritis (a chronic non-inflammatory degenerative disease) and to identify the sociodemographic and clinical variables associated with depressive symptoms in these patients. METHOD: Sixty-two rheumatoid arthritis patients and 60 osteoarthritis patients participated in the study. Sociodemographic and clinical data were collected and the Hospital Anxiety and Depression Scale and the Disability Index of the Health Assessment Questionnaire were applied. RESULTS: The prevalence of depressive symptoms was of 53.2 percent in rheumatoid arthritis and 28.3 percent in osteoarthritis (p = 0.005). The prevalence of anxiety symptoms was of 48.4 percent in rheumatoid arthritis and 50.0 percent in osteoarthritis (p = 0.859). The mean (and standard deviation) scores in the Disability Index of the Health Assessment Questionnaire were 1.4 (0.8) in rheumatoid arthritis and 1.4 (0.6) in osteoarthritis (p = 0.864). Rheumatoid arthritis patients with depressive symptoms had lower education and higher disease activity and functional disability. CONCLUSION: Although these two rheumatic diseases are similar in terms of the pain and functional disability that they cause, a significantly higher prevalence of depressive symptoms was found in rheumatoid arthritis patients. This difference might be explained by the hypothesis of a neuroimmunobiological mechanism related to cytokines in inflammatory diseases, which has been considered as a candidate to the development of depressive symptoms.
OBJETIVO: Determinar a prevalência de sintomas depressivos e ansiosos na artrite reumatóide (doença inflamatória crônica) em comparação com um grupo controle com osteoartrite (doença crônico-degenerativa não inflamatória). Identificar variáveis sociodemográficas e clínicas associadas a sintomas depressivos nesses pacientes. MÉTODO: Participaram do estudo 62 pacientes com artrite reumatóide e 60 pacientes com osteoartrite. Foram coletados dados sociodemográficos e clínicos e foram aplicadas as escalas Hospital Anxiety and Depression Scale e Disability Index of the Health Assessment Questionnaire. RESULTADOS: A prevalência dos sintomas depressivos foi 53,2 por cento na artrite reumatóide e 28,3 por cento na osteoartrite (p = 0,005). A prevalência dos sintomas ansiosos foi 48,4 por cento na artrite reumatóide e 50,0 por cento na osteoartrite (p = 0,859). Os valores médios (desvio padrão) de Disability Index of the Health Assessment Questionnaire foram 1,4 (0,8) na artrite reumatóide e 1,4 (0,6) na osteoartrite (p = 0,864). Pacientes com artrite reumatóide e sintomas depressivos apresentaram menor nível educacional e maiores níveis de atividade da doença e incapacidade funcional. CONCLUSÃO: Embora ambas as doenças reumatológicas sejam similares em termos de dor e incapacidade funcional, uma prevalência significativamente maior de sintomas depressivos na artrite reumatóide foi encontrada. Essa diferença poderia ser explicada por meio da hipótese de um mecanismo neuroimunobiológico relacionado às citocinas nas doenças inflamatórias, o qual vem sendo considerado candidato para o desenvolvimento de sintomas depressivos.
Subject(s)
Female , Humans , Male , Middle Aged , Anxiety Disorders/etiology , Arthritis, Rheumatoid/psychology , Depression/etiology , Activities of Daily Living , Anxiety Disorders/psychology , Case-Control Studies , Chronic Disease , Cross-Sectional Studies , Depression/psychology , Disability Evaluation , Osteoarthritis/psychology , Socioeconomic FactorsABSTRACT
PURPOSE: The purpose of this study was to examine the relationship among fear of falling, pain, anxiety and depression, and to identify influencing factors in elderly women patients with degenerative arthritis living in the community. METHOD: The subjects of this study were 297 elderly women patients with degenerative arthritis. Data was collected by personal interviews using questionnaires. Data was analyzed by the SPSS(version 12.0) computer program, and it included descriptive statistics, one-way ANOVA, Pearson correlation coefficient, and Stepwise multiple regression. RESULTS: There was a significant difference (p= .000) in fear of falling according to the level of pain, anxiety, and depression. There was a significant positive correlation among fear of falling, pain, anxiety and depression. Depression, pain, number of medication, age, and anxiety showed significant predictors (43.5%) for fear of falling. CONCLUSION: This study suggested that thoroughly assessing predictors making an impact on fear of falling in the initial nursing assessment is the most important for falls prevention of elderly women patients with degenerative arthritis in the community.
Subject(s)
Aged , Aged, 80 and over , Female , Humans , Accidental Falls/prevention & control , Anxiety/psychology , Depression/psychology , Fear , Frail Elderly/psychology , Interviews as Topic , Osteoarthritis/psychologyABSTRACT
The sample consisted of 100 patients, including 60 rheumatoid arthritis [RA] patients and 40 patients with osteoarthritis [OA] of the knees as a comparative group, and represented newly diagnosed as well as chronic patients in different classes and stages of the disease. Thorough history taking, examination and investigations were done. The Arabic version of Symptom Check List-90-Revised [SCL-90-R] was used as a part of the psychological and psychiatric assessment of the patients. The findings showed that disability was the RA disease parameter that correlated mostly with depression, followed by the ESR, disease severity, duration, seropositivity and pain were not significantly correlated with any psychological factor. These findings were discussed in the light of the recent literature