Romatoid Artrit Tanılı Geriatrik Hastalarda Hemşirelik Bakımı
Özet
Romatoid artrit hastalığı, etiyolojisi net olarak bilinemeyen, eklemleri ve eklem dışında sistemleri etkileyebilen ve geriatrik bireylerde sıklıkla görülen bir hastalıktır. Yaşlanma sonucunda, kas iskelet sisteminde bozulmalar meydana gelebildiği için geriatrik bireylerde, romatoid artrit hastalığının görülme oranı artmaktadır. Bu sebeple, bu hastalara özel bir bakım sağlanması gerekebilmektedir. Hemşireler, hasta bakımı konusunda aktif bir rol oynamaktadırlar. Bu hastaların bakımında dikkat edilmesi gereken bazı konular bulunmaktadır. Bu konular şunlardır: Düşme risklerinin azaltılması, beslenme ve egzersiz programlarının düzenlenmesi, ağrı düzeylerinin azaltılması, tütün ile alkol kullanımlarının engellenmesi gibi. Bu hususlara dikkat edildiğinde, bu hastaların yaşam kaliteleri yükselebilecektir.
Rheumatoid arthritis is a disease whose etiology is unknown, which can affect joints and extra-articular systems and is frequently seen in geriatric individuals. As deteriorations in the musculoskeletal system may occur as a result of aging, the incidence of rheumatoid arthritis increases in geriatric individuals. For this reason, these patients may need to be provided with special care. Nurses play an active role in patient care. There are some issues that need to be considered in the care of these patients. These issues include: reducing the risk of falling, arranging nutrition and exercise programs, reducing pain levels, and preventing tobacco and alcohol use. When these issues are taken into consideration, the quality of life of these patients may increase.
Referanslar
Radu AF, Bungau SG. Management of rheumatoid arthritis: an overview. Cells; 2021; 10(11): 2857. https://doi.org/10.3390/cells10112857
Aletaha D, Smolen JS. Diagnosis and management of rheumatoid arthritis: a review. Jama; 2018;320(13): 1360-1372. doi:10.1001/jama.2018.13103
Weyand CM, Goronzy J. The immunology of rheumatoid arthritis. Nature immunology; 2021;22(1): 10-18. https://doi.org/10.1038/s41590-020-00816-x
Alivernini S, Firestein GS, McInnes IB. The pathogenesis of rheumatoid arthritis. Immunity; 2022;55(12): 2255-2270. https://doi.org/10.1016/j.immuni.2022.11.009
Scherer HU, Häupl T, Burmester GR. The etiology of rheumatoid arthritis. Journal of autoimmunity; 2020;110: 102400. https://doi.org/10.1016/j.jaut.2019.102400
Romão VC, Fonseca JE. Etiology and risk factors for rheumatoid arthritis: a state-of-the-art review. Frontiers in medicine; 2021;8: 689698. https://doi.org/10.3389/fmed.2021.689698
Alam J, Jantan I, Bukhari SNA. Rheumatoid arthritis: recent advances on its etiology, role of cytokines and pharmacotherapy. Biomedicine & pharmacotherapy; 2017;92: 615-633. https://doi.org/10.1016/j.biopha.2017.05.055
Furst DE, Emery P. Rheumatoid arthritis pathophysiology: update on emerging cytokine and cytokine-associated cell targets. Rheumatology; 2014;53(9): 1560-1569. https://doi.org/10.1093/rheumatology/ket414
Adami G, Saag KG. Osteoporosis pathophysiology, epidemiology, and screening in rheumatoid arthritis. Current rheumatology reports; 2019;21: 1-10. https://doi.org/10.1007/s11926-019-0836-7
Volkov M, van Schie KA, van der Woude D. Autoantibodies and B Cells: The ABC of rheumatoid arthritis pathophysiology. Immunological reviews; 2020;294(1): 148-163. https://doi.org/10.1111/imr.12829
Rocha SDB, Baldo DC, Andrade LEC. Clinical and pathophysiologic relevance of autoantibodies in rheumatoid arthritis. Advances in Rheumatology; 2019;59: 2. https://doi.org/10.1186/s42358-018-0042-8
Jutley GS, Latif ZP, Raza K. Symptoms in individuals at risk of rheumatoid arthritis. Best Practice & Research Clinical Rheumatology; 2017;31(1): 59-70. https://doi.org/10.1016/j.berh.2017.09.016
Michaud K, Pope J, van de Laar M, et al. Systematic literature review of residual symptoms and an unmet need in patients with rheumatoid arthritis. Arthritis care & research; 2021;73(11): 1606-1616. https://doi.org/10.1002/acr.24369
Kourilovitch M, Galarza-Maldonado C, Ortiz-Prado E. Diagnosis and classification of rheumatoid arthritis. Journal of autoimmunity; 2014;48: 26-30. https://doi.org/10.1016/j.jaut.2014.01.027
van Nies JA, Tsonaka R, Gaujoux-Viala C, et al. Evaluating relationships between symptom duration and persistence of rheumatoid arthritis: does a window of opportunity exist? Results on the Leiden early arthritis clinic and ESPOIR cohorts. Annals of the rheumatic diseases; 2015;74(5): 806-812. https://doi.org/10.1136/annrheumdis-2014-206047
Soulis G, Kotovskaya Y, Bahat G, et al. Geriatric care in European countries where geriatric medicine is still emerging. European Geriatric Medicine; 2021;12, 205-211. https://doi.org/10.1007/s41999-020-00419-7
Wressle E and Törnvall E. Comprehensive geriatric assessment in Swedish acute geriatric settings. International Journal of Health Care Quality Assurance; 2019;32(4), 752-764. https://doi.org/10.1108/IJHCQA-05-2018-0130
Puts MT and Alibhai SM. Fighting back against the dilution of the Comprehensive Geriatric Assessment. Journal of Geriatric Oncology; 2018;9(1), 3-5. https://doi.org/10.1016/j.jgo.2017.08.009
Morley JE. The future of geriatrics. The journal of nutrition, health & aging; 2020;24, 1-2. https://doi.org/10.1007/s12603-019-1308-5
Atmış V, Bahşi R, Öztorun HS, et al. Public awareness of geriatrics in the 50th year of geriatrics in Turkey. Eur J Geriatr Gerontol; 2019;1(1), 24-28. DOI: 10.4274/ejgg.galenos.2019.35
Palmer K and Onder G. Comprehensive geriatric assessment: benefits and limitations. European journal of internal medicine; 2018;54, e8-e9. https://doi.org/10.1016/j.ejim.2018.02.016
Achterberg WP, Cameron ID, Bauer JM., et al. Geriatric rehabilitation—state of the art and future priorities. Journal of the American Medical Directors Association; 2019;20(4), 396-398. https://doi.org/10.1016/j.jamda.2019.02.014
Ouchi Y, Rakugi H, Arai H, et al. Redefining the elderly as aged 75 years and older: Proposal from the Joint Committee of Japan Gerontological Society and the Japan Geriatrics Society. Geriatr Gerontol Int; 2017;17(7), 1045-1047. doi: 10.1111/ggi.13118
Vetrano DL, Foebel AD, Marengoni A, et al. Chronic diseases and geriatric syndromes: The different weight of comorbidity. European journal of internal medicine; 2016;27, 62-67. https://doi.org/10.1016/j.ejim.2015.10.025
Upadhya B, Pisani B, Kitzman DW. Evolution of a geriatric syndrome: pathophysiology and treatment of heart failure with preserved ejection fraction. Journal of the American Geriatrics Society; 2017;65(11), 2431-2440. https://doi.org/10.1111/jgs.15141
Alonso Salinas GL, Sanmartin M, Pascual Izco M, et al. The role of frailty in acute coronary syndromes in the elderly. Gerontology; 2018;64(5), 422-429. https://doi.org/10.1159/000488390
Cleutjens F, Boonen A, van Onna, MGB. Geriatric syndromes in patients with rheumatoid arthritis: a literature overview. Clin Exp Rheumatol; 2019;37(3): 496-501.
Serhal L, Lwin MN, Holroyd C, et al. Rheumatoid arthritis in the elderly: characteristics and treatment considerations. Autoimmunity reviews; 2020;19(6): 102528. https://doi.org/10.1016/j.autrev.2020.102528
Kobak S, Bes C. An autumn tale: geriatric rheumatoid arthritis. Therapeutic advances in musculoskeletal disease; 2018;10(1): 3-11. https://doi.org/10.1177/1759720X17740075
van Onna M, Boonen A. The challenging interplay between rheumatoid arthritis, ageing and comorbidities. BMC musculoskeletal disorders; 2016;17: 1-9. https://doi.org/10.1186/s12891-016-1038-3
Agnihotri R, Gaur S. Rheumatoid arthritis in the elderly and its relationship with periodontitis: a review. Geriatrics & gerontology international; 2014;14(1): 8-22. https://doi.org/10.1111/ggi.12062
Erdil F, Bayraktar, N. Yaşlı bireylerde kas-iskelet sorunlarına yönelik hemşirelik yaklaşımları. Florence Nightingale Journal of Nursing; 2010;18(2): 106-113.
Chou RC, Kane M, Ghimire S, et al. Treatment for rheumatoid arthritis and risk of Alzheimer’s disease: a nested case-control analysis. CNS drugs; 2016;30: 1111-1120. https://doi.org/10.1007/s40263-016-0374-z
Conigliaro P, Triggianese P, De Martino E, et al. Challenges in the treatment of rheumatoid arthritis. Autoimmunity reviews; 2019;18(7): 706-713. https://doi.org/10.1016/j.autrev.2019.05.007
Garner S, Lopatina E, Rankin JA, et al. Nurse-led care for patients with rheumatoid arthritis: a systematic review of the effect on quality of care. The Journal of rheumatology; 2017;44(6): 757-765. https://doi.org/10.3899/jrheum.160535
Primdahl J, Sørensen J, Horn HC, et al. Shared care or nursing consultations as an alternative to rheumatologist follow-up for rheumatoid arthritis outpatients with low disease activity—patient outcomes from a 2-year, randomised controlled trial. Annals of the rheumatic diseases; 2014;73(2): 357-364. https://doi.org/10.1136/annrheumdis-2012-202695
Ndosi M, Lewis M, Hale C, et al. The outcome and cost-effectiveness of nurse-led care in people with rheumatoid arthritis: a multicentre randomised controlled trial. Annals of the rheumatic diseases; 2014;73(11): 1975-1982. https://doi.org/10.1136/annrheumdis-2013-203403
Walsh DA, McWilliams DF. Mechanisms, impact and management of pain in rheumatoid arthritis. Nature Reviews Rheumatology; 2014;10(10): 581-592. https://doi.org/10.1038/nrrheum.2014.64
McWilliams DF, Walsh DA. Pain mechanisms in rheumatoid arthritis. Clin exp rheumatol; 2017;35(107): 94-101.
Gioia C, Lucchino B, Tarsitano MG, et al. Dietary habits and nutrition in rheumatoid arthritis: can diet influence disease development and clinical manifestations?. Nutrients; 2020;12(5): 1456. https://doi.org/10.3390/nu12051456
Hu Y, Sparks JA, Malspeis S, et al. Long-term dietary quality and risk of developing rheumatoid arthritis in women. Annals of the rheumatic diseases; 2017;76(8): 1357-1364. https://doi.org/10.1136/annrheumdis-2016-210431
Metsios GS, Kitas GD. Physical activity, exercise and rheumatoid arthritis: effectiveness, mechanisms and implementation. Best practice & research Clinical rheumatology; 2018;32(5): 669-682. https://doi.org/10.1016/j.berh.2019.03.013
Veldhuijzen van Zanten JJ, Rouse PC, Hale ED, et al. Perceived barriers, facilitators and benefits for regular physical activity and exercise in patients with rheumatoid arthritis: a review of the literature. Sports medicine; 2015;45: 1401-1412. https://doi.org/10.1007/s40279-015-0363-2
Dykes PC, Burns Z, Adelman J, et al. Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. JAMA network open; 2020;3(11): e2025889-e2025889. doi:10.1001/jamanetworkopen.2020.25889
Torii M, Hashimoto M, Hanai A, et al. Prevalence and factors associated with sarcopenia in patients with rheumatoid arthritis. Modern Rheumatology; 2019;29(4): 589-595. https://doi.org/10.1080/14397595.2018.1510565
Lu B, Solomon DH, Costenbader KH, et al. Alcohol consumption and risk of incident rheumatoid arthritis in women: a prospective study. Arthritis & rheumatology; 2014;66(8): 1998-2005. DOI:10.1002/art.38634
Liu X, Tedeschi SK, Barbhaiya M, et al. Impact and timing of smoking cessation on reducing risk of rheumatoid arthritis among women in the nurses’ health studies. Arthritis care & research; 2019;71(7): 914-924. https://doi.org/10.1002/acr.23837
Referanslar
Radu AF, Bungau SG. Management of rheumatoid arthritis: an overview. Cells; 2021; 10(11): 2857. https://doi.org/10.3390/cells10112857
Aletaha D, Smolen JS. Diagnosis and management of rheumatoid arthritis: a review. Jama; 2018;320(13): 1360-1372. doi:10.1001/jama.2018.13103
Weyand CM, Goronzy J. The immunology of rheumatoid arthritis. Nature immunology; 2021;22(1): 10-18. https://doi.org/10.1038/s41590-020-00816-x
Alivernini S, Firestein GS, McInnes IB. The pathogenesis of rheumatoid arthritis. Immunity; 2022;55(12): 2255-2270. https://doi.org/10.1016/j.immuni.2022.11.009
Scherer HU, Häupl T, Burmester GR. The etiology of rheumatoid arthritis. Journal of autoimmunity; 2020;110: 102400. https://doi.org/10.1016/j.jaut.2019.102400
Romão VC, Fonseca JE. Etiology and risk factors for rheumatoid arthritis: a state-of-the-art review. Frontiers in medicine; 2021;8: 689698. https://doi.org/10.3389/fmed.2021.689698
Alam J, Jantan I, Bukhari SNA. Rheumatoid arthritis: recent advances on its etiology, role of cytokines and pharmacotherapy. Biomedicine & pharmacotherapy; 2017;92: 615-633. https://doi.org/10.1016/j.biopha.2017.05.055
Furst DE, Emery P. Rheumatoid arthritis pathophysiology: update on emerging cytokine and cytokine-associated cell targets. Rheumatology; 2014;53(9): 1560-1569. https://doi.org/10.1093/rheumatology/ket414
Adami G, Saag KG. Osteoporosis pathophysiology, epidemiology, and screening in rheumatoid arthritis. Current rheumatology reports; 2019;21: 1-10. https://doi.org/10.1007/s11926-019-0836-7
Volkov M, van Schie KA, van der Woude D. Autoantibodies and B Cells: The ABC of rheumatoid arthritis pathophysiology. Immunological reviews; 2020;294(1): 148-163. https://doi.org/10.1111/imr.12829
Rocha SDB, Baldo DC, Andrade LEC. Clinical and pathophysiologic relevance of autoantibodies in rheumatoid arthritis. Advances in Rheumatology; 2019;59: 2. https://doi.org/10.1186/s42358-018-0042-8
Jutley GS, Latif ZP, Raza K. Symptoms in individuals at risk of rheumatoid arthritis. Best Practice & Research Clinical Rheumatology; 2017;31(1): 59-70. https://doi.org/10.1016/j.berh.2017.09.016
Michaud K, Pope J, van de Laar M, et al. Systematic literature review of residual symptoms and an unmet need in patients with rheumatoid arthritis. Arthritis care & research; 2021;73(11): 1606-1616. https://doi.org/10.1002/acr.24369
Kourilovitch M, Galarza-Maldonado C, Ortiz-Prado E. Diagnosis and classification of rheumatoid arthritis. Journal of autoimmunity; 2014;48: 26-30. https://doi.org/10.1016/j.jaut.2014.01.027
van Nies JA, Tsonaka R, Gaujoux-Viala C, et al. Evaluating relationships between symptom duration and persistence of rheumatoid arthritis: does a window of opportunity exist? Results on the Leiden early arthritis clinic and ESPOIR cohorts. Annals of the rheumatic diseases; 2015;74(5): 806-812. https://doi.org/10.1136/annrheumdis-2014-206047
Soulis G, Kotovskaya Y, Bahat G, et al. Geriatric care in European countries where geriatric medicine is still emerging. European Geriatric Medicine; 2021;12, 205-211. https://doi.org/10.1007/s41999-020-00419-7
Wressle E and Törnvall E. Comprehensive geriatric assessment in Swedish acute geriatric settings. International Journal of Health Care Quality Assurance; 2019;32(4), 752-764. https://doi.org/10.1108/IJHCQA-05-2018-0130
Puts MT and Alibhai SM. Fighting back against the dilution of the Comprehensive Geriatric Assessment. Journal of Geriatric Oncology; 2018;9(1), 3-5. https://doi.org/10.1016/j.jgo.2017.08.009
Morley JE. The future of geriatrics. The journal of nutrition, health & aging; 2020;24, 1-2. https://doi.org/10.1007/s12603-019-1308-5
Atmış V, Bahşi R, Öztorun HS, et al. Public awareness of geriatrics in the 50th year of geriatrics in Turkey. Eur J Geriatr Gerontol; 2019;1(1), 24-28. DOI: 10.4274/ejgg.galenos.2019.35
Palmer K and Onder G. Comprehensive geriatric assessment: benefits and limitations. European journal of internal medicine; 2018;54, e8-e9. https://doi.org/10.1016/j.ejim.2018.02.016
Achterberg WP, Cameron ID, Bauer JM., et al. Geriatric rehabilitation—state of the art and future priorities. Journal of the American Medical Directors Association; 2019;20(4), 396-398. https://doi.org/10.1016/j.jamda.2019.02.014
Ouchi Y, Rakugi H, Arai H, et al. Redefining the elderly as aged 75 years and older: Proposal from the Joint Committee of Japan Gerontological Society and the Japan Geriatrics Society. Geriatr Gerontol Int; 2017;17(7), 1045-1047. doi: 10.1111/ggi.13118
Vetrano DL, Foebel AD, Marengoni A, et al. Chronic diseases and geriatric syndromes: The different weight of comorbidity. European journal of internal medicine; 2016;27, 62-67. https://doi.org/10.1016/j.ejim.2015.10.025
Upadhya B, Pisani B, Kitzman DW. Evolution of a geriatric syndrome: pathophysiology and treatment of heart failure with preserved ejection fraction. Journal of the American Geriatrics Society; 2017;65(11), 2431-2440. https://doi.org/10.1111/jgs.15141
Alonso Salinas GL, Sanmartin M, Pascual Izco M, et al. The role of frailty in acute coronary syndromes in the elderly. Gerontology; 2018;64(5), 422-429. https://doi.org/10.1159/000488390
Cleutjens F, Boonen A, van Onna, MGB. Geriatric syndromes in patients with rheumatoid arthritis: a literature overview. Clin Exp Rheumatol; 2019;37(3): 496-501.
Serhal L, Lwin MN, Holroyd C, et al. Rheumatoid arthritis in the elderly: characteristics and treatment considerations. Autoimmunity reviews; 2020;19(6): 102528. https://doi.org/10.1016/j.autrev.2020.102528
Kobak S, Bes C. An autumn tale: geriatric rheumatoid arthritis. Therapeutic advances in musculoskeletal disease; 2018;10(1): 3-11. https://doi.org/10.1177/1759720X17740075
van Onna M, Boonen A. The challenging interplay between rheumatoid arthritis, ageing and comorbidities. BMC musculoskeletal disorders; 2016;17: 1-9. https://doi.org/10.1186/s12891-016-1038-3
Agnihotri R, Gaur S. Rheumatoid arthritis in the elderly and its relationship with periodontitis: a review. Geriatrics & gerontology international; 2014;14(1): 8-22. https://doi.org/10.1111/ggi.12062
Erdil F, Bayraktar, N. Yaşlı bireylerde kas-iskelet sorunlarına yönelik hemşirelik yaklaşımları. Florence Nightingale Journal of Nursing; 2010;18(2): 106-113.
Chou RC, Kane M, Ghimire S, et al. Treatment for rheumatoid arthritis and risk of Alzheimer’s disease: a nested case-control analysis. CNS drugs; 2016;30: 1111-1120. https://doi.org/10.1007/s40263-016-0374-z
Conigliaro P, Triggianese P, De Martino E, et al. Challenges in the treatment of rheumatoid arthritis. Autoimmunity reviews; 2019;18(7): 706-713. https://doi.org/10.1016/j.autrev.2019.05.007
Garner S, Lopatina E, Rankin JA, et al. Nurse-led care for patients with rheumatoid arthritis: a systematic review of the effect on quality of care. The Journal of rheumatology; 2017;44(6): 757-765. https://doi.org/10.3899/jrheum.160535
Primdahl J, Sørensen J, Horn HC, et al. Shared care or nursing consultations as an alternative to rheumatologist follow-up for rheumatoid arthritis outpatients with low disease activity—patient outcomes from a 2-year, randomised controlled trial. Annals of the rheumatic diseases; 2014;73(2): 357-364. https://doi.org/10.1136/annrheumdis-2012-202695
Ndosi M, Lewis M, Hale C, et al. The outcome and cost-effectiveness of nurse-led care in people with rheumatoid arthritis: a multicentre randomised controlled trial. Annals of the rheumatic diseases; 2014;73(11): 1975-1982. https://doi.org/10.1136/annrheumdis-2013-203403
Walsh DA, McWilliams DF. Mechanisms, impact and management of pain in rheumatoid arthritis. Nature Reviews Rheumatology; 2014;10(10): 581-592. https://doi.org/10.1038/nrrheum.2014.64
McWilliams DF, Walsh DA. Pain mechanisms in rheumatoid arthritis. Clin exp rheumatol; 2017;35(107): 94-101.
Gioia C, Lucchino B, Tarsitano MG, et al. Dietary habits and nutrition in rheumatoid arthritis: can diet influence disease development and clinical manifestations?. Nutrients; 2020;12(5): 1456. https://doi.org/10.3390/nu12051456
Hu Y, Sparks JA, Malspeis S, et al. Long-term dietary quality and risk of developing rheumatoid arthritis in women. Annals of the rheumatic diseases; 2017;76(8): 1357-1364. https://doi.org/10.1136/annrheumdis-2016-210431
Metsios GS, Kitas GD. Physical activity, exercise and rheumatoid arthritis: effectiveness, mechanisms and implementation. Best practice & research Clinical rheumatology; 2018;32(5): 669-682. https://doi.org/10.1016/j.berh.2019.03.013
Veldhuijzen van Zanten JJ, Rouse PC, Hale ED, et al. Perceived barriers, facilitators and benefits for regular physical activity and exercise in patients with rheumatoid arthritis: a review of the literature. Sports medicine; 2015;45: 1401-1412. https://doi.org/10.1007/s40279-015-0363-2
Dykes PC, Burns Z, Adelman J, et al. Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. JAMA network open; 2020;3(11): e2025889-e2025889. doi:10.1001/jamanetworkopen.2020.25889
Torii M, Hashimoto M, Hanai A, et al. Prevalence and factors associated with sarcopenia in patients with rheumatoid arthritis. Modern Rheumatology; 2019;29(4): 589-595. https://doi.org/10.1080/14397595.2018.1510565
Lu B, Solomon DH, Costenbader KH, et al. Alcohol consumption and risk of incident rheumatoid arthritis in women: a prospective study. Arthritis & rheumatology; 2014;66(8): 1998-2005. DOI:10.1002/art.38634
Liu X, Tedeschi SK, Barbhaiya M, et al. Impact and timing of smoking cessation on reducing risk of rheumatoid arthritis among women in the nurses’ health studies. Arthritis care & research; 2019;71(7): 914-924. https://doi.org/10.1002/acr.23837
