Modern Rheumatology (2021).
Association of health-related quality of life with self-management and satisfaction of relationship with healthcare professionals in female patients with rheumatoid arthritis
Emi Matsuura, Tomoki Origuchi, Miwa Hamasaki
Objectives We explored associations between health-related quality of life (QOL) with self-management and satisfaction with relationships with medical professionals among female rheumatoid arthritis (RA) patients. Methods Female RA outpatients completed anonymized self-reported questionnaires. Their confidence in self-managing different aspects of RA and satisfaction with relationships with medical professionals were assessed using a visual analog scale. Multiple regression analysis was performed to identify factors correlated with health-related QOL. Results Valid responses were received from 145 subjects. Mean PCS and MCS scores were 43.0 and 50, respectively, suggesting that female RA patients experience reduced QOL despite low disease activity, without perceiving difficulties in their daily lives. PCS scores correlated negatively with modified Health Assessment Questionnaire (mHAQ) scores, and MCS scores correlated positively with stress self-management and patient–provider satisfaction, but negatively with mHAQ scores. PCS and MCS scores were not significantly influenced by demographic or clinical characteristics including age, disease duration, Steinbrocker stage (or class), or biologic use. Conclusions To improve health-related QOL in these patients, we must establish good patient–provider relationships and personalize strategies based on physical and mental conditions, enabling normal daily living. We should help achieve functional and social remission by improving their confidence in self-managing their disease.