Rheumatoid Arthritis, Planned Behavıor Theory And Nurse Counselıng

Examining the studies in the literature, the effect size between the experimental group and the control group was calculated and it was estimated to be around 0.70. In the experimental and control groups, a total of 68 individuals, including at least 34 individuals in both groups, should be included in the study in order to determine the difference between the groups in the power analysis calculated with 80% power and 0.05 significance. Considering that there would be individuals who could not continue to work or could not be reached afterwards, the number of required to be reached individuals was calculated as 74 individuals. In this study, the sample size was calculated with the GPower program version 3.1.

Type and Time of Research

This research is planned to be conducted as a randomized controlled experimental study.

Application of Research

In the research, the applications to be made to the control and experimental groups are explained separately:

*Control Group Intervention: After obtaining written consent from the patients who agreed to participate in the study, the patients included in the control group were asked to continue their rheumatologist follow-up and their normal lives (hospital routine, daily life). Patients in this group will fill out the "Patient Description Form, Bristol Rheumatoid Arthritis Fatigue Multidimensional Questionnaire, McGill Pain Scale Short Form, Stanford Health Evaluation Questionnaire" at the first interview. After 3 months, data collection tools other than the "Patient Identification Form" will be applied to the patients and the training guide to be prepared for Rheumatoid Arthritis patients will be given.

Experimental Group Initiative: After obtaining written consent from the patients who agreed to participate in the study, they will be asked to continue with their rheumatologist follow-up and their normal lives (hospital routine, daily life).

"Patient Description Form, Bristol Rheumatoid Arthritis Fatigue Multidimensional Questionnaire, McGill Pain Scale Short Form, Stanford Health Assessment Questionnaire" will be administered to the patients in this group at the first interview. Individual training will be given to the patient in line with the training guide prepared for the rheumatoid arthritis patient, and the guide will be shared after the training. Mutual contact information will be shared with the patient and it will be stated that he can call during the counseling period (3 months).In line with the theory of planned behavior in patients with Rheumatoid Arthritis counseling service will be provided by the researcher to the extent of the training plan prepared for symptom management. At the end of the 3rd month, the patients will be interviewed face to face and the "Bristol Rheumatoid Arthritis Fatigue Multidimensional Questionnaire, McGill Pain Scale Short Form, Stanford Health Assessment Questionnaire" will be administered again.

Criteria:

Inclusion criteria

for Research

• Between 18 and 64 years old
• Diagnosed with Rheumatoid Arthritis at least 6 months ago,
• Can communicate in Turkish and does not have a cognitive problem that prevents communication,
• No neurological or psychiatric disease without malignancy,
• Without heart failure (stages III and IV according to NYHA)
• Not pregnant,
• Able to use a telephone,
• Patients who volunteer to participate in the study will be included in the study.

Exclusion criteria

• Under 18 years old,
• Newly diagnosed, treated for less than 6 months,
• Having a malignant type of disease,
• Patients who do not volunteer to participate in the study will not be included.