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Alternate Warm and Cold Therapy (AWCT) on Uricemia, Sleep, Pain, Functional Ability, and Quality of Life (USPFQoL) in Patients with Gout: A Path Forward

OBJECTIVE: To understand the impact of alternate warm and cold therapy (AWCT) on uricemia, sleep, pain, functional ability, and quality of life in gout patients. METHODS: A quasiexperimental, nonequivalent control group, pre and posttest design was adopted among 120 gout patients. The data were coll...

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Autores principales: Paulsamy, Premalatha, Venkatesan, Krishnaraju, Alshahrani, ShadiaHamoud, Ahmad, Fazil, El-Sherbiny, Mohamed, Manoharan, Vani, Periannan, Kalaiselvi, Ahmed, RashaElsayed, Prabahar, Kousalya, mamiru teressa, Dawit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8926540/
https://www.ncbi.nlm.nih.gov/pubmed/35310195
http://dx.doi.org/10.1155/2022/5471575
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author Paulsamy, Premalatha
Venkatesan, Krishnaraju
Alshahrani, ShadiaHamoud
Ahmad, Fazil
El-Sherbiny, Mohamed
Manoharan, Vani
Periannan, Kalaiselvi
Ahmed, RashaElsayed
Prabahar, Kousalya
mamiru teressa, Dawit
author_facet Paulsamy, Premalatha
Venkatesan, Krishnaraju
Alshahrani, ShadiaHamoud
Ahmad, Fazil
El-Sherbiny, Mohamed
Manoharan, Vani
Periannan, Kalaiselvi
Ahmed, RashaElsayed
Prabahar, Kousalya
mamiru teressa, Dawit
author_sort Paulsamy, Premalatha
collection PubMed
description OBJECTIVE: To understand the impact of alternate warm and cold therapy (AWCT) on uricemia, sleep, pain, functional ability, and quality of life in gout patients. METHODS: A quasiexperimental, nonequivalent control group, pre and posttest design was adopted among 120 gout patients. The data were collected on demographics, comorbidities, pain level, joint swelling/joint tenderness, patient global assessment of response to treatment (PGART), health-related quality of life (HRQoL) with SF-36, sleep quality by Pittsburgh Sleep Quality Index (PSQI), and serum uric acid and assessed. Descriptive and inferential statistics were used to analyze the data. RESULTS: Patients had mean age of 58 and 61 years, mean number of comorbidities was 1.8 and 1.4, as well as presence of arthritic comorbidities except gout was 1.1 and 0.8 among study and control group participants, respectively. Pain (p < 0.001), PGART (p=−0.01), HRQoL, sleep quality, and level of SUA (mg/dl) improved significantly (p < 0.01) among the study group over study periods. It affirms that the AWCT is effective in reducing pain, functional disability, and SUA, as well as improving the sleep quality and HRQoL of the gout patients. There was a reduced incidence of gout flares (p < 0.001), and taking additional medicines for pain (p < 0.01) was statistically significant among study participants. Except social functioning, other domains of health were significantly (p < 0.05) affected by the comorbidities like hypertension, diabetes, heart disease, renal disease, and asthma/chronic obstructive pulmonary disease. CONCLUSIONS: Gout is independently associated with higher medical and arthritic comorbidity, and AWCT can be better and cost-effective alternative therapy for gout patients. In addition, it may lead to improved cardiac function, hypertension, and renal insufficiency.
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spelling pubmed-89265402022-03-17 Alternate Warm and Cold Therapy (AWCT) on Uricemia, Sleep, Pain, Functional Ability, and Quality of Life (USPFQoL) in Patients with Gout: A Path Forward Paulsamy, Premalatha Venkatesan, Krishnaraju Alshahrani, ShadiaHamoud Ahmad, Fazil El-Sherbiny, Mohamed Manoharan, Vani Periannan, Kalaiselvi Ahmed, RashaElsayed Prabahar, Kousalya mamiru teressa, Dawit J Healthc Eng Research Article OBJECTIVE: To understand the impact of alternate warm and cold therapy (AWCT) on uricemia, sleep, pain, functional ability, and quality of life in gout patients. METHODS: A quasiexperimental, nonequivalent control group, pre and posttest design was adopted among 120 gout patients. The data were collected on demographics, comorbidities, pain level, joint swelling/joint tenderness, patient global assessment of response to treatment (PGART), health-related quality of life (HRQoL) with SF-36, sleep quality by Pittsburgh Sleep Quality Index (PSQI), and serum uric acid and assessed. Descriptive and inferential statistics were used to analyze the data. RESULTS: Patients had mean age of 58 and 61 years, mean number of comorbidities was 1.8 and 1.4, as well as presence of arthritic comorbidities except gout was 1.1 and 0.8 among study and control group participants, respectively. Pain (p < 0.001), PGART (p=−0.01), HRQoL, sleep quality, and level of SUA (mg/dl) improved significantly (p < 0.01) among the study group over study periods. It affirms that the AWCT is effective in reducing pain, functional disability, and SUA, as well as improving the sleep quality and HRQoL of the gout patients. There was a reduced incidence of gout flares (p < 0.001), and taking additional medicines for pain (p < 0.01) was statistically significant among study participants. Except social functioning, other domains of health were significantly (p < 0.05) affected by the comorbidities like hypertension, diabetes, heart disease, renal disease, and asthma/chronic obstructive pulmonary disease. CONCLUSIONS: Gout is independently associated with higher medical and arthritic comorbidity, and AWCT can be better and cost-effective alternative therapy for gout patients. In addition, it may lead to improved cardiac function, hypertension, and renal insufficiency. Hindawi 2022-03-09 /pmc/articles/PMC8926540/ /pubmed/35310195 http://dx.doi.org/10.1155/2022/5471575 Text en Copyright © 2022 Premalatha Paulsamy et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Paulsamy, Premalatha
Venkatesan, Krishnaraju
Alshahrani, ShadiaHamoud
Ahmad, Fazil
El-Sherbiny, Mohamed
Manoharan, Vani
Periannan, Kalaiselvi
Ahmed, RashaElsayed
Prabahar, Kousalya
mamiru teressa, Dawit
Alternate Warm and Cold Therapy (AWCT) on Uricemia, Sleep, Pain, Functional Ability, and Quality of Life (USPFQoL) in Patients with Gout: A Path Forward
title Alternate Warm and Cold Therapy (AWCT) on Uricemia, Sleep, Pain, Functional Ability, and Quality of Life (USPFQoL) in Patients with Gout: A Path Forward
title_full Alternate Warm and Cold Therapy (AWCT) on Uricemia, Sleep, Pain, Functional Ability, and Quality of Life (USPFQoL) in Patients with Gout: A Path Forward
title_fullStr Alternate Warm and Cold Therapy (AWCT) on Uricemia, Sleep, Pain, Functional Ability, and Quality of Life (USPFQoL) in Patients with Gout: A Path Forward
title_full_unstemmed Alternate Warm and Cold Therapy (AWCT) on Uricemia, Sleep, Pain, Functional Ability, and Quality of Life (USPFQoL) in Patients with Gout: A Path Forward
title_short Alternate Warm and Cold Therapy (AWCT) on Uricemia, Sleep, Pain, Functional Ability, and Quality of Life (USPFQoL) in Patients with Gout: A Path Forward
title_sort alternate warm and cold therapy (awct) on uricemia, sleep, pain, functional ability, and quality of life (uspfqol) in patients with gout: a path forward
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8926540/
https://www.ncbi.nlm.nih.gov/pubmed/35310195
http://dx.doi.org/10.1155/2022/5471575
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