Effects of Individual Education Using a Treating-to-target Strategy in Patients with Rheumatoid Arthritis.
10.4078/jrd.2018.25.4.255
- Author:
Seung In PAEK
1
;
Seung Min JUNG
;
Jennifer LEE
;
Seung Ki KWOK
;
Wan Uk KIM
;
Sung Hwan PARK
;
Ji Hyeon JU
;
Kyeong Yae SOHNG
Author Information
1. Department of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Rheumatoid arthritis;
Patient education;
Quality of life
- MeSH:
Arthritis, Rheumatoid*;
Counseling;
Education*;
Fatigue;
Follow-Up Studies;
Humans;
Nursing, Practical;
Patient Education as Topic;
Quality of Life;
Telephone
- From:Journal of Rheumatic Diseases
2018;25(4):255-262
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To examine effects of an individual education program using the treating rheumatoid arthritis to target (RA T2T) strategy in patients with moderate-severe rheumatoid arthritis. METHODS: Patients were assigned randomly to an educational intervention (n=33) or conventional care group (n=33). The intervention was a nurse-delivered 9-month educational program consisting of 3 monthly sessions and monthly telephone counseling. The assessments occurred at the baseline and every 3 months in both groups, but only the intervention group completed the 9-month education follow-up. The outcome variables included the disease activity (DAS28), functional disability (KHAQ), fatigue (FACIT-Fatigue), and quality of life (SF-36). Repeated measures ANOVA and a Bonferroni multiple comparison were used to evaluate the outcome variables comparing the groups and follow-up times. RESULTS: Significant interactions were observed between the groups and follow-up times in the disease activity (p=0.041), fatigue (p=0.042), and physical (p=0.006) and mental (p=0.031) health-related quality of life, but there was no significant interaction in the functional disability (p=0.110). Significant differences were noted between the groups at the 9-month period (p=0.048) in disease activity and fatigue, and at the 6-month (p=0.023) and 9-month periods (p=0.027) in the physical health-related quality of life. CONCLUSION: This education program using the RA T2T strategy had significant benefits on the disease activity, fatigue, and quality of life in patients with moderate to severe rheumatoid arthritis, and the results suggested that this contributed to positive clinical outcomes as a good practical nursing intervention.
