‘It’s this whole picture, this well-being’: patients’ understanding of ‘feeling well’ with rheumatoid arthritis

Sanderson, T., Morris, M., Calnan, M., Richards, P. and Hewlett, S. (2010) ‘It’s this whole picture, this well-being’: patients’ understanding of ‘feeling well’ with rheumatoid arthritis. Chronic Illness, 6 (3). pp. 228-240. ISSN 1742-3953

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Publisher's URL: http://dx.doi.org/10.1177/1742395310377672

Abstract

Objectives: The aim of this study was to explore the meaning of ‘feeling well’ for people with rheumatoid arthritis (RA). Methods: In-depth interviews were conducted with 23 RA patients, purposively sampled for medication type, disease duration, disease activity, age and gender. Data were analysed using Framework, emphasizing participants’ personal contexts. Results: Well-being was viewed as a broad concept, with ‘feeling well’ being the result of an on-going process to actively engage with a changing body, self and life. Four dimensions emerged: ‘Living in the body’, ‘Being in the mind’, ‘Adapting to illness’ and ‘Being in the world’. The physical impact of RA underpinned the global perception of well-being and was clearly described as linking to the experience of psychological well-being. Physical and psychological wellness was often affected by the individual’s adaptation to RA and personal context (e.g. home environment, broader social attitudes). Discussion: Well-being is a multidimensional concept that is meaningful to RA patients regardless of medication type and disease severity. Patients commonly illustrated a process of actively engaging in cognitive and behavioural adjustments to move towards wellness. Clinical practice and research must take account of the complexity of wellbeing in long-term conditions, in order to fulfil patients’ expectations.

Item Type:Article
Uncontrolled Keywords:well-being, rheumatoid arthritis, patient perspective, qualitative
Faculty/Department:Faculty of Health and Applied Sciences > Department of Health and Social Sciences
Faculty of Health and Applied Sciences > Department of Nursing and Midwifery
ID Code:11275
Deposited By: Dr T. Sanderson
Deposited On:27 Oct 2010 14:38
Last Modified:09 Oct 2013 17:20

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