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Assessment of Knowledge and Attitude in a Sample of Patients with Rheumatoid Arthritis and Its Association with Disease Activity and Severity: A Cross-Sectional Study

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DOI: 10.4236/ojra.2014.44031    2,415 Downloads   3,196 Views   Citations

ABSTRACT

Background: Rheumatoid arthritis (RA) is a chronic and disabling disease that has a major impact on the lives of patients. Objectives: To test the patients’ knowledge about their disease, its treatment, its complications, and if this affects severity of the disease as measured by the disease activity index (DAS 28). Patients and Methods: A sample of 100 patients with RA who met the Criteria of American College of Rheumatology for RA agreed to participate in this study over the period September 2011-March 2012. Patients’ data were obtained by personal interview. The questionnaire included demographic characteristics and the patients’ knowledge about their disease. The disease activity was measured using standard (DAS28). Results: Thirty three percent of the patients didn’t have an idea about their disease, 20% didn’t know the reason for the investigations, 49% didn’t know the treatment and 40% didn’t know the side effects of their medications. Most patients had a high disease activity index, and there was a poor correlation between patients’ educational level and the disease activity. Conclusions: Neither the educational level nor the frequency of hospital admissions had effects on the knowledge about this disease. As most patients had a high disease activity, a better knowledge may improve disease control and prevent complications.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Salman, S. , SAlnuaimi, A. , Lateef, N. and Kadhum, R. (2014) Assessment of Knowledge and Attitude in a Sample of Patients with Rheumatoid Arthritis and Its Association with Disease Activity and Severity: A Cross-Sectional Study. Open Journal of Rheumatology and Autoimmune Diseases, 4, 226-234. doi: 10.4236/ojra.2014.44031.

References

[1] Waldenburger, J.M. and Firestein, G.S. (2008) Rheumatoid Arthritis. In: Klippel, J.H., Stone, J.H., Crofford, L.J. and White, P.H., Eds., Primer on Rheumatic Diseases, 13th, Springer Science and Business Media, New York, 122-32.
[2] Al-Rawi, Z.S., Alazzawi, A.J., Al-Ajilli, F.M., et al. (1978) Rheumatoid Arthritis in Population Samples in Iraq. Annals of the Rheumatic Diseasess, 37, 73-75.
http://dx.doi.org/10.1136/ard.37.1.73
[3] Hallert, E., Thyberg, I. and Hass, U. (2003) Comparison between Women and Men with Recent Onset Rheumatoid Arthritis of Disease Activity and Functional Ability over Two Years (the TIRA Project). Annals of the Rheumatic Diseases, 62, 667-670.
http://dx.doi.org/10.1136/ard.62.7.667
[4] Isenberg, D.A. (2004) Oxford Textbook of Rheumatology. Oxford University Press, Oxford.
[5] Taal, E., Rasker, J.J. and Wiegman, O. (1996) Patient Education and Self-Management in the Rheumatic Diseases: A Self-Efficacy Approach. Arthritis & Rheumatism, 9, 229-238.
http://dx.doi.org/10.1002/1529-0131(199606)9:3<229::AID-ANR1790090312>3.0.CO;2-U
[6] Golay, A., Lagger, G., Chambouleyron, M., et al. (2005) Therapeutic Education of the Diabetic Patient. Diabetes/Metabolism Research and Reviews, 60, 599-603.
[7] Tall, E., Rasker, J.J. and Wiegman, O. (2007) Group Education for Rheumatoid Arthritis Patients. Seminars in Arthritis and Rheumatism, 26, 805-816.
http://dx.doi.org/10.1016/S0049-0172(97)80024-8
[8] van der Heijde, D.M., van’t Hof, M.A., van Riel, P.L., et al. (1990) Judging Disease Activity in Clinical Practice in Rheumatoid Arthritis: First Step in the Development of a Disease Activity Score. Annals of the Rheumatic Diseasess, 49, 916-920.
http://dx.doi.org/10.1136/ard.49.11.916
[9] Meesters, J.J.L., Theodora, P.M., Ylieland, V., Hill, J. and Ndosi, M.E. (2009) Measuring Educational Needs among Patients with Rheumatoid Arthritis Using the Dutch Version of the Educational Needs Assessment Tool (DENAT). Clinical Rheumatology, 28, 1073-1077
http://dx.doi.org/10.1007/s10067-009-1190-3
[10] Verstappen, S.M.M., et al. (2007) Trends in Economic Consequences of Rheumatoid Arthritis over Two Subsequent Years. Rheumatology, 46, 968-974.
http://dx.doi.org/10.1093/rheumatology/kem018
[11] Al-Jumaily, H.F., Salman, S. and Al-Tawil, W. (1998) Physical and Social Activities Influencing Family Relationships among Married Female Patients with Rheumatoid Arthritis. A Dissertation Submitted to the Scientific Council of Community Medicine.
[12] Hill, J., Bird, H.A., Hopkins, R., Lawton, C. and Wright, V. (1991) The Development and Use of a Patient Knowledge Questionnaire in Rheumatoid Arthritis. Rheumatology, 30, 45-49.
http://dx.doi.org/10.1093/rheumatology/30.1.45

  
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