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AB1196 The Effect of Rehabilitation Guidlines on Improvment of Activity of Daily Living (ADL) in Female Rheumatoid Arthritis Patiets with Hand and Wrist
  1. E.M. Abda1,
  2. H.K. Abdel-Elaal2,
  3. Z.A. E.-L. Mohamed2,
  4. Z.I. Selim1
  1. 1Rheumatology & Rehabilitation, Faculty of Medicine
  2. 2Medical Surgical Nursing Department, Faculty of Nursing, Assiut, Egypt


Background Rheumatoid arthritis (RA) is the most common inflammatory polyarthritis It can cause persistent joint pain, joint damage and long-term disability (especially in the hands and feet).The overall goals of management are to prevent or control joint damage, maximize function and decrease pain. The Quasi- experimental study

Objectives To assess patient's knowledge and practices in relation to disease and degree of self- care activities before the implementation of rehabilitation guideline and evaluate the effect of rehabilitation guideline on patient's knowledge and practice as well as on improving the activity of daily living (ADL) of patients.

Methods Patients from rheumatology department and rheumatology outpatient clinic of Assiut University Hospital. Twenty five female patients with RA, The collection of data was achieved by using three tools, tool(1) The Health Assessment Questionnaire (HAQ) include three parts, part1, include socio-demographic data about patient; part 2 Assessment of patient's knowledge and practice regarding RA, and part3, Assessment the effect of RA on ability of patient to function in activity daily living (ADL), tool(2), Michigan Hand outcome Questionnaire. tool(3) suggested measure for hand grip strength (GST-2013®).

Results The results of the study showed that there were highly significant statistical improvement (p<0.001) were noticed regarding knowledge about RA, and highly significant improvement regarding to total scores of common daily activity (z ≤2.58**). There were highly significant improvement related to over hand function, work performance and hands/wrist problem interference especially related to pain there were highly significant improvement (z=6.4, 4.8) in post 1 and post 2.

Conclusions Based on the finding of the study might be improve treatment in RA by manipulation of education program regarding medication, nutritional counseling, physical exercises and joint protection.

Disclosure of Interest None declared

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