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MR Vol.10 No.3 indexに戻る
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MODERN RHEUMATOLOGY
Vol.10 No.3 |
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The relationship between fatigue, coping behavior,
and inflammation in patients with rheumatoid arthritis |
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| T. Koike1, K. Kazuma2, S. Kawamura3 |
(1)Department of Adult Nursing, Nursing Science,
School of Allied Health Sciences, Tokyo Medical and Dental University,
1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
(2)Department of Adult Nursing/Terminal and Long-term Care Nursing, Graduate
School of Medicine, University of Tokyo, Tokyo, Japan
(3)School of Nursing, Tokyo Metropolitan University of Health Sciences, Arakawa-ku,
Tokyo, Japan |
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| Abstract |
| Abstract This research investigated the relationships
among the severity of inflammation, the extent of fatigue, and fatigue
symptoms, and the relationship between fatigue and coping behavior
in patients with rheumatoid arthritis (RA). Our study group consisted
of 177 female patients with RA (105 women with CRP > 0.5 mg/dl
and ESR > 30 mm/h (inflammatory group) and 72 women with CRP o
0.5 and ESR o 30 (noninflammatory group)) and 81 age-matched healthy
women (control group) who were given self-assessment questionnaires.
The extent of fatigue was higher in the inflammatory group than in
the noninflammatory and control groups. The characteristics of fatigue
symptoms in the inflammatory group were "decline in the strength
to carry on the activities of daily life" and "difficulty
in performing daily activity." The patients in the inflammatory
group adopted a technique of "reducing the burden on the body" as
a pattern of coping behavior for reducing fatigue. The extent of
fatigue and fatigue symptoms perceived by RA patients is strongly
related to the severity of inflammation, and these patients adopt
a coping behavior in response to the extent of fatigue and subjective
symptoms. |
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| Key words |
| Key words Fatigue ・ Coping behavior ・ Inflammation
・ Rheumatoid arthritis |
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