Relationships among Pain, Stress, Fatigue, and Quality of Life in Adolescents with SLE

Main Article Content

Supattana Sakdisthanont
yupawadee tasako
Pulsuk Siripul

Abstract

Adolescents with SLE suffer from various symptoms caused by their illness. The top three most common symptoms are pain, stress, and fatigue. These symptoms may affect the quality of life as a whole. To date, the study of relationships among these symptoms and the quality of life in adolescents was not found. This research aimed to study the relationships between pain, stress, fatigue and quality of life in adolescents with SLE. The sample consisted of 102 adolescents with SLE, aged 10-19 years old, were visited the outpatient department at two tertiary hospitals in Khon Kaen province. Data were collected using previous pain assessment, stress assessment, fatigue assessment, and quality of life assessment scales. Data were analyzed using descriptive statistics, and Pearson’s product moment correlation coefficients. Result showed that the pain was negatively correlated with the quality of life in adolescents with SLE (r =-.29, p=.003). The stress had negative relationship with the quality of life in adolescents with SLE (r = -.34, p=.000). The fatigue had negative relationship with the quality of life in adolescents with SLE (r = -.59, p=.000). This research suggests that nurses should focus on reducing pain, stress, and fatigue, in order to improve the quality of life
in adolescents with SLE.

Downloads

Download data is not yet available.

Article Details

How to Cite
Sakdisthanont, S., tasako, yupawadee, & Siripul, P. (2020). Relationships among Pain, Stress, Fatigue, and Quality of Life in Adolescents with SLE. Thai Journal of Nursing and Midwifery Practice, 7(1), 104–117. Retrieved from https://he02.tci-thaijo.org/index.php/apnj/article/view/241941
Section
Research Article

References

Harry O, Yasin S, Brunner H. Childhood-onset systemic lupus erythematosus: A review and update. J Pediatr 2018; (96): 22-30.

Aggarwal A, Srivastava P. Childhood onset systemic lupus erythematosus: How is it different from adult SLE. Int J Rheum Dis 2015; 18(2): 182-191.

Chiewthanakul P, Sawanyawisuth K, Foocharoen C, Tiamkao S. Clinical features and predictive factors in neuropsychiatric lupus. Asian Pac J Allergy 2012; 30(1): 55-60.

Medical records and statistics, Srinagarind Hospital. (unpublished manuscript). Data and statistics of SLE in 2016-2019. (n.d.). (In Thai)

Medical records and statistics, Khon Kaen Hospital. (unpublished manuscript). Data and statistics of SLE in 2016-2019. (n.d.). (In Thai)

Potts NL., Mandleco BL. Pediatric nursing: caring for children and their families. 3rd ed. New York: Delmar;2012.

Sakdisthanont S, Siripul P. Meaning of illness in adolescents with SLE. J Nurs Sci & Health 2008; 31(1): 18-29. (In Thai)

Siripul P, Sakdisthanont S, Tipmom W. Self-management in adolescents with systemic lupus erythematosus. J Nurs Sci & Health 2018; 41(2): 11-19. (In Thai)

Sakdisthanont S, Siripul P. Needs of adolescents with SLE disease. J Nurs Sci & Health 2014; 37(3): 18-26. 22. (In Thai)

Levy MD, Kamphuis S. Systemic lupus erythematosus in children and adolescents. Pediatr Clin North Am 2012; 59(2): 345- 364.

Ahn GE, Ramsey-Goldman R. Fatigue in systemic lupus erythematosus. Int J Clin Rheumtol 2012; 7(2): 217-227.

McElhone K, Abbott J, Gray J, Williams A, Teh LS. Patient perspective of systemic lupus erythematosus in relation to health-related quality of life concepts: A qualitative study. Lupus 2010; 19(14): 1640- 1647.

Lenz ER, Pugh LC, Milligan RA, Gift AG, Suppe F. The middle-range theory of unpleasant symptoms: An update. Adv Nurs Sci 1997;19(3):14-27.

Olesinska M, Saletra A. Quality of life in systemic lupus erythematosus and its’ measurement. Reumatology 2018;56(1):45–54.

Knight A, Weiss P, Morales K, Gerdes M, Gutstein et al. Depression and anxiety and their association with healthcare utilization in pediatric lupus and mixed connective tissue disease patients: a cross-sectional study. Pediatr Rheumatol 2014;12(1):1- 12.

Hewlett S, Chalder T, Choy E, Cramp F, Davis et al. Fatigue in rheumatoid arthritis: time for a conceptual model. Rheumatology 2010;50(6): 1004–1006.

Donnelly C, Cunningham N, Jones JT, Ji L, Brunner HI, Kashikar-Zuck S. Fatigue and depression predict reduced health-related quality of life in childhood-onset lupus. Lupus 2017;27(1):124- 133.

Gholizadeh S, Azizoddin DR, Mills SD, Zamora G, Potemra HMK, Hirz AE, et al. Body image mediates the impact of pain on depressive symptoms in patients with systemic lupus erythematosus. Lupus 2019; 28:1148–1153.

Hanrop S, Puwarawuttipanit W, Sriyuktasuth A, Sritippayawan S. Symptom experiences, management strategies, and functional status in lupus nephritis patients. J Nurs Sci 2015;33(4):65-75. (In Thai).

Thaipanich A, Wongchinsri J, Auamnoy T, Hemachudha A. Factors associating with

systemic lupus erythematosus disease activity. Thai Pharm Health Sci J. 2008; 3(2):237-244. (In Thai)

Khiewgnam K. Factors associated with disease relapse in lupus nephritis patients. Bangkok: Chulalongkorn University; 2013. (In Thai)

Sakdisthanont S. Self -health management program for adolescent with SLE. Khon Kaen: Khon Kaen University. 2010. (In Thai)

Moorthy LN, Harrison MJ, Peterson M, Onel KB, Lehman T JA. Relationship of quality of life and physical function measures with disease activity in children with systemic lupus erythematosus. Lupus 2005;14(4): 280-287.

Nangphet P, Muensri B, Manasurakarn J. Adaptational Behaviors of Patients with Systemic Lupus Erythematosus. The proceeding of The 8th National and International Academic Hat Yai Conference 22 June 2017, Hat Yai University, Thailand. p 39-48; 2017. (In Thai)

Parinyavutichai S, Pongsupat P. Factors associated with systemic lupus erythematosus patients’ quality of life. Siriraj Nursing Journal (online). 2007; 1(1) January-June. 1-12. Retrieved from https:// www2.si.mahidol.ac.th/division/nursing/sins/ attachments/article/28/sins-journal-2550-01_ page1-12.pdf. 20 May; 2020. (In Thai)

Klayhlung S. Quality of life of adolescents with systemic lupus erythematosus at King Chulalongkorn. Bangkok: Chulalongkorn University; 2011. (In Thai)

Tipmom W, Siripul P, Sakdisthanont S. Relations among selected factors, self-management and quality of life in adolescents with SLE. J Nurs Sci & Health 2016; 39(3) (July-September). 98-108. (In Thai)

Salehi-Abari I. ACR/SLICC revised criteria for diagnosis of systemic lupus erythematosus. Autoimmune Dis Ther Approaches (open access) 2015;2(1):1-4.

Jirawatkul A. Statistics for health science research. Bangkok; Wittayapat;2005. (In Thai)

Al-Omari AI, Jemain AA, Ibrahim K. New ratio estimators of the mean using simple random sampling and ranked set sampling methods. Rev Investig Oper 2009;30(2):97-108.

Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983;385-396.

Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale: Application to patients with multiple sclerosis and systemic lupus erythematosus.Arch Neurol J 1989;46(10):1121– 1123.

Anirut P. Development and validation of a disease-specific health-related quality of life measure for Thai adolescents with systemic lupus erythematosus. Bangkok: Chulalongkorn University;2008. (In Thai)

Williams EM, Bruner L, Penfield M, Kamen D, Oates JC. Stress and depression in relation to functional health behaviors in African American patients with systemic lupus erythematosus. Rheumatology 2014; (4): 22-3.

Samart C. Fatigue experience, management strategies and psychological well-being among children with systemic lupus erythematosus. Mahidol University/ Bangkok. 2010. (In Thai)