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FRI0143 The Effectiveness of Educational Programs for Patients with Early Ankylosing Spondylitis in Clinical Practice
  1. S. Lapshina1,
  2. L. Myasoutova1,2,
  3. R. Abdrakipov3,
  4. R. Mukhina4,
  5. M. Sadykov5
  1. 1Kazan State Medical University
  2. 2Rheumatology department, City Clinical Hospital 7
  3. 3Rheumatology department, Republic Clinical Hospital
  4. 4Rheumatology department
  5. 5Clinical Hospital 7, Kazan, Russian Federation


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

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

Methods Main group: 25 patients with a documented AS, disease duration less than 5 years and ra diological stage no more than 2, were trained in schools for patients 4 times (2 in the first month and 2 every 2 months). The issues of the importance of regular exercises, physical therapy, continuous administration of non-steroidal anti-inflammatory drugs (NSAIDs), the need for monitoring at the rheumatologist were discussed. Control group: 25 patients received information about their disease only during rheumatologist consultation. The groups were matched for sex, age, duration of symptoms, disease activity, appointed drug therapy. At baseline and after 6 months BASDAI, ASDAS, BASFI, WPAI, regularity of exercises and commitment to treatment were determined.

Results After 6 months of the training BASDAI decreased by 2,9±0,2 points in the main group and 1,6±0,3 points in the control group (p<0,05), BASFI at 1,9±0,3 score - main group, 1,01±0,3 control group (p<0,05), ASDAS decreased by 1,91±0,35 in the group trained and 123±0,26 in the control group (p<0,05). After 6 months, 80% patients achieved improvement criteria ASAS40, 44% patients - partial remission (main group) against 48.0% and 14% respectively in the control, p<0.05. After 6 months, the proportion of patients, who regularly perform physical exercises in the study group increased by 4 times and amounted to 84% of patients, in the control group - 2 times and amounted to 44%. In the study group 76% of the patients constantly used NSAIDs, regardless of pain, in the control group 36% of patients received NSAIDs on request only. WPAI was 32.4% at baseline in training patients, after 6 months - 20.6%, in the control group - 30.4% at baseline and 25.8% at 6 months, respectively.

Dynamics in patients who have received training was more important, which determined to significant differences between groups for most indicators (p<0.05).

Conclusions Educational program for patients with early AS, increases compliance to treatment and contributes to a better implementation of the recommendations of the doctor, which helps to control disease activity, to achieve remission, improves functional status and performance of patients with AS.

Disclosure of Interest None declared

DOI 10.1136/annrheumdis-2014-eular.5558

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