Stoilova Stefka, Geneva-Popova Mariela, Popova-Belova Stanislava
Department of Health Care Management, Faculty of Public Health, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria.
Department of Propaedeutics of Internal Diseases, Faculty of Medicine, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria.
J Clin Med. 2025 Jul 9;14(14):4854. doi: 10.3390/jcm14144854.
To evaluate the role of nurses in self-management interventions for chronic inflammatory arthritis (CIA). Key areas of interest included the following: (1) providing education on self-injection techniques for biologic disease-modifying antirheumatic drugs (bDMARDs), (2) promoting healthy lifestyles, and (3) supporting mental health. Patients' satisfaction with the care received was also examined. A cross-sectional study involving CIA patients, rheumatologists, and nurses was conducted. Participants assessed nurses' competence in areas such as training for bDMARD self-injection, lifestyle guidance, and emotional support. Satisfaction scores and preferences in managing side effects were also analyzed. The participants expressed high confidence in the nurses' ability to support CIA self-management. The patients rated the nurses significantly higher than doctors in training for self-injection ( = 0.002) and offering guidance on nutrition and healthy habits ( = 0.002). Although it was not a statistically significant difference, the patients also showed stronger trust in the nurses' ability to provide psychological and emotional support. Most patients (93.0%) would contact a rheumatologist in case of side effects; 35.5% would seek a nurse. The patients attended by both a doctor and nurse reported significantly higher satisfaction compared to those seen only by a rheumatologist ( < 0.001). Both the doctors and nurses acknowledged the importance of the nurse-patient relationship for effective care ( = 0.527). The findings highlight the critical role of nurses in patient education-particularly in training for self-injection and promoting a healthy lifestyle and mental well-being. Their involvement is strongly associated with higher patient satisfaction and contributes significantly to the overall effectiveness of care in CIA management.
评估护士在慢性炎症性关节炎（CIA）自我管理干预中的作用。主要关注领域包括：（1）提供关于生物性改善病情抗风湿药物（bDMARDs）自我注射技术的教育，（2）促进健康的生活方式，以及（3）支持心理健康。还考察了患者对所接受护理的满意度。开展了一项涉及CIA患者、风湿病学家和护士的横断面研究。参与者评估了护士在bDMARD自我注射培训、生活方式指导和情感支持等方面的能力。还分析了满意度得分以及在管理副作用方面的偏好。参与者对护士支持CIA自我管理的能力表示高度信任。在自我注射培训（P = 0.002）以及提供营养和健康习惯指导方面（P = 0.002），患者对护士的评分显著高于医生。尽管这并非具有统计学意义的差异，但患者在护士提供心理和情感支持的能力方面也表现出更强的信任。大多数患者（93.0%）在出现副作用时会联系风湿病学家；35.5%会寻求护士的帮助。与仅由风湿病学家诊治的患者相比，由医生和护士共同诊治的患者报告的满意度显著更高（P < 0.001）。医生和护士都承认护患关系对有效护理的重要性（P = 0.527）。研究结果突出了护士在患者教育中的关键作用——尤其是在自我注射培训以及促进健康的生活方式和心理健康方面。他们的参与与更高的患者满意度密切相关，并对CIA管理中护理的整体有效性做出了重大贡献。
