Transcript Self efficacy Other Symptoms Scale

Respiratory disorders
Mohammed Zaky
Mohammed Zaky
Introduction
Rheumatoid arthritis (RA) is a chronic inflammatory
disorder that is most likely to be debilitating. It is
associated with increased mortality in contrast with
the overall population because of the outcomes of
the disease and treatments strategies, (Dougados
et al., 2014 and Ranade & Gaud
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Cont’
Its incidence is about 1-2% of the overall
populace and affects females three times more
than males (Menon, 2012).
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There are 2 main variables in this study (1) Selfefficacy which is defined as the belief in one’s
capabilities to organize and execute the course
of
action
required
to
manage
prospective
situation, self-efficacy gives one a sense of
control over the environment.
Mohammed Zaky
(2) Self Management Techniques refers to
behavioral interventions and healthful tasks that
are performed by the patient to overcome or
adapt with symptoms of chronic illness.
The goal is to increase skills, confidence,
decrease pain, fatigue, disability, anxiety and
depression.
Mohammed Zaky
The aim of this study is to evaluate the impact of
self-management techniques on self-efficacy
among patients with rheumatoid arthritis at a
university hospital in Cairo.
Mohammed Zaky
According to World Health Organization (2013),
the prevalence of RA varies between 0.3% and
1% and is more common among women and in
developed countries.
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The last annual statistics of newly diagnosed RA
among
Egyptian
patients
attending
the
Rheumatology Clinic at Cairo University Hospital
during
2013
accounted
for
59.3%
of
all
admissions in that department (Statistics and
Medical Records Department, 2013).
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Research hypothesis
The patients who will receive self-management
techniques will show higher levels of selfefficacy.
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One-group Pre-Test / Post-Test research design
was
used
to
evaluate
causal
relationships
between intervention and outcome.
Pre-Assessment
O1
Intervention
X
Post-Assessment
O2
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A random sample of 30 adult patients were chosen
for the current study, the following criteria were
established for sample inclusion :
Confirmed diagnosis with RA
Age range between 30 and 50 years that are fully
conscious
a written prescription treatment plan and with no
recommendation for surgical management
can communicate verbally, with no visual and
cognitive impairment
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All the study subjects were assessed by arthritis self
efficacy scale
demonstration
exercises
3 times, also they performed
and
provided
re-demonstrated
in
of
all
self-management
techniques booklet. Moreover through the time of
implementation and evaluation phase there were
follow up to patients by either meeting or by
telephone calls.
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Tools of Data Collection
Structured
Interview
Questionnaire
Sociodemographic
data.
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Arthritis-Self
Efficacy
Medical back
ground sheet.
1-Pain scale
2-Function scale
3-Other symptoms
scale
Regarding to socio-demographic data
Age
43.30%
30-39
40-50
56.60%
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20%
Male
80%
Female
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13.30%
Read and write
13.30%
53.30%
10%
10%
Primary school
preparatory school
Secondary school
Bachelor Degree
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6.70%
No practice
Practice
93.30%
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97%
100%
90%
83%
80%
76%
80%
60%
40%
20%
0%
Arthralgia continous
fatigue
stifness
unable to
Joint
perform Swelling
ADls.
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10%
6%
Diabetes
HCV
No Comorbidities
HTN
78%
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80%
76%
70%
70%
66.60%
60%
53.30%
50%
40%
30%
20%
10%
0%
Cortisone
DMARs
Methotrixate
NSAIDs
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Pain Scale
33
35
29
30
25
24
20
15
10
5
0
1st SE
Assessment
2nd SE
Assessment
3rd SE
Assessment
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Function Scale
66
65.5
65.5
65
64.5
64
63.5
63.3
62.9
63
62.5
62
61.5
1st SE Ass
2nd SE Ass
3rd SE Ass
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Other Symptoms Scale
38.5
38
38.4
38.06
37.36
37.5
37
36.5
1st SE Ass
2nd SE ASS
3rd SE Ass
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140
135
130
137.06
125
120
125.37
130.23
115
1st SE Ass
2n SE ASS
3rd SE Ass
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 Follow
up for all RA patients to assess
their health conditions and to detect
early complication or medication side
effects.
 Establish
a center for the education of
patients with RA provided with teaching
aids and facilities to teach patients and
their families’ ways to live with RA.
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 Self-management
patients
education
techniques
should
through
become
an
integrated part of the total management of
rheumatoid arthritis patient.
 Long-
term
effects
of
following
self-
management techniques need to be further
studied.
Mohammed Zaky
The study revealed that the self-management techniques
delivered to the patients with RA which included exercises,
rest,
diet,
heat
and
cold
packs
and
adherence
to
medications have resulted in improving self-efficacy. This
was in terms of pain reduction, improved functional abilities
and improving other symptoms of RA among studied
patients.
Mohammed Zaky
Mohammed Zaky