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Volume 6, Issue 4 (Suppl) J Nurs Care, an open access journal
ISSN: 2167-1168 Euro Nursing 2017
October 26-28, 2017
32nd EURO
NURSING AND MEDICARE SUMMIT
October 26-28, 2017 | Paris, France
Evaluation of functional status and disease activity in patients with rheumatoid arthritis
Banu BAYAR*, Özge IPEK*, Kılıçhan BAYAR*, Züleyha ÖZCAN** and Nezihe Ugurlu**
*Mugla Sıtkı Koçman University, Turkey
**Mugla Sıtkı Koçman University, Turkey
Background: Rheumatoid arthritis (RA) is a multisystemic, autoimmune, chronic, inflammatory disease whose main
characteristic is persistent symmetrical joint inflammation that results in joint damage, loss of function and socioeconomic
loss (1,2).
Objectives: The aim of this study is to evaluate the functional status and disease activity of patients with RA.
Methods: In this study, a total of 45 RA patients participated voluntarily. Clinical and laboratory assessments were performed.
Inflammatory markers such as C- Reactive Protein (CRP), Rheumatoid Factor (RF) and Erythrocyte Sedimentation Rate (ESR)
were measured. The Health Assessment Questionnaire (HAQ) was assessed to document physical function. DAS28 score was
calculated to assess disease activity.
Results: Of the 45 patients included, 28 (62.2%) were female and 17 (37.8%) were men. Patients showed mean age of 51.95±8.62
and disease duration of 10,97±7,48years. The mean ESR (mm / h) was 38.51 ± 18.23, the mean CRP (mg / dL) was 21.58 ±
16.20 and the mean RF (IU / dL) was 164.89 ± 143.70. The mean HAQ score of the patients was 14,10 ± 12,32. According to the
results of the disease activity, 12 women got high disease activity scores while 4 female obtained remissions cores. According to
DAS-28 results, 3 male patients were remission and 7 male patients were at high disease activity level. There was a statistically
significant positive correlation between HAQ and DAS-28 scores (r = 0,624, p <0,05). ESR, CRP and RF values via HAQ
scores were statistically significant (p <0.05). There was nostatistically significant difference between the duration of illness and
gender (p> 0,05). There was a statistically significant relationship between duration of disease and DAS-28 score (r = 0,521, p
<0,05).Parameters except mean CRP and HAQ scores were not statistically different between female and male patients.
Conclusions: The functional disability is the most important result for patients with RA. Individuals need to help others in
their daily life activities and disease activity is directly related to each other. Acquisition of functional independence will help
to improve various parameters including quality of life.
References:
1. Mottonen T, Paimela L, Leirisalo-Repo M, Kautiainen H, Ilonen J, Hannonen P. Only high disease activity and positive
rheumatoid factor indicate poor prognosis in patients with early rheumatoid arthritis treated with “sawtooth” strategy. Ann
Rheum Dis 1998;57:533-9.
2. Kuiper S, van Gestel AM, Swinkels HL, de Boo TM, da Silva JA, van Riel PL Influence of sex, age, and menopausal state on
the course of early rheumatoid arthritis. J Rheumatol 2001;28:1809-16.
Biography
She was graduated from Hacettepe University School of Physical Therapy and Rehabilitation in 1994. She was fulfilled both master (1996-1998) and doctorate
(1998-2002) at Hacettepe University Institute of Health Sciences. She has been working as a lecturer at Muğla Sıtkı Koçman University School of Health Sciences
Department of Physiotherapy and Rehabilitation since 2006. Her field expertises are orthotic and geriatric rehabilitation.
Banu BAYAR et al., J Nurs Care 2017, 6:4(Suppl)
DOI: 10.4172/2167-1168-C1-061