Does remission in rheumatoid arthritis bring kinesiophobia, quality of life, fatigue, and physical activity closer to normal?

IF 1.1 4区 医学 Q4 Medicine
Aysun Özlü, Merve Akdeniz Leblebicier
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Abstract

Objectives: This study aimed to compare kinesiophobia, fatigue, physical activity, and quality of life (QoL) between the patients with rheumatoid arthritis (RA) in remission and a healthy population.

Patients and methods: The prospective controlled study included 45 female patients (mean age: 54.22±8.2 year; range, 37 to 67 year) with a diagnosis of RA determined to be in remission according to the Disease Activity Score in 28 Joints (DAS28) being ≤2.6 between January 2022 and February 2022. As a control group, 45 female healthy volunteers (mean age: 52.2±8.2 year; range, 34 to 70 year) of similar age were evaluated. The QoL, disease activity, pain, kinesiophobia, fatigue severity, and physical activity were assessed using the Health Assessment Questionnaire, DAS28, Visual Analog Scale, Tampa Scale of Kinesiophobia, Fatigue Severity Scale, and International Physical Activity Questionnaire, respectively.

Results: There was no significant difference between the groups in demographic data. A statistically significant difference was found between the groups in terms of pain, C-reactive protein level, fatigue, kinesiophobia, QoL, and total, high, and moderate physical activity scores (p<0.001). Among the RA patients in remission, there was a significant correlation between kinesiophobia and moderate physical activity and QoL, as well as between fatigue and high physical activity (p<0.05).

Conclusion: Patient education and multidisciplinary approach strategies should be developed to increase the QoL and physical activity and reduce kinesiophobia in RA patients in remission since there may be a decrease in physical activity due to kinesiophobia, fatigue, and fear of movement in this patient group compared to the healthy population, impairing their QoL.

类风湿关节炎的缓解是否会使运动恐惧症、生活质量、疲劳和身体活动更接近正常?
目的:本研究旨在比较类风湿关节炎(RA)缓解期患者和健康人群的运动恐惧症、疲劳、体力活动和生活质量(QoL)。患者与方法:前瞻性对照研究纳入女性患者45例,平均年龄54.22±8.2岁;范围,37至67岁),根据28个关节的疾病活动评分(DAS28),在2022年1月至2022年2月期间≤2.6,诊断为RA缓解。作为对照组,45名女性健康志愿者(平均年龄:52.2±8.2岁;范围为34至70岁),年龄相近。分别采用健康评估问卷、DAS28、视觉模拟量表、坦帕运动恐惧症量表、疲劳严重程度量表和国际体育活动问卷对生活质量、疾病活动度、疼痛、运动恐惧症、疲劳严重程度和体育活动进行评估。结果:两组间人口学资料差异无统计学意义。两组患者在疼痛、c反应蛋白水平、疲劳、运动恐惧症、生活质量、总、高、中体力活动评分方面差异有统计学意义(p)。与健康人群相比,RA缓解期患者可能由于运动恐惧症、疲劳和运动恐惧而减少身体活动,从而损害其生活质量,因此应制定患者教育和多学科方法策略,以增加患者的生活质量和身体活动,减少患者的运动恐惧。
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来源期刊
Archives of rheumatology
Archives of rheumatology Medicine-Rheumatology
CiteScore
2.00
自引率
9.10%
发文量
15
期刊介绍: The Archives of Rheumatology is an official journal of the Turkish League Against Rheumatism (TLAR) and is published quarterly in March, June, September, and December. It publishes original work on all aspects of rheumatology and disorders of the musculoskeletal system. The priority of the Archives of Rheumatology is to publish high-quality original research articles, especially in inflammatory rheumatic disorders. In addition to research articles, brief reports, reviews, editorials, letters to the editor can also be published. It is an independent peer-reviewed international journal printed in English. Manuscripts are refereed by a "double-blind peer-reviewed" process for both referees and authors. Editorial Board of the Archives of Rheumatology works under the principles of The World Association of Medical Editors (WAME), the International Council of Medical Journal Editors (ICMJE), and Committee on Publication Ethics (COPE).
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