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OP0287 The Effectiveness of Educational Programs for Patients with Ankylosing Spondylitis in Clinical Practice
  1. L. Myasoutova1,
  2. S. Lapshina1,
  3. Z. Nigmatullina2
  1. 1Kazan State Medical University
  2. 2Clinical City Hospital #7, Kazan, Russian Federation

Abstract

Background An effective and long-term treatment of ankylosing spondylitis (AS) is not possible without active participation of the patient in the process, which requires educational programs.

Objectives To assess the effectiveness of educational activities for patients with AS.

Methods Main group: 43 patients with a documented diagnosis of AS have been trained in the school of patients 5 times (3 in the first month and 2 every 2 months). The importance of regular exercises, physical therapy, continuous administration of non-steroidal anti-inflammatory drugs was discussed. Control group: 40 patients received information about disease only during a rheumatologist consultation. The groups were associated by sex, age, duration of symptoms, disease activity, medications. At baseline and after 6 months BASDAI, ASDAS, BASFI indexes, overall labor productivity according to the questionnaire WPAI, evaluated regular exercises and commitment to treatment were determined

Results After 6 months of training BASDAI decreased by 2,1 ± 0,23 points in the main group and 1,4 ± 0,28 points in the control group (p <0,05), BASFI at 1,7 ± 0,31 points, the main group, 0,99 ± 0,34 a control group (p <0,05), ASDAS decreased by 1,74 ± 0,32 in the group trained on 1, 31 ± 0,29 in the control group (p <0.05). After 6 months of improvement achieved by criteria ASAS40 - 54,5% treatment group vs. 30.0% in controls, p <0.05. After 6 months, the proportion of patients who regularly perform physical exercise and / or the swimming pool, in the intervention group increased by 3.4 times and amounted to 79.1% of patients in the control group - 1.7 times and amounted to 37.5%. In the study group 74.4% of patients continually used NSAIDs, regardless of pain, in the control group 30% of patients constantly used NSAIDs, and the rest only on request. The overall decline in labor productivity (WPAI) was 30.2% at baseline, 6 months after the patient education, it was 21.7%. in the control group, WPAI was 29.4% at baseline and 25.2% after 6 months respectively.

The dynamics in the group of patients who have received training was more significant that has defined significant differences between the groups in most parameters (p <0.05).

Conclusions Educational programs for patients increase compliance to treatment, helps to control the activity of the disease, improves functional status and performance of patients with AS.

Disclosure of Interest None Declared

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