Self-management of rheumatoid arthritis

  Rheumatoid arthritis (RA) is a common clinical rheumatic disease characterized by chronic, symmetric, erosive polyarthritis. Repeated uncontrolled joint inflammation can cause joint cartilage and bone destruction, eventually leading to joint deformity and loss of function, and can involve various organs of the body such as lungs, heart, and gastrointestinal tract, causing serious consequences and greatly affecting the quality of life of patients. Early diagnosis, standardized, comprehensive and individualized treatment is the key to early remission of rheumatoid arthritis. Among them, strict and effective self-management plays a pivotal role in the treatment process of rheumatoid patients.  The prerequisite for effective self-management – confidence: Many people refer to rheumatoid arthritis as an “undead cancer”, which is a one-sided statement. Although rheumatoid arthritis is a chronic disease that cannot be cured, it can achieve complete clinical remission with standard treatment. Therefore, it is important for patients to build confidence in overcoming the disease.  The key to effective self-management – patience. This “patience” includes two levels of meaning: First, the treatment of rheumatoid arthritis is a long-term process, even if the disease has reached clinical remission, still need to take certain drugs for a long time, especially slow-acting anti-rheumatic drugs to prevent disease recurrence. The first is that rheumatoid arthritis “cure” drugs slow-acting anti-rheumatic drugs are slow to take effect, often taking 2-3 months to see significant results. If patients lack patience, eager to achieve, because the short-term improvement of the disease is not obvious and prematurely stop or change the drug will be counterproductive.  The specific implementation of self-management: (1) Balanced diet: Due to the consumption of the disease and the use of immunosuppressants inhibit the normal immune function, so patients should eat a balanced diet, appropriate high protein, high vitamin, high calcium, high iron diet, more fresh fish, green beans, tofu and olive oil, etc., to improve their nutritional status and improve resistance to disease.  (2) Avoid environmental factors that trigger the aggravation of rheumatoid arthritis: maintain proper indoor temperature and humidity, avoid humidity and cold. Avoid infection and overexertion, and lead a regular life so as not to aggravate joint symptoms.  (3) Actively participate in social activities: study, work and live normally during the remission period of joint inflammation, actively participate in social activities, and gain a sense of self-worth and satisfaction from family, friends and work.  (4) Adhere to functional exercise: The purpose of functional exercise is to relieve pain, reduce deformity and maintain joint function. Start as early as possible in the disease, persistently and gradually, so that the exercise plan is operable. Exercise is appropriate to recover strength 2 hours after activity or not feel excessive fatigue the next day. Avoid excessive activities when joint pain and swelling are obvious to avoid aggravating joint damage. Perform joint stretching exercises to avoid muscle atrophy. Kick, soak in hot springs, and walk in water to exercise joint function, but avoid activities that may aggravate joint damage such as long-time stair climbing and mountaineering.