Fatigue in Egyptian patients with rheumatic diseases: a qualitative study

Health and Quality of Life Outcomes

Laure Gossec¹  Amal Abdul-Sattar²  Mohamed Mortada² 

[1] Department of rheumatology, Sorbonne Universités, UPMC Univ Paris 06, Institut Pierre Louis d’Epidémiologie et de Santé Publique; AP-HP, Pitié Salpêtrière Hospital, Paris, F-75013, France;Rheumatology & Rehabilitation Department, Zagazig University, Faculty of Medicine, 28 Qawmeia street, Zagazig, Egypt

关键词: Qualitative study;    Quality of life;    Patient perspective;    Fatigue;    Fibromyalgia;    Rheumatoid arthritis;   

Others  :  1224703
DOI  :  10.1186/s12955-015-0304-7

 received in 2014-12-27, accepted in 2015-07-14,  发布年份 2015

【 摘 要 】

Objectives

Fatigue is frequent in rheumatic diseases. Fatigue expression and consequences may be modified by cultural differences. Our objective was to increase the understanding of the fatigue experience and characteristics among Egyptian, Muslim patients with rheumatic diseases.

Methods

Prospective monocentric qualitative study based on conventional qualitative content analysis, inductive reasoning, grounded theory. Egyptian patients with rheumatoid arthritis (RA), fibromyalgia or axial spondyloarthritis (AxSpA) were asked about fatigue, its patterns, consequences and self-management.

Results

Of the 60 patients interviewed, 20 patients had each disease (RA, fibromyalgia and AxSpA); median ages ranged from 34 to 40 years. Patients were mainly male (N = 40, 66 %), had 3 to 7 years (mean) of disease duration and had moderate disease activity. Some aspects of the patients’ experience of fatigue may be specific to the Egyptian and Muslim culture such as the description of fatigue as a physical more than a mental impact of the disease, the response to the effect of fatigue on sexual function and the gender specific (women more than men) limitation of social activities due to fatigue which was more obvious in our study than other previous studies. Other aspects of patients’ experience of fatigue like overlap between the patients’ perception of fatigue and pain and coping strategies were similar to the findings in previous studies.

Conclusion

This study gives insights regarding fatigue in rheumatic diseases in an Arabic and Muslim culture. Similarities and differences with previous studies were noted and should be taken into account when assessing these patients.

【 授权许可】

   
2015 Mortada et al.

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