Mohammed Zaky IMPACT OF SELFMANAGEMENT TECHNIQUES ON SELFEFFICACY AMONG PATIENTS WITH RHEUMATOID ARTHRITIS AT A UNIVERSITY HOSPITAL IN CAIRO Mohammed Zaky Mohammed Zaky Introduction ID: 541994
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Respiratory disorders
Mohammed ZakySlide2
IMPACT
OF SELF-MANAGEMENT TECHNIQUES ON SELF-EFFICACY AMONG PATIENTS WITH RHEUMATOID ARTHRITIS AT A UNIVERSITY HOSPITAL IN
CAIRO
Mohammed Zaky
Mohammed ZakySlide3
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, 2013). Mohammed ZakySlide4
Cont
’
Its incidence is about 1-2% of the overall populace and affects females three times more than males (
Menon
, 2012).Mohammed ZakySlide5
Cont
’
There are 2 main variables in this study (1)
Self-efficacy 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 ZakySlide6
(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 ZakySlide7
Aim of The Study
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
.
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Significance of the study
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.
Mohammed ZakySlide9
Cont
’.
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).
Mohammed ZakySlide10
Materials &
Methods
Research
hypothesis
The patients who will receive self-management techniques will show higher levels of self-efficacy.Mohammed ZakySlide11
Research Design
One-group Pre-Test / Post-Test research design
was
used to evaluate causal relationships between intervention and outcome.
Pre-Assessment Intervention Post-Assessment O1 X O2
Mohammed
ZakySlide12
Sample
A random sample of 30
adult
patients were chosen for the current study, the following criteria were established for sample inclusion : Mohammed ZakySlide13
Procedure
All the study
subjects were
assessed by arthritis self efficacy scale 3 times, also
they performed demonstration and re-demonstrated of all exercises provided in 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.Mohammed ZakySlide14
Mohammed
ZakySlide15
Results
Of The Study
Regarding to socio-demographic data
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Gender
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Level of education
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Practice of Exercise
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Signs and Symptoms
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Comorbidities
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Medication Prescribed for RA
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Self Efficacy
Pain Scale
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Self Efficacy
Function Scale
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Self efficacy
Other Symptoms Scale
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Total score of arthritis self efficacy
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Recommendations
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.Mohammed ZakySlide27
Self-management
techniques through
patients
education should 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 ZakySlide28
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
ConclusionSlide29
Mohammed Zaky