الفهرس 
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Abstract
Summary
Rheumatoid arthritis (RA) is a chronic, systemic
autoimmune disease characterized by inflammation of
connective tissue, typically with periods of remission and
exacerbation. An autoimmune disorder, rheumatoid arthritis
occurs when the immune system mistakenly attacks the own
body’s tissues. In addition to causing joint problems, sometimes
can affect other organs of the body such as the skin, eyes, lungs
and blood vessels.
Patients’ education is a dynamic, integrated and
multifaceted teaching-learning process in which the nurse and
patient work together to change patients’ behaviors through
their functional status with medical instruction. Health
education is an independent function of nursing practice and a
primary nursing responsibility. All nursing care is directed
toward promoting, maintaining, and restoring health, preventing
complications, and helping patients adapt to the residual effect
of illness. Many of these nursing activities are accomplished
through patients’ education.
Nurses in their role as teachers are challenged to focus on
the educational needs of patients with rheumatoid arthritis and
providing them specific health education which is important
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because it includes the following benefits: affects the abilities
of patients and their families to perform important self- care
activities, promoting their knowledge and functional status at
home and in the community, reducing health care costs by
preventing complication.
Aim of the study:
The aim of this study was to determine the effect of
educational program on knowledge and functional status of
patients with rheumatoid arthritis.
Research hypothesis:
The current study hypothesized that:
Educational program will positively affect the
knowledge of patients with rheumatoid arthritis
Educational program will positively affect functional
status of patients with rheumatoid arthritis
Study design:
A quasi experimental design was utilized to meet the aim of
the study.
Setting:
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The study was conducted at rheumatoid outpatient clinic and
rehabilitation department of Ain Shames University Hospital,
affiliated to Ain Shams University
Subjects:
A purposive sample of 115 patients with rheumatoid
arthritis from the rheumatoid outpatient clinic and
rehabilitation department of Ain Shams University Hospital
was recruited for conducting this study.
Study tools:
1. Patients’ demographic and clinical characteristics sheet :
This sheet was developed by the researcher in Arabic
language to assess patients’ socio-demographic and clinical
characteristic. It consists of two parts:
First part: concerned with patient’s demographic data.
Second part: concerned with medical history of patients.
2. Rheumatoid arthritis knowledge assessment questionnaire:
This questionnaire used to assess patients’ knowledge
regarding rheumatoid arthritis and therapeutic regiment pre, post
and 3 month post the educational program. It was developed by
the researcher in Arabic language based on reviewing of recent
related literatures.
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3. Health assessment questionnaire sheet (HAQ)
This tool was used to assess functional ability for patients with
rheumatoid arthritis pre, post and three month after implementation of
the educational program.
Results of this study showed that:
- The present study revealed that there was highly statistically
significant difference between number of patients’ with
satisfactory level of knowledge about rheumatoid arthritis
before and after implementation of educational program,
particularly, knowledge related to self care strategies
- There were non significant differences between patient’s
knowledge regarding diagnostic measures, before
and after implementation of educational program.
- There was highly statistically significant differences between
the mean and standerd deviation of functional
status items scores concerning personal hygiene,
grooming, self-care activities, general activities,
occupational activities and recreational activities
for the study sample pre and post implementation
of educational program.
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991
-There are non significant differences between the mean and
standard deviation of functional status items scores
concerning eating and toileting.
This study concluded that:
Application of educational program regarding rheumatoid
arthritis has positive effect on improving knowledge of
patients with rheumatoid arthritis.
Application of educational program has positive effect on
improving all aspects of functional status.
The study recommended that
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991
Replication of the current study on a larger probability
sample is recommended to achieve generalization of the
results and wider utilization of the designed program.
Setup a project that aims to improve patient care by
implementing evidence based practice.
Health education for patients with rheumatoid arthritis
through mass media concerning.