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THU0467-HPR A standardized educational program directed to patients for self-care promotion can be equally effective in patients with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), ankylosing spondylitis (AS)
  1. L. Cano-García1,
  2. R. Navas-Fernández2,
  3. F.G. Jiménez-Nuñez1,
  4. I. Ureña1,
  5. S. Manrique1,
  6. C.M. Romero-Barco1,
  7. V. Rodríguez-García1,
  8. L. Nieves-Martín1,
  9. M. Ά. Belmonte-Lόpez1,
  10. V. Coret1,
  11. M.C. Ordόñez1,
  12. M.V. Irigoyen1,
  13. A. Fernández-Nebro1
  1. 1Reumathology, Hospital Regional Universitario Carlos Haya.Universidad de Málaga
  2. 2Rehabilitation, Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain

Abstract

Objectives To evaluate the results of a standardized educational intervention to improve the quality of life related to health (HRQL), physical function, adherence and pain perception in 3 diagnostic groups (RA, SLE, AS).

Methods Design: Uncontrolled open intervention. Patients: 30 RA (ACR criteria), 30 AS (ASAS criteria) and 23 SLE (ACR criteria) followed in the Rheumatology Service, HRUCH. Intervention: Training Group activity was provided by a nurse, an occupational therapist and a physiotherapist. The main topics were: (1) what is the AR/AE/SLE? (2) The treatment; (3) Promoting healthy behaviours and joint protection; (4) non-pharmacological management of pain; (5) Physical activity; and (6) Technical aids for daily living. Outcomes and variables: HRQL was assessed with EQ-5D and SF-36, the perception of pain and patient disease assessment with a VAS (0-100), physical function by HAQ for RA and SLE, HAQ-AS for AS, the adherence by Moriski-Green test, the chronic pain with chronic pain coping questionnaire (CAD-R). All variables ere collected before educational activity and after 3 months. Statistical analysis: Comparison between diagnostic groups of quantitative variables was performed by ANOVA one factor.

Results A total of 83 patients were studied: 30 with RA (83.3% women), 23 with SLE (100% women) and 30 with AS (33.3% women). The intervention improved the HRQL expressed as EQ-5D (p<0.001), EQ-5D health VAS (p<0.001) and mental component SF-36 (p=0.006). There was improvement in VAS pain (p=0.012), VAS disease (p=0.028) and CAD-R (p<0.001) also in all patients. Although there were no differences in CAD-R of diagnostic subgroups, a difference in VAS pain at baseline (p=0.019) and after 3 months (p=0.038) between AS and RA (p=0.044) was detected (in favour of AS). Patients with HAQ-AS post-intervention improved more than HAQ of SLE-patients (p<0.005). No differences for diagnosis were detected in Moriski-Green test.

Conclusions This standardized educational program directed to patients with AS, RA and SLE for self-care promotion produce an improvement quite homogeneous in all patients independent their diagnosis.

Disclosure of Interest None Declared

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