title: [Comparison between ambulatory or stationary treatment systems for patients with rhematoid arthritis with reference to the development of the family situation].
abstract: The evaluation of a detailed questionaire which was issued to 44 German female rheumatoid arthritis patients (family mothers) who underwent "Kur" treatment courses and a comparable group of Dutch patients who had ambulatory treatment only shows little advantage to the "Kur" system). The "Kur" patients had adjusted somewhat better to their illness and had retained more easily the extra-familial social contacts. In contrast, statistically significant advantages were clearly evident in the Dutch ambulatory treatment programm: 1. Over-all reduction in "feeling ill" 2. Reduced stress in association with the objectively reduced joint mobility 3. Reduced stress in association with pain 4. The support of the patient by immediate family members and other relatives is generally better 5. Better patient support possibilities by family friends 6. Reduced negative effects on family life 7. Reduced disruptive effects in relationships between the patients and their husbands and children 8. Higher degree of satisfaction with physicians and the treatment.
  
  
  CONCLUSIONS
  Even if national behavioral differences are taken into consideration, the ambulatory system as practiced in Holland seems to hold significant advantages to the "Kur" system.
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000592:standards*; D001172:Arthritis, Rheumatoid / Q000628:therapy*; D001294:Attitude to Health; D005190:Family; D005260:Female; D005860:Germany, West; D006294:Health Resorts / Q000592:standards*; D006801:Humans; D008875:Middle Aged; D009426:Netherlands; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires
vernacular_title: Vergleich des ambulanten und des Kurbeha ndlungs-systems für chronische Polyarthritiker im H inblick auf die Entwicklung der familiären Situation.