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Related Experiment Video

Updated: Mar 6, 2026

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Exploring Changes in Family Functioning: A Qualitative Study of Patients with Rheumatoid Arthritis.

Hossein Sadeghnezhad1, Hakimeh Sabeghi1, Seyyed Abolfazl Vagharseyyedin1

  • 1Department of Nursing, Faculty of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran.

Patient Preference and Adherence
|March 5, 2026
PubMed
Summary

Rheumatoid arthritis (RA) significantly impacts family functioning, reducing independence and causing financial strain. Understanding these changes is crucial for developing effective family-centered care and support systems for patients with RA.

Keywords:
chronic diseasefamilyqualitative researchrheumatoid arthritis

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Area of Science:

  • Rheumatology
  • Family Studies
  • Qualitative Research

Background:

  • Rheumatoid arthritis (RA) is a chronic inflammatory disease impacting physical, psychological, and familial well-being.
  • Family functioning is central to caregiving, especially in cultures with strong family ties.
  • Limited research exists on specific changes in family functioning due to RA.

Purpose of the Study:

  • To explore patients' lived experiences and perceptions of changes in family functioning caused by Rheumatoid Arthritis (RA).

Main Methods:

  • Conventional content analysis of data from 19 purposively selected participants in Iran.
  • Face-to-face, semi-structured, in-depth interviews were conducted until data saturation.
  • Data analysis utilized the Graneheim and Lundman approach with MAXQDA software.

Main Results:

  • Six primary categories of change in family functioning emerged.
  • These include reduced functional independence, compromised marital and parenting roles, increased financial burden, social activity restrictions, and psychological distress.
  • Patients reported significant disruption to family dynamics due to RA.

Conclusions:

  • Rheumatoid arthritis profoundly disrupts family functioning, particularly in cultures like Iran with strong caregiving traditions.
  • Findings underscore the necessity for family-centered interventions and psychosocial support.
  • Health policies should address both patient care and overall family well-being.