Association of health-related quality of life with self-management and satisfaction of relationship with healthcare professionals in female patients with rheumatoid arthritis

Abstract

Objectives We explored associations between health-related quality of life (QOL) with self-management and satisfaction with relationships with medical professionals among female rheumatoid arthritis (RA) patients. Methods Female RA outpatients completed anonymized self-reported questionnaires. Their confidence in self-managing different aspects of RA and satisfaction with relationships with medical professionals were assessed using a visual analog scale. Multiple regression analysis was performed to identify factors correlated with health-related QOL. Results Valid responses were received from 145 subjects. Mean PCS and MCS scores were 43.0 and 50.4, respectively, suggesting that female RA patients experience reduced QOL despite low disease activity, without perceiving difficulties in their daily lives. PCS scores correlated negatively with the modified Health Assessment Questionnaire (mHAQ) scores, and MCS scores correlated positively with stress self-management and patient–provider satisfaction, but negatively with mHAQ scores. PCS and MCS scores were not significantly influenced by demographic or clinical characteristics including age, disease duration, Steinbrocker stage (or class), or biologic use. Conclusion To improve health-related QOL in these patients, we must establish good patient–provider relationships and personalize strategies based on physical and mental conditions, enabling normal daily living. We should help achieve functional and social remission by improving their confidence in self-managing their disease.

Factors affecting patient satisfaction related to cost and treatment effectiveness in rheumatoid arthritis: results from the multicenter observational cohort study, FRANK Registry

“…QOL of RA patients was evaluated by EQ5D score [ 33 ]. In agreement with previous evidence [ 7 , 13 , 34 , 35 ], the EQ5D score in our cohort also affected all aspects of satisfaction (treatment cost, efficacy, ADL, and global treatment), indicating that the improvement of EQ5D should be critical for better RA treatment and patient satisfaction. Because EQ5D showed interacted with disease duration, VAS pain, and VAS general in terms of treatment cost, treatment effect, ADL, and global treatment, the satisfaction associated with EQ5D can be separately assessed by each factor.…”

Plateletcrit is a Useful Marker in the Quality of Life Assessment of Patients with Rheumatoid Arthritis: A Cross-Sectional Study from Erbil, Iraq

“…Most studies use the score of the QoL as an indicator of the assessment of pharmacological and non-pharmacological interventions in the management of RA. [ 3 – 6 ] The relationships between RA severity, as measured by Disease Activity Score-28 (DAS-28) for Rheumatoid Arthritis with C-reactive protein (CRP) or erythrocyte sedimentation rate (ESR), and QoL have been thoroughly investigated, and it has been discovered that a higher DAS-28 is associated with QoL impairment. [ 7 , 8 ] Several studies have assessed the hematological indices and ratios in RA patients and found a nonsignificant relationship between mean platelet volume (MPV) and disease severity in treated RA patients,[ 9 ] no association between red cell distribution width (RDW) with complications of RA,[ 10 ] association between platelet-to-lymphocyte ratio (PLR) and the chronicity of the disease,[ 11 ] and significantly higher neutrophil-to-lymphocyte ratio (NLR) in patients with active RA than those in remission.…”