RT Journal Article
SR Electronic
T1 FRI0631-HPR Patient Satisfaction is Correlated with Role, Psychological State and Patient Global Assessment in Patients with Rheumatoid Arthritis
JF Annals of the Rheumatic Diseases
JO Ann Rheum Dis
FD BMJ Publishing Group Ltd and European League Against Rheumatism
SP 1329
OP 1330
DO 10.1136/annrheumdis-2015-eular.4562
VO 74
IS Suppl 2
A1 M. Fusama
A1 K. Yukioka
A1 T. Kuroiwa
A1 C. Yukioka
A1 T. Yukioka
A1 M. Inoue
A1 T. Nakanishi
A1 N. Takai
A1 K. Higashi
A1 Y. Miura
A1 N. Murata
A1 T. Kuritani
A1 K. Maeda
A1 H. Sano
A1 M. Yukioka
A1 H. Nakahara
YR 2015
UL http://ard.bmj.com/content/74/Suppl_2/1329.3.abstract
AB Background There is sometimes a discrepancy between improved disease activity and patient satisfaction in patients with rheumatoid arthritis (RA). The correlation of patient satisfaction and disease activity, psychological state and health status are not well evaluated.Objectives We evaluated which factor is correlated with patient satisfaction in patients with RA.Methods Patients with RA who obtained informed consent were selected for this study. Disease activity was evaluated with swollen joint count (SJC) and tender joint count (TJC), patient global assessment (PGA) and evaluator global assessment (EGA). Anxiety and depression were examined utilizing the State-Trait Anxiety Inventory (STAI) and the Center for Epidemiologic Studies Depression Scale (CES-D), respectively. Patient satisfaction and health status were assessed using patient satisfaction scores and the 5 scores of Arthritis Impact Measurement Scale-2 (AIMS-2). Data analyses were performed utilizing Spearman correlation analysis.Results 112 patients with RA were recruited. Average of age, disease duration and CDAI were 54.8 years old, 11.4 year and 8.8, respectively. There were no statistically significant correlations between patient satisfaction and age (r=0.1309, p=0.1690) or disease duration (r=0.1360, p=0.1528).With regards to disease activity, patient satisfaction showed the highest correlation to PGA (r=0.603, p<0.0001), followed by TJC (r=0.4585, p<0.0001). Patient satisfaction showed a lower correlation with EGA (r=0.3807, p<0.0001) and SJC (r=0.2041, p=0.0309).When it comes to measures of depression, patient satisfaction was moderately correlated to CES-D (r=0.4357, p<0.0001). Similarly, with anxiety, patient satisfaction was moderately correlated to STAI (State) (r=0.4419, p<0.0001), while there was no statistically significant correlation between patient satisfaction and STAI (Trait) (r=-0.1465, p=0.1231).The correlation of patient satisfaction to the 5-AIMS-2 scores ranked as follows (from highest to lowest): role (r=0.7081, p<0.0001), affect (r=0.6916, p<0.0001), physical score (r=0.6695, p<0.0001), symptoms (r=0.6259, p<0.0001) and social function (r=0.3624, p<0.0001).Conclusions These results indicate that patient satisfaction is correlated with role, psychological states, physical score, pain and PGA, which is reported to be related to psychological state [1] and pain [2]. To improve patient satisfaction, it is important not only to reduce pain and improve physical function, but also to set patient's appropriate role and improve psychological state. Nurses' supports are expected to assist patients to improve patient satisfaction.ReferencesFusama M, et al. Mod Rheumatol in press.Studenic P, et al. Arthritis Rheum. 2012; 64: 2814-23.Disclosure of Interest None declared