» Articles » PMID: 36237956

The Lived Experiences of Iranian Patients with Rheumatoid Arthritis: A Qualitative Research

Overview
Specialty Nursing
Date 2022 Oct 14
PMID 36237956
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Rheumatoid Arthritis (RA) is a chronic inflammatory disease that affects various systems of the body. The present study was conducted with the aim to explain the lived experiences of Iranian patients with RA.

Materials And Methods: According to the research question, the phenomenological research approach was used. The participants were selected through purposive sampling, and sampling was continued until data saturation was achieved. The data was collected by conducting unstructured interviews and using an audio recorder. To interpret the data, an interpretive/hermeneutic approach was implemented using Van Manen's method. In addition, Lincoln and Guba's criteria were used to evaluate data robustness.

Results: A total of 24 participants participated in the study. Overall, 145 basic concept codes were extracted which were classified into the four main themes of self-management with the participation of the family, spiritual resilience in the face of existing problems, the tendency to hide the disease, and the fear of an uncertain future.

Conclusions: It is recommended that care providers use the findings of this study to develop care plans in the various aspects of the physical, mental, social, and spiritual needs of patients with RA based on their concerns and deep experiences. It is also suggested that other qualitative research approach methodologies such as grounded theory for explaining the process of patient care and providing an appropriate model, or action research for solving the problems of hospitalized patients through suitable care at home be implemented.

Citing Articles

Significant others in inflammatory arthritis: roles, influences, and challenges-a scoping review.

Hansen C, Norgaard M, de Thurah A, Midtgaard J, Cromhout P, Esbensen B Rheumatol Int. 2024; 44(10):1849-1859.

PMID: 38971942 PMC: 11393152. DOI: 10.1007/s00296-024-05639-9.

References
1.
Druce K, Basu N . Predictors of fatigue in rheumatoid arthritis. Rheumatology (Oxford). 2019; 58(Suppl 5):v29-v34. PMC: 6827266. DOI: 10.1093/rheumatology/kez346. View

2.
Zuidema R, van Dulmen S, der Sanden M, Meek I, van den Ende C, Fransen J . Efficacy of a Web-Based Self-Management Enhancing Program for Patients with Rheumatoid Arthritis: Explorative Randomized Controlled Trial. J Med Internet Res. 2019; 21(4):e12463. PMC: 6658318. DOI: 10.2196/12463. View

3.
Safiri S, Kolahi A, Hoy D, Smith E, Bettampadi D, Mansournia M . Global, regional and national burden of rheumatoid arthritis 1990-2017: a systematic analysis of the Global Burden of Disease study 2017. Ann Rheum Dis. 2019; 78(11):1463-1471. DOI: 10.1136/annrheumdis-2019-215920. View

4.
Zwikker H, van den Ende C, van Lankveld W, den Broeder A, van den Hoogen F, van de Mosselaar B . Effectiveness of a group-based intervention to change medication beliefs and improve medication adherence in patients with rheumatoid arthritis: a randomized controlled trial. Patient Educ Couns. 2014; 94(3):356-61. DOI: 10.1016/j.pec.2013.12.002. View

5.
Bullock J, Rizvi S, Saleh A, Ahmed S, Do D, Ansari R . Rheumatoid Arthritis: A Brief Overview of the Treatment. Med Princ Pract. 2018; 27(6):501-507. PMC: 6422329. DOI: 10.1159/000493390. View