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Barriers and reinforcing factors to self-management behaviour in rheumatoid arthritis patients: A qualitative study.
Chaleshgar-Kordasiabi, M; Enjezab, B; Akhlaghi, M; Sabzmakan, I.
Afiliação
  • Chaleshgar-Kordasiabi M; Department of Public Health, Health Science Research Center, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.
  • Enjezab B; School of Nursing and Midwifery, Shahid Sadoughi University of Medical Science, Yazd, Iran.
  • Akhlaghi M; Rheumatology Research Center, Shariati Hospital, Tehran University of Medical Science, Tehran, Iran.
  • Sabzmakan I; Department of Health Education and Promotion, Alborz University of Medical Science, Karaj, Iran.
Musculoskeletal Care ; 16(2): 241-250, 2018 06.
Article em En | MEDLINE | ID: mdl-29314556
ABSTRACT

OBJECTIVE:

The aim of the present study was to explore the view of rheumatoid arthritis (RA) patients about the barriers and reinforcing factors in practising self-management behaviour (SMB).

METHODS:

This was a qualitative study based on directed content analysis of in-depth semi-structured interviews with 30 patients. The participants were selected using a purposeful sampling approach. The interviews continued until data saturation was reached. The study was conducted over 6 months in 2014-2015 at the Rheumatology Clinic of Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

RESULTS:

Three main themes and 14 subthemes were extracted. The main themes included behavioural barriers, environmental barriers and reinforcing factors. The subthemes included lack of awareness; poor physician-patient relationship; lack of motivation; negative attitude and willingness; lack of time; cost; housing conditions and in-home equipment; negative social effects; social support; consequences of SMB; and comparing yourself with others.

CONCLUSION:

Behavioural and environmental barriers, as well as social support and outcomes of SMB were the most important barriers and reinforcing factors of SMB. Therefore, considering these factors in patients may help in designing programmes that attempt to reduce barriers and increase reinforcing factors, which ultimately result in higher levels of SMB and quality of life among patients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artrite Reumatoide / Autogestão Tipo de estudo: Observational_studies / Prognostic_studies / Qualitative_research Aspecto: Patient_preference Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Musculoskeletal Care Assunto da revista: FISIOLOGIA / ORTOPEDIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Irã

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artrite Reumatoide / Autogestão Tipo de estudo: Observational_studies / Prognostic_studies / Qualitative_research Aspecto: Patient_preference Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Musculoskeletal Care Assunto da revista: FISIOLOGIA / ORTOPEDIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Irã