Psychological Process and Therapeutic Behavior of Patients with Early Rheumatoid Arthritis from Onset

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  • 早期関節リウマチ患者の発症以降の心理過程と療養行動
  • ソウキ カンセツ リウマチ カンジャ ノ ハッショウ イコウ ノ シンリ カテイ ト リョウヨウ コウドウ

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The purposes of this study is to elucidate the psychological process and therapeutic behavior of patients with early rheumatoid arthritis (early RA) from the onsets. Semi-structured interviews in a qualitative inductive study were conducted among nine patients (1 male, 8 female).<br> As a result, 12 state-of-mind categories were found in the early RA patients. They are "No concern about RA, only knowing its name" , "Worry about unknown symptoms" , "Anxiety for terrible pains" , "Inconvenience in daily life and role conflict" , "Shock of the onset of RA" , "Fear for prognosis suggested by other patients with early RA" , "Denial of suffering from RA" , "Happiness of encountering with a good physician and a therapy suitable to patient" , "Relief from pain caused inconvenience" , "Positive mind on medical treatment" , "Worry about the future" and "Hope for the future". They went through complicated psychological processes, gradually accepted their disorders, and began to exhibit their own therapeutic behavior. To care the patients with early RA requires patient education and other care-providing intervention appropriate for their psychological process.

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