Benefit of health education by a training nurse in patients with axial and/or peripheral psoriatic arthritis: A systematic literature review

Abstract

The aim of this study was to systematically review the literature available about the benefit of health education by a training nurse in patients with axial and/or peripheral psoriatic arthritis in the framework of the drawing up of the axial spondyloarthritis and psoriatic arthritis guidelines of the "Spanish Society of Rheumatology". Electronic databases (Cochrane Central Register of Controlled Trials, EMBASE, Medline/PubMed, CINAHL) were systematically searched from inception to 2014 using medical subject headings and keywords. Only articles in English, Spanish and French were included. The patients studied had to be diagnosed of psoriatic arthritis (all ages, both sexes) with axial involvement and/or peripheral arthritis who had received health education by a specialized nurse. We included in the search randomized clinical trials, cohort observational studies, descriptive studies and case series and qualitative research studies. Measured outcomes were those related to the education provided in a nursing consultation such as increased adherence to biological therapy, conducting exercises, smoking cessation and patient satisfaction. Eight studies were included, five randomized clinical trials with moderate level of quality and three intervention studies with no control group with low level of quality. Meta-analyses were not undertaken due to clinical heterogeneity. According to our results, it can be concluded that although there is little evidence on the role of a trained nurse in patients with psoriatic arthritis, this role can be beneficial to the patients because it can increase the rate of adherence to treatment prescribed by a rheumatologist, promotes patient self-management of their disease and increases patient satisfaction.

Development of generic core competences of health professionals in rheumatology: a systematic literature review informing the 2019 EULAR recommendations

“…Overall, the potentially generic competences addressed in the identified nurses’ studies2 5–7 34–72 confirm those resulting from the studies describing desired competences for HPRs from multiple professional backgrounds. However, there are some competences in the nurses’ literature that are potentially generic yet stressed to a lesser extent in the literature addressing multiple HPRs.…”

“…Finally, 79 papers were included 20 of which concerned competences of multiple HPRs,3 4 10 11 18–33 43 competences of nurses,2 5–7 34–72 12 of physical therapists73–84 and 4 of OTs 85–88. Agreement between the reviewers in the screening process and in the validation of data extraction was 90% and 93%, respectively.…”

2019 EULAR recommendations for the generic core competences of health professionals in rheumatology

“…Furthermore, agreement on 13 main themes, translated into research questions (see online supplementary table S2) was achieved and subsequently formed the basis of the SLR (see separate manuscript). In total, 79 papers were included; 20 addressed the competences HPRs of multiple professions have in common,1 3 4 9 12–27 43 the competences of nurses,28–70 12 of PTs71–82 and four of OTs 83–86. From the 20 papers addressing the competences HPRs of multiple professions have in common, 75% (n=15) had a qualitative design 1 3 4 9 12 13 15 16 18–20 23 25–27.…”

<p>Recommendation for the Management of Spondyloarthritis Patients in Kuwait</p>

“… 2 Every patient should receive education to help them understand their disease and make informed decisions about their treatment. 2 , 33 - 35 Non-pharmacological approaches can be used in mild cases, and as an adjunct to support pharmacological treatment in moderate-to-severe disease. Patients should be encouraged to take appropriate exercise to help strengthen their joints and to keep them mobile.…”