AB1393-HPR COMPARISON OF THE QUALITY OF LIFE, FUNCTIONAL AND EMOTIONAL STATUS OF INPATIENTS AND OUTPATIENTS WITH RHEUMATIC DISEASES

Background Quality of life, function and emotional status of inpatients with rheumatic diseases may be estimated worse than outpatients. Previous studies had shown that there was a worsening in the emotional state of inpatients (1). Objectives The aim of this study is to compare the quality of life, functional and emotional status in inpatients and outpatients with rheumatic diseases. Methods The study included 78 patients (inpatient, n = 31; outpatient, n = 47) with rheumatic disease. The Health Assessment Questionnaire (HAQ) (2) and SF-36 (3) were used to evaluate the functionality and quality of life, and the Hospital Anxiety and Depression Scale (HADS) (4) was used to determine their emotional status. The variables were investigated using visual and analytical methods to determine whether or not they are normally disturbed. Since physical function, mental health and general health perception values of SF-36 and HADS-Anxiety were normally distributed, the Students T-test was used to compare these parameters between two groups. Physical role limitation, pain, social status, emotional difficulty, energy viability of SF-36, HAQ and HADS-Depression were not normally distributed. Thus, Mann-Whitney U test was used to compare these scores between two groups. Results The mean age of the subjects (n = 78) included in the study was 46.09 13.89 years and the mean BMI was 27.59 15.08. There was a significant difference in depression, anxiety and pain and social functioning sub-parameters of SF-36 (p <0.005) but there was no significant difference in other parameters (p> 0.005). Abstract AB1393HPR Table 1 Comparison of the scores of inpatients and outpatients INPATIENTS (XSD) OUTPATIENTS (XSD) p HAQ 0,930,82 0,890,68 0,152 HADS-Anxiety 9,873,8 8,215 0,022 HADS-Depression 9,935,02 7,474,34 0,006 SF-36 Physical Function 47,9428,42 48,3623,81 0,669 SF-36 Physical Role Limitation 27,533,7 27,6336,2 0,869 SF-36 Pain 33,6632,28 54,0721,42 0,011 SF-36 Social Status 39,5828,63 55,0627,09 0,032 SF-36 Mental Health 6121,8 62,7316,08 0,761 SF-36 Emotional Difficulty 31,1038,08 33,3243,83 0,717 SF-36 Energy Vitality 30,8320,63 43,2820,86 0,317 SF-36 General Health Perception 36,1621,68 47,4716,15 0,393 Conclusion It was thought that during the period of admission to the hospital, inpatients should be supported in terms of pain management, social functioning and anxiety and, depression as well as taking medication. Besides, caregivers in hospitals should encourage inpatients with regard to maintaining physical activity. References [1] Lambert, C. M. , Hurst, N. P., Forbes, J. F. , Lochhead, A. , Macleod, M. , & Nuki, G. (1998). Is day care equivalent to inpatient care for active rheumatoid arthritis? Randomised controlled clinical and economic evaluation. Bmj, 316(7136), 965-969. [2] Fries JF, Spitz PW, Young DY: The dimensions of health outcomes: the Health Assessment Questionnaire, Disability and Pain Scales. J Rheumatol 9:789-793, 1982 [3] Brazier, J. E. , Harper, R. , Jones, N. M. , O’cathain, A. , Thomas, K. J., Usherwood, T. , & Westlake, L. (1992). Validating the SF-36 health survey questionnaire: new outcome measure for primary care. Bmj, 305(6846), 160-164. [4] Zigmond, A. S. , & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta psychiatrica scandinavica, 67(6), 361-370. Disclosure of Interests None declared