Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.
Patient Educ Couns. 2012 Jul;88(1):113-20. doi: 10.1016/j.pec.2011.12.011. Epub 2012 Jan 23.
The aim of this study was to investigate the effect of an educational programme for patients with polyarthritis compared to usual care.
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.
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.
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.
This educational programme allows patients to learn from each other in addition to addressing individual educational needs.
本研究旨在探讨关节炎患者教育计划与常规护理相比的效果。
将类风湿关节炎、银屑病关节炎和未特指的多关节炎患者随机分为干预组（n=71）和常规护理组（n=70）。干预组包括三次小组教育课程和一次个别教育课程。主要结局指标为患者的整体幸福感和关节炎自我效能感。次要结局指标为患者的激活程度、身体和心理健康状况、教育需求和疾病活动度。
四个月后，干预组的整体幸福感显著优于对照组，95%CI（2.3-14.1），p=0.01，自我效能感也显著优于对照组，95%CI（0.2-8.1），p=0.04。干预组的疾病活动度也有改善的趋势，患者激活程度和疼痛方面有统计学意义的改善。
这种由小组课程和护士提供的个别教育组成的患者教育计划对多关节炎患者的整体幸福感和维持管理其他症状的自我效能水平有统计学意义的益处。
该教育计划允许患者相互学习，同时满足个人教育需求。
