Nurses’ Role in Cardiovascular Risk Assessment and Management in People with Inflammatory Arthritis: A European Perspective

Primdahl, Jette; MSc, RN Ricardo J. O. Ferreira; MSc, RN Silvia Garcia-Diaz; Ndosi, Mwidimi; Palmer, Deborah; Eijk-Hustings, RN Yvonne van

doi:10.1002/msc.1121

Cited by 18 publications

(16 citation statements)

References 91 publications

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“…10 The benefits reported may be because of the increased opportunity of patients to consult more frequently with healthcare providers and to participate actively in examinations when necessary, 30 further increasing management of RA. 10 The benefits reported may be because of the increased opportunity of patients to consult more frequently with healthcare providers and to participate actively in examinations when necessary, 30 further increasing management of RA.…”

Section: Discussionmentioning

confidence: 99%

“…[11][12][13][14] This inconsistency may be attributed to the characteristics of the study population and the statistical analyses used. 9,30 This, in turn, is likely to strengthen their self-management activities and adherence to therapeutic interventions. 31 In this study, apart from adjusting for baseline differences between the two groups using the GEEs model, this analytic method further considered the impact of maturation effect over time, thus allowing for more robust conclusions.…”

Section: Discussionmentioning

confidence: 99%

“…After adjusting for baseline differences between both groups and the maturation effect, as determined by the GEEs model, we found out that the NLCM program was beneficial in the improvement of disease activity as determined by DAS28 among RA patients, consistent with a previous finding. 10 The benefits reported may be because of the increased opportunity of patients to consult more frequently with healthcare providers and to participate actively in examinations when necessary, 30 further increasing management of RA. This finding differed from several earlier reports, which showed that implementation of NLCM did reduce DAS28 scores, however failed to reach statistical significance.…”

Section: Discussionmentioning

confidence: 99%

“…In this empowering environment, RA patients may be more likely to take proactive steps to adapt to the disease, and its complications, through a cognitive-behavioural modification framework. 9,30 This, in turn, is likely to strengthen their self-management activities and adherence to therapeutic interventions.…”

Section: Discussionmentioning

confidence: 99%

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The effectiveness of nurse‐led case management for patients with rheumatoid arthritis in Taiwan

Guo

Livneh

et al. 2019

Int J Clin Pract

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Background: Case management is a patient-centred approach which has shown efficacy in managing patients with chronic and life-threatening disease. Presently, the effect of case management delivered by nurses for rheumatoid arthritis (RA) patients remains unclear, especially for those subjects who reside in Asia. This study aimed to examine the effectiveness of nurse-led case management (NLCM) among RA patients in Taiwan. Methods:A quasi-experimental research design was utilised to recruit RA patients from a hospital in Taiwan. All patients who were diagnosed as having RA from January 2017 to June 2018 were free to opt to participate in the intervention. The experiment group (n = 50) received six sessions of NLCM over six months, while the control group (n = 46) received only standard care during the same time period. Effectiveness data were collected through the review of medical records and a structured questionnaire that included the Taiwanese Depression Questionnaire (TDQ), the arthritis self-efficacy scale and a disease activity score by 28 joints (DAS28) at three time points (T1: before NLCM; T2: three days after NLCM completion; and T3: six months after NLCM completion). The effects of NLCM were determined using a generalised estimating equations model. Results: After adjusting for several potential confounders, we found that the NLCM implementation decreased the levels of DAS28 (T1 = −0.78; T2 = −0.85; all at P = .01) and TDQ (T1 = −3.86; T2 = −10.57; all at P < .05) and enhanced ASES level for RA patients (T1 = 132.03; T2 = 484.69; all at P < .05). Conclusions:This study adopted a non-randomised, unblinded and uncontrolled intervention, and the findings supported the positive effects of NLCM following the use of a robust statistical method. The findings may serve as a reference for instituting more appropriate interventions for RA patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The effectiveness of nurse‐led case management for patients with rheumatoid arthritis in Taiwan

Guo

Livneh

et al. 2019

Int J Clin Pract

View full text Add to dashboard Cite

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“…The COMEDRA trial provided new evidence supporting self-monitoring as a viable model in managing disease activity. Recently, a systematic review of European studies6 has shown that nurses are involved in assessing and managing comorbidities in different settings. It is plausible to expect that combining NLC with self-monitoring can enhance tight control of RA and the management of comorbidities; improving the overall long-term outcomes in people with RA.…”

Section: Commentarymentioning

confidence: 99%