Cent Eur J Nurs Midw 2011, 2(3):239-247

Pain, functional status, anxiety, depression, and social interaction in older adults with rheumatoid arthritis

Mária Sováriová Soósová*, Renáta Suchanová, Libuša Tirpáková
Department of Nursing Care, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Slovakia

Aim: The aim of this study was to assess pain, functional status, anxiety, depression, social activity, and social support and their interactions in older adults with rheumatoid arthritis (RA), and to assess possible differences by gender, marital status, age, duration of disease, and co-morbidity.

Methods: Pain intensity was assessed by the Visual Analogue Scale (VAS), functional disability by the Stanford Health Assessment Questionnaire - Disability Index (HAQ-DI), anxiety by the Beck Anxiety Inventory (BAI), depression by the Zung Self-rating Depression Scale (SDS), social activity by the Arthritis Impact Measurement Scales 2 (AIMS2) with scale of Social Activity (SA), and social support (SO) by AIMS2 with scale Support from family and friend in 60 elderly with RA.

Results: There were found average strong pain, moderate to severe functional disability, moderate anxiety and moderate-to-marked depression, and limitation in social activity in elderly with RA. The best score was found in scale of social support. Significant (p ≤ 0.05) mild to severe relations were confirmed between explored objectives by Pearson's correlations. B etween genders no significant differences were recorded. Worse score (p ≤ 0.05) was detected in anxiety and social support in elderly living alone compared to married elderly. Between age and anxiety, duration of disease and depression, co-morbidity and functional disability, and depression were confirmed significant (p ≤ 0.05) positive relationships.

Conclusion: According to results, not only pain reduction and improving/maintaining of functional status is the priority of care in elderly with RA, but also reduction of anxiety and depression is important, mainly in older, with longer duration of disease, co-morbidity and also for elderly living alone.

Keywords: rheumatoid arthritis, older adults, pain, functional disability, anxiety, depression, social interaction

Published: September 30, 2011  Show citation

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Sováriová Soósová M, Suchanová R, Tirpáková L. Pain, functional status, anxiety, depression, and social interaction in older adults with rheumatoid arthritis. Ošetřovatelství a porodní asistence. 2011;2(3):239-247.
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