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Factors of importance for reducing fatigue in persons with rheumatoid arthritis: a qualitative interview study

Artikel i vetenskaplig tidskrift
Författare Caroline Feldthusen
Kaisa Mannerkorpi
Publicerad i BMJ Open
Volym 9
Nummer/häfte 5
ISSN 2044-6055
Publiceringsår 2019
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering
Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Språk en
Länkar dx.doi.org/10.1136/bmjopen-2018-028...
Ämnesord physical-activity, resistance exercise, centered care, classification, consequences, intensity, strength, barriers, benefits, criteria, General & Internal Medicine
Ämneskategorier Reumatologi och inflammation

Sammanfattning

Objective Physical activity plays an important role in the treatment of persons with rheumatoid arthritis (RA) and is the non-pharmacological intervention with the strongest evidence to reduce fatigue. However, physical activity can be challenging for persons who are fatigued. The aim of this study was to investigate factors of importance for reducing fatigue in persons with RA. Design This is a qualitative interview study based on semistructured, indepth individual interviews. Interviews were analysed using qualitative content analysis. Participants Participants were 12 people with RA recruited from a previous randomised controlled trial of a person-centred treatment model focusing on health-enhancing physical activity and daily balance to lessen fatigue in persons with RA. Results The analysis resulted in one theme: an intellectual and embodied understanding that sustainable physical activity is important to handle fatigue. This included five categories describing barriers and facilitating factors for sustainable physical activity: mentally overcoming the fatigue in order to be active, making exercise easy, reaching for balance, receiving support to be physically active and dealing with RA disease to be physically active. Conclusion The participants in this study expressed that physical activity was important in handling fatigue, but also that this insight could only come from personal experience. The use of a person-centred ethic in physiotherapy coaching for patients with fatigue appears to promote sustainable physical activity behaviours by facilitating patients' resources to overcome barriers to physical activity.

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