EFFECT OF EDUCATIONAL INTERVENTION ON ACTIVITIES OF DAILY LIVING (ADL) AMONG PATIENTS WITH RHEUMATOID ARTHRITIS
Main Article Content
Keywords
Educational Intervention, Activities of Daily Living, Rheumatoid Arthritis
Abstract
Background: Rheumatoid Arthritis (RA) poses significant challenges to the daily lives of affected individuals, impacting both Activities of Daily Living (ADL) and pain intensity. Therefore, it is essential to conduct this study to assess the daily functioning and comprehension of disease management in individuals diagnosed with rheumatoid arthritis.
Objective: To evaluate the effect of an educational intervention in improving the ADL among patients with RA.
Methodology: A randomized controlled trial design was used to investigate this intervention. A total of 48 participants were recruited with help of systematic sampling and divided into intervention group and control group. The educational intervention consisted of comprehensive guidance on managing RA, including self-care, medication management, and lifestyle adjustments. Data were collected through validated assessments of ADL, conducted both before and after the intervention. Statistical analysis, including descriptive statistics and inferential tests, was applied to assess the impact of the educational intervention on the study outcomes.
Results: The study's findings showed that the majority of participants were males (64.6%), with 41.7% falling within the age range of 35 to 45, and 43.8% being single. Additionally, the results revealed reduction in the score of disability index in Activities of Daily Living (ADL) following the educational intervention. In the control group, the mean ADL score showed (23.7+6.12), while the intervention group exhibited a more substantial improvement with a mean score of (15.0+6.85).
Conclusion: This study highlights the potential benefits of educational interventions in enhancing the daily lives of Rheumatoid Arthritis patients by improving ADL. The findings underscore the importance of comprehensive education in the management of chronic conditions and provide insights for healthcare professionals and policymakers to better support individuals living with RA. Further research and long-term follow-up studies are recommended to consolidate these promising results.
References
2. Elham Mohammed, H., AbdelRazik AbdelHakim, E., Mohammed Zaki, S., H Mohamed, A., S Ahmed, S., & S Abdelbaky, A. (2022). Comparison the Effect of Dynamic Exercises and Warm Compresses on Rheumatoid Arthritis Patients’ Disabilities and Self-Efficacy. Egyptian Journal of Health Care, 13(4), 1861-1879.
3. Elsayed Hussein, E., Al-kotb, H., & Mohamed Ibrahim, A. (2022). Effect of Nursing Instructions for Rheumatoid Arthritis self-care on Pain Intensity and Functional Ability among Arthritic Women. Egyptian Journal of Health Care, 13(2), 691-707.
4. Ferebee, E., Kroupa, M., & Tucker, M. (2022). Interventions for Adults with Rheumatoid Arthritis to Increase Quality of Life and Motivation in Activities of Daily Living and Instrumental Activities of Daily Living: A Critically Appraised Topic.
5. Fong, J. H. (2023). Risk Factors for Food Insecurity among Older Adults in India: Study Based on LASI, 2017-2018. Nutrients, 15(17). https://doi.org/10.3390/nu15173794
6. Gaballa, S. M., Ali, N., Al-Zifzaf, D. S., & Nassif, M. A. (2022). RELATION OF ACTIVITY SCORE (DAS28) WITH FUNCTIONAL ASSESSMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS. Ain Shams Medical Journal, 73(3), 669-680.
7. Hussein Mohammed, F., L Mahmoud Soliman, N., & Mohammed, A.-k. (2023). Effect of Self-Care Guidelines on Quality of Life among Women with Rheumatoid Arthritis. Egyptian Journal of Health Care, 14(2), 525-541.
8. Ibrahim, M. M., & Mohamed, A. G. (2020). Effectiveness of Structured Self-Care Model on Self-Care, Disability and Pain among Patients with Rheumatoid Arthritis. Assiut Scientific Nursing Journal, 8(22), 62-71.
9. Katchamart, W., Narongroeknawin, P., Chanapai, W., & Thaweeratthakul, P. (2019). Health-related quality of life in patients with rheumatoid arthritis. BMC Rheumatology, 3(1), 34. https://doi.org/10.1186/s41927-019-0080-9
10. Katz, P., Margaretten, M., Gregorich, S., & Trupin, L. (2018). Physical activity to reduce fatigue in rheumatoid arthritis: a randomized controlled trial. Arthritis care & research, 70(1), 1-10.
11. Khusainova, M. A., Vakhidov, J. J., Khayitov, S. M., & Mamadiyorova, M. M. (2023). Cardiac arrhythmias in patients with rheumatoid arthritis. Science and Education, 4(2), 130-137.
12. Kilic, M. C., Calik, B. B., Cobankara, V., & Balkarli, A. (2018). The relationship between hand function and activity performance in patients with rheumatoid arthritis. Age (Year), 32(65), 50.57-59.59.
13. Kusnanto, K., Sari, N. P. W. P., Harmayetty, H., Efendi, F., & Gunawan, J. (2018). Self-care model application to improve self-care agency, self-care activities, and quality of life in patients with systemic lupus erythematosus. Journal of Taibah University medical sciences, 13(5), 472-478.
14. Li, L. C., Feehan, L. M., Xie, H., Lu, N., Shaw, C., Gromala, D., Aviña‐Zubieta, J. A., Koehn, C., Hoens, A. M., & English, K. (2020). Efficacy of a physical activity counseling program with use of a wearable tracker in people with inflammatory arthritis: a randomized controlled trial. Arthritis care & research, 72(12), 1755-1765.
15. Nagy, G., Roodenrijs, N. M., Welsing, P. M., Kedves, M., Hamar, A., van der Goes, M. C., Kent, A., Bakkers, M., Blaas, E., & Senolt, L. (2021). EULAR definition of difficult-to-treat rheumatoid arthritis. Annals of the rheumatic diseases, 80(1), 31-35.
16. Pope, J. E. (2020). Management of fatigue in rheumatoid arthritis. RMD open, 6(1), e001084.
17. Rodríguez-García, E., Barnes-Ortiz, S., & Pérez-Mármol, J. M. (2020). Self-efficacy, pain intensity, rheumatic disease duration, and hand functional disability on activities of daily living. Nursing Research, 69(6), E208-E216.
18. Rustamovich, T. D., Alisherovna, K. M., Djamshedovna, K. D., & Nizamitdinovich, K. S. (2023). Features of the Psychoemotional Status of Patients with Rheumatoid Arthritis. Miasto Przyszłości, 32, 23-30.
19. Scherer, H. U., Häupl, T., & Burmester, G. R. (2020). The etiology of rheumatoid arthritis. Journal of autoimmunity, 110, 102400.
20. Selim, T. M., Elashri, N. I. E.-E. A., & Hasanein, A. A. (2019). Effect of Nursing Interventions on Self Care Behaviors and Knowledge for Rheumatoid Arthritic Elderly Patients.
21. Slagter, L., Demyttenaere, K., Verschueren, P., & De Cock, D. (2022). The effect of meditation, mindfulness, and yoga in patients with rheumatoid arthritis. Journal of Personalized Medicine, 12(11), 1905.
22. Tański, W., Wójciga, J., & Jankowska-Polańska, B. (2021). Association between malnutrition and quality of life in elderly patients with rheumatoid arthritis. Nutrients, 13(4), 1259.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Razia Begum
MSN Scholar, University of Lahore, Lahore, Pakistan
Sarfraz Masih
Principal/Associate Professor University of Lahore, Lahore, Pakistan
Hajra Sarwar
Assistant Professor University of Lahore, Lahore , Pakistan