Workplace activity limitation and quality of life: A study on rheumatoid arthritis patients

Abdelsalam, Noha; Ebaid, Amany; Abdelhady, Enas I.; Bolbol, Sarah A.

doi:10.3233/wor-220008

Cited by 3 publications

(2 citation statements)

References 30 publications

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“…‘Health as freedom’ was described as experiencing physical, mental, and financial independence, which underlines previous research showing that affected work productivity due to RA leads to reduced quality of life [ 43 ] and economic consequences for both the patients and society [ 23 , 44 ]. Psychological distress and impaired physical functioning are well-known complications of RA that affect health [ 45 ].…”

Section: Discussionmentioning

confidence: 80%

Belonging, happiness, freedom and empowerment—a qualitative study of patients’ understanding of health in early rheumatoid arthritis

Landgren,

Mogard,

Bremander

et al. 2024

BMC Rheumatol

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Background Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory joint disease, that influences patients’ health in different ways, including physical, social, emotional, and psychological aspects. The goal of rheumatology care is to achieve optimal health and personalised care and therefore, it is essential to understand what health means for patients in the early course of RA. The aim of this study was to describe the understanding of health among patients with early RA. Methods The study had a descriptive qualitative design with a phenomenographic approach. Phenomenography is used to analyse, describe, and understand various ways people understand or experience a phenomenon, in this study, patients’ understandings of health. Individual semi-structured interviews were conducted with 31 patients (22 women and nine men, aged (38–80) with early RA, defined as a disease duration of < 1 year, and disease-modifying anti-rheumatic drugs (DMARDs) for 3–7 months. The phenomenographic analysis was conducted in 7 steps, and the outcome space presents the variation in understanding and the interrelation among categories. In accordance with the European Alliance of Associations for Rheumatology’s (EULAR) recommendations, a patient research partner participated in all phases of the study. Results The analysis revealed four main descriptive categories: ‘Health as belonging’ was described as experiencing a sense of coherence. ‘Health as happiness’ was understood as feeling joy in everyday life. ‘Health as freedom’ was understood as feeling independent. ‘Health as empowerment’ was understood as feeling capable. Essential health aspects in early RA are comprised of a sense of coherence, joy, independence, and the capability to manage everyday life. Conclusions This study revealed that patients’ perception of health in early RA encompasses various facets, including a sense of belonging, happiness, freedom, and empowerment. It highlighted that health is multifaceted and personal, emphasizing the importance of acknowledging this diversity in providing person-centred care. The findings can guide healthcare professionals to deepen patients’ participation in treatment goals, which may lead to better treatment adherence and health outcomes.

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Section: Discussionmentioning

confidence: 80%

Belonging, happiness, freedom and empowerment—a qualitative study of patients’ understanding of health in early rheumatoid arthritis

Landgren,

Mogard,

Bremander

et al. 2024

BMC Rheumatol

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“…In addition to the complications of RA, that seriously reduce the quality of life of patients with RA, this study also found that patients with RA have low work efficiency owing to joint inflammation and stiffness, and their income is reduced because they are forced to leave or change jobs. However, the treatment drugs for RA are expensive, which further increases the economic burden on families and reduces the overall quality of life of patients with RA ( 260 ). The survey also found that patients with RA in poor rural areas were worse off and had a lower quality of life than patients with RA in cities ( 261 ).…”

Section: Quality Of Life and Nursing Care Of Patients With Ra And Pmopmentioning

confidence: 99%

Research progress of targeted therapy regulating Th17/Treg balance in bone immune diseases

Wang,

Sun,

Wang

et al. 2024

Front. Immunol.

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Rheumatoid arthritis (RA) and postmenopausal osteoporosis (PMOP) are common bone-immune diseases. The imbalance between helper (Th17) and regulatory T cells (Tregs) produced during differentiation of CD4+ T cells plays a key regulatory role in bone remodelling disorders in RA and PMOP. However, the specific regulatory mechanism of this imbalance in bone remodelling in RA and PMOP has not been clarified. Identifying the regulatory mechanism underlying the Th17/Treg imbalance in RA and PMOP during bone remodelling represents a key factor in the research and development of new drugs for bone immune diseases. In this review, the potential roles of Th17, Treg, and Th17/Treg imbalance in regulating bone remodelling in RA and PMOP have been summarised, and the potential mechanisms by which probiotics, traditional Chinese medicine compounds, and monomers maintain bone remodelling by regulating the Th17/Treg balance are expounded. The maintenance of Th17/Treg balance could be considered as an therapeutic alternative for the treatment of RA and PMOP. This study also summarizes the advantages and disadvantages of conventional treatments and the quality of life and rehabilitation of patients with RA and PMOP. The findings presented her will provide a better understanding of the close relationship between bone immunity and bone remodelling in chronic bone diseases and new ideas for future research, prevention, and treatment of bone immune diseases.

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Interdisciplinary Rheumatoid Arthritis Research and Patient Care: An Introduction and Critique of the Biopsychosocial Model of Disease Experience in Rheumatoid Arthritis

McGarrity-Yoder,

Insel,

Crane

et al. 2024

American Journal of Lifestyle Medicine

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Introduction: Rheumatoid arthritis (RA), a debilitating autoimmune disease, affects approximately 78 million people globally. RA is often managed solely by rheumatology providers, but an interdisciplinary approach to RA may be the key to improving health equity and outcomes. An interdisciplinary model is an important step towards this goal. The Biopsychosocial Model of Disease Experience in RA (BDRA) is a conceptual approach that considers individual disease determinants in interdisciplinary research and care. Objective: To introduce and critique the evidence-based, interdisciplinary BDRA. Methods: Engel’s Biopsychosocial Model of Health (BMH) and the Revised Symptom Management Conceptual Model (RSMCM) were blended in the BDRA. A literature search of articles published prior to December 2021 was completed using “disease exacerbation,” “disease improvement,” and “disease activity” in RA. Results were categorized as biological, psychological, and social determinants of disease activity in RA. These biopsychosocial factors alter biological function and result in the individual RA experience. Model development and critique were completed using guidelines established by Walker and Avant. Conclusion: The BDRA is a visual depiction of RA biopsychosocial factors, disease activity, and individual experience. This model can guide interdisciplinary research and patient care, in efforts to improve RA health equity and rates of sustained remission.

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Workplace activity limitation and quality of life: A study on rheumatoid arthritis patients

Cited by 3 publications

References 30 publications

Belonging, happiness, freedom and empowerment—a qualitative study of patients’ understanding of health in early rheumatoid arthritis

Belonging, happiness, freedom and empowerment—a qualitative study of patients’ understanding of health in early rheumatoid arthritis

Research progress of targeted therapy regulating Th17/Treg balance in bone immune diseases

Interdisciplinary Rheumatoid Arthritis Research and Patient Care: An Introduction and Critique of the Biopsychosocial Model of Disease Experience in Rheumatoid Arthritis

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