The experience of living with rheumatoid arthritis: A qualitative metasynthesis

Giulia Parenti, Silvia Caterina Maria Tomaino and Sabrina Cipolletta

Journal of Clinical Nursing, 2020, vol. 29, issue 21-22, 3922-3936

Abstract: Aims and objectives To develop a model of understanding of how rheumatoid arthritis (RA) affects daily life based on a third‐order interpretation of qualitative findings. Background Rheumatoid arthritis is a chronic condition subject to a progressive deterioration of joints, limiting the ability to move and causing severe impairment in patients' lives. Design A qualitative metasynthesis. Methods CINHAL, ProQuest, PsycINFO, PubMed, SCOPUS and Web of Science databases were searched for relevant studies applying appropriate criteria. Screening and selection of studies were performed following the PRISMA guidelines and the PRISMA checklist was completed. Thirty‐eight qualitative articles were retrieved: in total, 17 were excluded for failing to meet inclusion criteria, and 21 were considered for synthesis. Data analysis followed a third‐order interpretation of data for synthesising qualitative research. Results Findings led to the creation of a model consisting of two overarching categories: “rheumatoid arthritis impact on life domains” and “Confronting the illness,” and two cross‐sectional codes: “Health” and “Independence and normality.” Conclusion This meta‐study provides a model that is both inclusive of participants' own viewpoint and solidly grounded in a health psychology model. Relevance to clinical practice The model can be highly informative for both practitioners and researchers in developing tailored interventions of support and prevention.

Date: 2020
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https://doi.org/10.1111/jocn.15428

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Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:29:y:2020:i:21-22:p:3922-3936

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