Effect of Sleep Quality Improvement Program on Fatigue and Depressive Symptoms of Rheumatoid Arthritis Patients
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 6
Abstract
Poor sleep quality is a common problem in rheumatoid arthritis patients that may lead to disease aggravation, increase fatigue and depression. This study aimed to examine sleep quality and its correlates to fatigue and depressive symptoms of rheumatoid arthritis patients. Design: a quasi-experimental research design (study and control group) thirty patients for each one was utilized. Setting: The study was conducted at physical medicine and rehabilitation outpatient clinic of university hospital at Menoufia governorate, Egypt. Subjects: A purposive sample of 60 rheumatoid arthritis patients who fulfill the inclusion and exclusion criteria. Tools: four tools were used for data collection; tool 1: Structured interview questionnaire that consists of two parts; Part one: Patient's personal and medical data. Part two: patient's knowledge related to rheumatoid arthritis and sleep. Tool 2; Piper Fatigue scale to assess the severity of fatigue. Tool 3: Pittsburgh sleep quality index to measure quality of sleep. Tool 4: Hamilton depression rating scale to assess the severity of depressive symptoms. Results: There was statistically significant increasing in patient's knowledge related to rheumatoid arthritis and sleep for study group than control group. There was statistically significant decreasing in fatigue level and depressive symptoms as a result of improvement of sleep quality for study group than control group at the post program. Conclusion: There was a positive and great effect of improvement of sleep quality on reducing fatigue level and depressive symptoms of rheumatoid arthritis patients. Recommendation: The nurse must take into consideration the importance of improvement of sleep quality when providing patient care for reducing severity of fatigue and depressive symptoms of rheumatoid arthritis patients.
Authors and Affiliations
Seham Mohamed Abd Elalem, Rania Maher Ibrahim Al Halawany
Keywords
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- EP ID EP437142
- DOI 10.9790/1959-0706040112.
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