Efficiency of teaching patients with early-stage rheumatoid arthritis
Education programs are an important part of the management of patients with rheumatoid arthritis (RA).Objective: to develop a unified model of an education program for RA patients and to evaluate its efficiency at the early stage of the disease.Material and methods. A group education program was wor...
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IMA-PRESS LLC
2014-12-01
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| Series: | Современная ревматология |
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| Online Access: | https://mrj.ima-press.net/mrj/article/view/571 |
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| author | Evgenia Vladislavovna Orlova D. E. Karateev |
| author_facet | Evgenia Vladislavovna Orlova D. E. Karateev |
| author_sort | Evgenia Vladislavovna Orlova |
| collection | DOAJ |
| description | Education programs are an important part of the management of patients with rheumatoid arthritis (RA).Objective: to develop a unified model of an education program for RA patients and to evaluate its efficiency at the early stage of the disease.Material and methods. A group education program was worked out with the support of the All-Russian public organization of the disabled “The Russian rheumatology organization “Nadezhda” (Hope)” and encompassed 4 daily classes lasting 90 min. All information was presented by a multidisciplinary team of specialists (rheumatologists, a cardiologist, a psychologist, a physiotherapist, and a physical trainer). The study included 55 patients with early RA (89.1% of women aged 18 to 62 years; the duration of the disease was 2 to 22 months); of them 25 were taught using the education program (a study group); 30 received drug therapy only (a control group). Following 3 and 6 months, the number of tender and swollen joints, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and pain were determined applying a 100-ml VAS, DAS28, HAQ, and RAPID3. Adherence to non-drug treatments was assessed employing a special patient questionnaire.Results. Three and six months after being taught, two patient groups showed increases in adherence to joint protection methods by 13 and 10 times (p<0.01), regular physical training by 4 and 3.25 times (p<0.01), uses of orthoses for the wrist joint by 2 times and 75% (p<0.01) and knee orthoses by 33.3 and 50.0% (p<0.01), and orthopedic insoles by 71.4 and 57.1% (p<0.01), respectively. Following 6 months, there were statistically significant differences between the two groups in most parameters (p<0.05), except for ESR, CRP, and DAS28 (p>0.05). Further more, a good response to treatment was significantly more common in these periods, as shown by the EULAR response criteria (DAS28): 56.3% versus 40% in the control group (p<0.05).Conclusion. The education program decreases the intensity of pain syndrome and improves the functional status and quality of life of patients with early RA within 6 months. Patient education enhances adherence to non-drug treatments. The highest positive result was achieved just 3 months later; it slightly tailed off at 6 months. This necessitates re-education in succeeding 3–6 months. |
| format | Article |
| id | doaj-art-3423427648134d1396d09dd0b755bd40 |
| institution | Kabale University |
| issn | 1996-7012 2310-158X |
| language | Russian |
| publishDate | 2014-12-01 |
| publisher | IMA-PRESS LLC |
| record_format | Article |
| series | Современная ревматология |
| spelling | doaj-art-3423427648134d1396d09dd0b755bd402025-08-20T03:44:10ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2014-12-0184253210.14412/1996-7012-2014-4-25-321872Efficiency of teaching patients with early-stage rheumatoid arthritisEvgenia Vladislavovna Orlova0D. E. Karateev1V.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyEducation programs are an important part of the management of patients with rheumatoid arthritis (RA).Objective: to develop a unified model of an education program for RA patients and to evaluate its efficiency at the early stage of the disease.Material and methods. A group education program was worked out with the support of the All-Russian public organization of the disabled “The Russian rheumatology organization “Nadezhda” (Hope)” and encompassed 4 daily classes lasting 90 min. All information was presented by a multidisciplinary team of specialists (rheumatologists, a cardiologist, a psychologist, a physiotherapist, and a physical trainer). The study included 55 patients with early RA (89.1% of women aged 18 to 62 years; the duration of the disease was 2 to 22 months); of them 25 were taught using the education program (a study group); 30 received drug therapy only (a control group). Following 3 and 6 months, the number of tender and swollen joints, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and pain were determined applying a 100-ml VAS, DAS28, HAQ, and RAPID3. Adherence to non-drug treatments was assessed employing a special patient questionnaire.Results. Three and six months after being taught, two patient groups showed increases in adherence to joint protection methods by 13 and 10 times (p<0.01), regular physical training by 4 and 3.25 times (p<0.01), uses of orthoses for the wrist joint by 2 times and 75% (p<0.01) and knee orthoses by 33.3 and 50.0% (p<0.01), and orthopedic insoles by 71.4 and 57.1% (p<0.01), respectively. Following 6 months, there were statistically significant differences between the two groups in most parameters (p<0.05), except for ESR, CRP, and DAS28 (p>0.05). Further more, a good response to treatment was significantly more common in these periods, as shown by the EULAR response criteria (DAS28): 56.3% versus 40% in the control group (p<0.05).Conclusion. The education program decreases the intensity of pain syndrome and improves the functional status and quality of life of patients with early RA within 6 months. Patient education enhances adherence to non-drug treatments. The highest positive result was achieved just 3 months later; it slightly tailed off at 6 months. This necessitates re-education in succeeding 3–6 months.https://mrj.ima-press.net/mrj/article/view/571ранний ревматоидный артритобучение пациентовобразовательная программа |
| spellingShingle | Evgenia Vladislavovna Orlova D. E. Karateev Efficiency of teaching patients with early-stage rheumatoid arthritis Современная ревматология ранний ревматоидный артрит обучение пациентов образовательная программа |
| title | Efficiency of teaching patients with early-stage rheumatoid arthritis |
| title_full | Efficiency of teaching patients with early-stage rheumatoid arthritis |
| title_fullStr | Efficiency of teaching patients with early-stage rheumatoid arthritis |
| title_full_unstemmed | Efficiency of teaching patients with early-stage rheumatoid arthritis |
| title_short | Efficiency of teaching patients with early-stage rheumatoid arthritis |
| title_sort | efficiency of teaching patients with early stage rheumatoid arthritis |
| topic | ранний ревматоидный артрит обучение пациентов образовательная программа |
| url | https://mrj.ima-press.net/mrj/article/view/571 |
| work_keys_str_mv | AT evgeniavladislavovnaorlova efficiencyofteachingpatientswithearlystagerheumatoidarthritis AT dekarateev efficiencyofteachingpatientswithearlystagerheumatoidarthritis |