The effect of an educational programme consisting of group and individual arthritis education for patients with polyarthritis鈥擜 randomised controlled trial

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• 作者：Kjersti Grø ; nning^a ; ^b ; ^{Kjersti.Gronning@ntnu.no} ; Johan F. Skomsvoll^b ; ^c ; Toril Rannestad^d ; Aslak Steinsbekk^a
• 关键词：Patient education ; Self-efficacy ; Health behaviours ; Arthritis
• 刊名：Patient Education and Counseling
• 出版年：2012
• 期刊代码：217_07383991
• 类别：med
• 出版时间：July, 2012
• 卷：88
• 期：1
• 页码：113-120
• 文件大小：387 K

摘要

Objective

The aim of this study was to investigate the effect of an educational programme for patients with polyarthritis compared to usual care.

Methods

Patients with rheumatoid arthritis, psoriatic arthritis and unspecified polyarthritis were randomised to the intervention (n = 71) or usual care (n = 70). The intervention consisted of three group educational sessions followed by one individual educational session. The primary outcomes were a patient's global well-being and arthritis self-efficacy. Secondary outcomes were patient activation, physical and psychological health status, educational needs and disease activity.

Results

After four months the intervention group had significantly better global well-being, 95%CI (2.3-14.1), p = 0.01, and self-efficacy, 95%CI (0.2-8.1), p = 0.04, than the control group. There were also trends for improved disease activity, and a statistically significant improvement in patient activation and pain in the intervention group.

Conclusion

This patient educational programme consisting of group sessions and nurse-delivered individual education has statistically significant benefits for global well-being and maintaining a level of self-efficacy in managing other symptoms in patients with polyarthritis.

Practice implications

This educational programme allows patients to learn from each other in addition to addressing individual educational needs.