Background The health status of patients with arthritis has consistently improved in later years (1), but research shows that depression still is a frequent comorbidity (2). It is also shown that patients' self-efficacy may prevent future development of psychological problems (3), and that patients' well-being is affected by disease-activity and coping skills (4).
Objectives The aim of this study was to investigate the independent influence of disease-related and psychological factors on arthritis patients' well-being by conducting secondary analyses on data collected in a randomized controlled trial (RCT) (5). The RCT studied the effect of nurse-led patient education (PE) in patients with arthritis.
Methods The participants (N=132) were adult patients with arthritis from St. Olavs Hospital in Trondheim Norway. The present data were collected at 12 months follow-up, and consist of information on psychological distress, well-being, self-efficacy and disease-characteristics. A multivariable linear regression analyses was performed with well-being as dependent variable. Demographics, psychological distress, self-efficacy and disease-characteristics were independent variables. The analyses adjusted for participation in the PE program.
Results The majority of our sample had RA, were women, with a mean age of 58 years. The analyses showed that more psychological distress, pain and tiredness had a negative independent influence on patients' well-being when controlling for other variables.
Conclusions This study found that higher psychological distress, more pain and tiredness were associated with lower well-being. Implications for clinical practice are that nurses continually need to focus on patients' well-being and support patients with their daily management of disease symptoms.
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Disclosure of Interest None declared