Impact of Patient Education on the Satisfaction of Rheumatoid Arthritis Patients: A Randomized Trial of Nurse-led Versus Medical Docter-led Education.
10.4078/jrd.2016.23.2.109
- Author:
Soo Kyung CHO
1
;
Dam KIM
;
Jeongim CHOI
;
Seung LEE
;
Ga Eun BAE
;
Hyeon Kyung KIM
;
Dasomi YOO
;
Yoon Kyoung SUNG
Author Information
1. Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea. sungyk@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Rheumatoid arthritis;
Patient education;
Patient satisfaction
- MeSH:
Arthritis, Rheumatoid*;
Education*;
Humans;
Patient Education as Topic*;
Patient Satisfaction;
Quality of Life;
Random Allocation
- From:Journal of Rheumatic Diseases
2016;23(2):109-117
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To examine the impact of patient education (PE) on patients' satisfaction in rheumatoid arthritis (RA) and to compare nurse-led education with medical doctor (MD)-led education. METHODS: Patients were enrolled by categorizing in two groups, nurse-led and MD-led education, randomization was performed. Face-to-face education was conducted two times, and changes in patient satisfaction before and after PE were assessed using the visual analogue scale (VAS; 0 to100 mm) and patients' satisfaction questionnaire (PSQ). Changes in patients' reported outcomes (PRO) were measured using disease activity score with 28 joint-erythrocyte sedimentation rate (DAS28-ESR), health assessment questionnaire (HAQ), and European quality of life-5 dimension (EQ-5D). Changes in patients' satisfaction and PRO between before and after PE were compared using paired t-test, and the comparison between nurse-led and MD-led education was analyzed using independent t-test. RESULTS: A total of 120 patients, 60 patients from each group, were randomized to receive either nurse-led or MD-led education. Among them, 113 patients completely received education and final assessment. In total patients, patients' satisfaction was significantly increased from 87.8±13.1 mm to 92.3±8.8 mm in VAS (p<0.01), and from 3.7±0.4 to 4.0±0.4 in PSQ (p<0.01). There was no improvement in DAS28-ESR, HAQ, but there was mild improvement in quality of life (QOL) after PE. Improvement of patients' satisfaction by PSQ after nurse-led education was 0.4±0.4 and it was higher than 0.3±0.5 after MD-led education, but it was not statistically different (p=0.25). CONCLUSION: PE for RA patients improved patients' satisfaction and QOL. Nurse-led education showed comparable improvement in patients' satisfaction with MD-led education.