Access to abstract permanently restricted to Ball State community only / Access to thesis permanently restricted to Ball State community only / Department of Physiology and Health Science

Diss. (sammanfattning) Stockholm : Karol. inst., 2005. / Härtill 4 uppsatser.

Tez (Tıpta Uzmanlık) - Süleyman Demirel Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, 2003. / Bibliyografya var.

Thesis (MSc(HlthSc)) -- Flinders University, Faculty of Health Science. / Typescript (bound). "A thesis in two parts." Includes bibliographical references (leaves 222 - 245). Also available online.

Thematic Paper (M.C.T.M. (Clinical Tropical Medicine))--Mahidol University, 2006.

Cette étude cherche à 1) comparer la personnalité et l’adaptation des fibromyalgiques (FM) avec ceux ayant une polyarthrite (PR), une spondylarthrite (SA) ou un syndrome de Gougerot-Sjögren (SG) ; 2) identifier les liens et influences entre la personnalité et les variables agissant sur le retentissement et le coping et 3) observer l’existence de différences intra-groupes chez les FM. 48 FM, 47 PR, 47 SA et 23 SG ont répondu aux BFI (personnalité), GHQ (souffrance psychique), FIQ (douleur, retentissement), FSS (fatigue), EVE (événements de vie), CSQ (coping) et MINI (comorbidité anxio-dépressive). Les FM ont une élévation de l’agréabilité (A), de l’ouverture (O), du Névrosisme (N) et un retentissement plus sévère que les autres. Dans les maladies rhumatismales, l’anxiété influence la dépression, la douleur, la fatigue et la dramatisation. N influence majoritairement l’anxiété, le coping actif et modérément la dépression. Enfin, la douleur et N permettent de distinguer deux sous groupes dans la FM. La personnalité a une influence sur l’adaptation. A et O semblent être des défenses face au stress alors que N a un impact direct et néfaste dans l’adaptation / This study aims to 1) compare personality and adaptation of fibromyalgia patients (FM) with those having a rheumatoid arthritis (PR), a ankylosing spondylitis (SA) or Sjogren’s syndrome (SG); 2) identify the links and the influences between the personality and the variables acting on repercussions of the illness and coping; 3) observe the existence of intra-group differences in FM. 48 FM, 47 PR, 47 SA and 23 SG answered the BFI (personality), GHQ (psychic suffering), FIQ (pain, repercussions of the illness), FSS (fatigue), EVE (events of life), CSQ (coping ) and MINI (anxio depressive comorbidity). The FM show a rise in agreeableness (A), openness (O) and neuroticism (N) and a more severe impact than the other diseases. In the rheumatic diseases, anxiety influences depression, pain, fatigue and dramatization. N influences mainly anxiety, active coping and moderately depression. Finally, pain and N allow to distinguish two groups in FM. Personality has an influence on adaptation. A and O seem to be defenses in the face of stress while N has a direct and worse impact on the adaptation

This diploma thesis called "Need of non-pharmacology pain relieving for patients afflicted by Arthritis rheumatic" has been created as a next step of a previous pilot research. Respondents of the previous investigation expressed their interest in non-pharmacology pain relieving. It is very important to relief pain caused by Arthritis rheumatic as chronic disease in balance manner by usage of both approaches pharmacology and non-pharmacology. The goal of this study has been to investigate possibilities of non-pharmacology pain relieving among patients afflicted by Arthritis rheumatic and how these patients cooperate with nurses. The research comprises following goals: 1. Ascertain, whether patients afflicted by Arthritis rheumatic prefer pharmacology to non-pharmacology pain relieving. 2 Ascertain, which method of non-pharmacology pain relieving is mostly used. 3 Ascertain the interest of patients to relief pain by usage of non-pharmacology methods. 4 Ascertain the nurses' influence on the non-pharmacology pain relieving. The theoretical part is focused on pathophysiology of the disease, the issue of chronic pain and quality of patient life. The second, empirical part, is dedicated not only to actions of the investigation itself, but also its characteristics and results. There were issued 130 questionnairs for qualitative analisis. 102 of 130 questionairs has been retrieved and filled in properlly. Data from questionairs was compiled and hypotheses were tested by usage of Chi-squared test. 3 hypotheses have been built: H1 Patients afflicted by Arthritis rheumatic prefer pharmacology pain relieving to non-pharmacology. This hypothesis H1 was affirmed only for patients in acute stage of Arthritis rheumatic. H2 Patients afflicted by Arthritis rheumatic prefer thermotherapy to rehabilitation when considering non-pharmacology pain relieving. This hypothesis H2 was not confirmed due to low number of respondents. H3 Patients achieved higher education degree express higher interest in non-farmacology pain relieving. Higher education degree of patients has only impact on method in acute stage of Arthritis rheumatic. Qualitative investigation was carried out by half-structured interview with 7 respondents working on inpatient department and also outpatient department. Several statements could be concluded out of qualitative investigation: Nurses have been persistently educating by passive or active participation on various seminars or congresses. They have been trying to convey information about non-pharmacology treatment to their patients. They cobnsider non-pharmacology treatment as a indiscerptible part of a treatment. Investigation results will ne provided to all collaborative departments to support improvement in cooperation between nurses and patients.

Made available in DSpace on 2016-06-02T20:30:59Z (GMT). No. of bitstreams: 1 6781.pdf: 1060045 bytes, checksum: 44dd78f66094315ba519c95c465d4469 (MD5) Previous issue date: 2015-03-26 / Financiadora de Estudos e Projetos / Rheumatic diseases have been defined as those relating to musculoskeletal and connective tissues. Through the analysis of the literature it is observed a significant prevalence among patients with these pathologies, and both depression and anxiety. The present study investigated, in two different studies, the relations between rheumatic diseases and mental disorders. The Study 1 presents a literature reviews organized in the form of article. The manuscript presents the product of a literature review in brazilian and foreign databases, in the last 25 years, examining the results on the prevalence of mental disorders in rheumatic diagnoses patients, particularly anxiety and depression. The review was organized to systematize the principal addressed rheumatologic diseases, the countries where the investigations were implemented, the populations investigated in these studies, and the prevalence observed between depression and anxiety in each case. In Study 2 indicators of depression and anxiety in users of rheumatology ambulatory are described, in a health and teaching unit, with exclusive service to users of the Social Health System. It was evaluated 85 patients, 76 women and 9 men, aged between 41 and 70 years. In the evaluation, the following instruments were used: 1) The questionnaire for survey of general information; 2) Beck Depression Inventory (BDI); 3) Beck Anxiety Inventory (BAI); 4) Inventory of Stress Symptoms of Lipp (ISSL); and; 5) Brazilian Economic Criteria of the ABEP. The results showed that 51.8% of the sample had a education equal or less to complete primary, and 31.8% are retired or removed by social security provision. In addition, 68.2% of them were identified as inserted into economic classes with power consumption equal or less than to Class C1; 37,6% of users had two or more diagnosis of rheumatic diseases. Indicators showed that 43.5% of users were under medical treatment with at least one psychotropic substance, with treatment duration ranging from 2 to 21 years. Users under psychotropic drug prescription had significantly higher scores of depression (Mann-Whitney: z = 6.513, p <0.000), anxiety (Mann- Whitney: z = 6.083, p <0.000) and stress (Mann-Whitney: z = 6.119; p <0.000). The rheumatics diseases most frequently found in the population were Fibromyalgia (n = 33), Osteoarthritis (n = 33) and Rheumatoid arthritis (n = 24). In the general population, there was a prevalence of 43.5% of depression, 57% anxiety and 31.4% of stress. Considering the prevalence of depression in the Fibromyalgia, Osteoarthritis and Rheumatoid Arthritis were observed respectively values of 87.9%, 60.6% and 37.5%. Anxiety showed a prevalence of 72.7% in Fibromyalgia, 36.4% in Osteoarthritis, and 29.2% in Rheumatoid Arthritis. It was discussed the importance of evaluation and multidisciplinary intervention, in particular the psychologist role, for the care of rheumatic diseases. / As doenças reumatológicas têm sido definidas como aquelas relativas ao sistema musculoesquelético e tecidos conectivos. Através da análise da literatura observa-se uma prevalência significativa entre indivíduos acometidos por estes quadros, depressão e ansiedade. O presente trabalho investigou a relação entre doenças reumáticas e transtornos mentais em dois diferentes estudos. O Estudo 1 apresenta uma revisão bibliográfica organizada na forma de artigo. O manuscrito apresenta o produto de uma revisão bibliográfica, em bases de dados brasileiras e estrangeiras, nos últimos 25 anos, examinando os resultados referentes à prevalência entre diagnósticos reumatológicos e transtornos mentais, em particular, ansiedade e depressão. O levantamento foi organizado de forma a sistematizar os principais quadros reumatológicos endereçados, os Países onde as investigações foram implementadas, as populações analisadas nestes estudos, além da prevalência observada entre depressão e ansiedade em cada caso. No Estudo 2 é descrita uma avaliação de indicadores de depressão e ansiedade em usuários de ambulatórios de reumatologia, numa Unidade Saúde-Escola de uma instituição de ensino superior, com atendimento exclusivo a usuários do Sistema Único de Saúde (SUS). Foram avaliados 85 usuários, sendo 76 mulheres e 9 homens, com idade variando entre 41 e 70 anos. Na avaliação foram utilizados os seguintes instrumentos: 1) Questionários para levantamento de informações gerais; 2) Inventário Beck de Depressão (BDI); 3) Inventário Beck de Ansiedade (BAI); 4) Inventário de Sintomas de Stress da Lipp (ISSL); e; 5) Critério Econômico Brasil da ABEP. Os resultados evidenciaram que 51,8% da amostra apresentaram uma escolaridade igual ou inferior ao fundamental completo, sendo que 31,8% encontram-se aposentados ou afastados pela previdência. Além disto, 68,2% deles foram identificados como inseridos em classes econômicas com poder de consumo igual ou menor à Classe C1; 37,6% dos usuários apresentavam dois ou mais diagnósticos de doenças reumatológicas. Indicadores apontaram que 43,5% dos usuários estavam sob tratamento medicamentoso com pelo menos uma substância psicotrópica, com tempo de tratamento que variou de 2 a 21 anos. Usuários sob prescrição medicamentosa psicotrópica apresentaram escores significativamente maiores de depressão (Mann-Whitney: z=6,513; p<0,000), ansiedade (Mann-Whitney: z=6,083; p<0,000) e estresse (Mann-Whitney: z=6,119; p<0,000). As doenças com maior frequência na população foram Fibromialgia (n=33), Artrose (n=33) e Artrite Reumatoide (n=24). Na população geral, observouse uma prevalência de 43,5% de depressão, 57,% de ansiedade e 31,4% de estresse. Considerando especificamente a prevalência de depressão, na Fibromialgia, Artrose e Artrite Reumatoide foram observados, respectivamente, os valores de 87,9%, 60,6% e 37,5%. A ansiedade obteve prevalência de 72,7% na Fibromialgia, 36,4% na Artrose, e 29,2% na Artrite Reumatoide. Discute-se a importância da avaliação e intervenção multiprofissional, em particular do psicólogo, para o cuidado das doenças reumatológicas.

京都大学 / 0048 / 新制・論文博士 / 博士(医学) / 乙第12815号 / 論医博第2077号 / 新制||医||1004(附属図書館) / 31302 / 京都大学大学院医学研究科医学専攻 / (主査)教授 山田 亮, 教授 小川 誠司, 教授 竹内 理 / 学位規則第4条第2項該当 / Doctor of Medical Science / Kyoto University / DFAM

Introduction: Patient education is an important part of the management of rheumatic and musculoskeletal diseases. Given that patients with diverse diseases do not have the same needs, it is crucial to assess the educational requirements of targeted groups to provide tailored educational interventions. The aim of our study was to assess educational needs of a large cohort of patients with different rheumatic and musculoskeletal diseases attending a health facility in Austria. Methods: We assessed educational needs, via an online survey of patients with fibromyalgia (FMS), rheumatoid arthritis (RA), and ankylosing spondylitis (AS) recruited from an Austrian health-care facility, using the Austrian version of the Educational Needs Assessment Tool (OENAT). Results: For our sample of 603 patients, AS (62%), RA (15%), and FMS (24%), there were no educational need differences for the domains of movements, disease process, and self-help measures. Patients with FMS had less need for pain management education and greater need for education about feelings, than other disease groups. Patients with RA had a greater need for education related to treatments than other groups, and patients with AS had a greater need for treatment education than patients with FMS. Patients with AS reported greater need for support system education than other patient groups. Conclusion: Educational needs vary by disease groups, suggesting that health-care professionals should assess disease-specific needs for education to provide optimal assistance in disease management for patients.