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The experience of living with rheumatoid arthritis: A qualitative metasynthesis

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  • Giulia Parenti
  • Silvia Caterina Maria Tomaino
  • Sabrina Cipolletta

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.

Suggested Citation

  • Giulia Parenti & Silvia Caterina Maria Tomaino & Sabrina Cipolletta, 2020. "The experience of living with rheumatoid arthritis: A qualitative metasynthesis," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(21-22), pages 3922-3936, November.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:21-22:p:3922-3936
    DOI: 10.1111/jocn.15428
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    References listed on IDEAS

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    1. Sabrina Cipolletta & Giorgia Rosamaria Gammino & Arianna Palmieri, 2017. "Illness trajectories in patients with amyotrophic lateral sclerosis: How illness progression is related to life narratives and interpersonal relationships," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 5033-5043, December.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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