The effect of nurse‐led care on fatigue in patients with rheumatoid arthritis: A systematic review and meta‐analysis of randomised controlled studies

Sezgi̇n, Merve Gozde; Bektaş, Hicran

doi:10.1111/jocn.16003

Cited by 8 publications

(6 citation statements)

References 42 publications

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“…Although classical CBT interventions have been found to be useful in the past, effect sizes are relatively small and considered unsatisfactory [ 26 , 27 , 61 , 74 , 75 ].…”

Section: Discussionmentioning

confidence: 99%

MITIG.RA: study protocol of a tailored psychological intervention for managing fatigue in rheumatoid arthritis randomized controlled trial

Duarte,

Spilker,

Paiva

et al. 2023

Trials

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Background Despite remarkable medical advances in the treatment of rheumatoid arthritis (RA), a subset of patients fails to achieve complete clinical remission, as the Patient Global Assessment (PGA) of disease activity remains above 1, even after the inflammatory process is brought under control. This so-called state of ‘PGA-near-remission’ negatively impacts individuals’ functioning and potentiates inadequate care. Fatigue is a distressing and disabling symptom frequently reported by patients in PGA-near-remission, and its management remains challenging. While classic cognitive-behavioural interventions show some benefits in managing fatigue, there is potential for improvement. Recently, contextual-cognitive behavioural therapies (CCBT), like mindfulness, acceptance, and compassion-based interventions, have shown promising results in fatigue-associated disorders and their determinants. This study primarily aims to examine the efficacy of the Compassion and Mindfulness Intervention for RA (MITIG.RA), a novel intervention combining different components of CCBT, compared to treatment-as-usual (TAU) in the management of RA-associated fatigue. Secondary aims involve exploring whether MITIG.RA produces changes in the perceived impact of disease, satisfaction with disease status, levels of depression, and emotion-regulation skills. Methods This is a single center, two-arm parallel randomized controlled trial. Patients will be screened for eligibility and willingness to participate and will be assessed and randomized to the experimental (MITIG.RA + TAU) or control condition (TAU) using computer randomization. MITIG.RA will be delivered by a certified psychologist and comprises eight sessions of 2 h, followed by two booster sessions. Outcomes will be assessed through validated self-report measures, including fatigue (primary outcome), perceived impact of disease, depressive symptoms, mindfulness, self-compassion, safety, and satisfaction (secondary outcomes). Assessment will take place at baseline, post-intervention, before the first and second booster sessions (weeks 12 and 20, respectively), and at 32 and 44 weeks after the interventions’ beginning. Discussion We expect MITIG.RA to be effective in reducing levels of RA-associated fatigue. Secondarily, we hypothesize that the experimental group will show improvements in the overall perceived impact of disease, emotional distress, and emotion regulation skills. Our findings will contribute to determine the benefits of combining CCBT approaches for managing fatigue and associated distress in RA. Trial registration ClinicalTrials.gov NCT05389189. Registered on May 25, 2022.

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“…Although classical CBT interventions have been found to be useful in the past, effect sizes are relatively small and considered unsatisfactory [ 26 , 27 , 61 , 74 , 75 ].…”

Section: Discussionmentioning

confidence: 99%

MITIG.RA: study protocol of a tailored psychological intervention for managing fatigue in rheumatoid arthritis randomized controlled trial

Duarte,

Spilker,

Paiva

et al. 2023

Trials

View full text Add to dashboard Cite

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“…The findings indicated that there was no discernible difference in disease activity after one year between the nurse-led follow-up and the conventional physician-led monitoring. The findings of a meta-analysis indicated that the nurse-led approach was beneficial for managing fatigue [ 18 ].…”

Section: Nurses Involvement In the Management Of Rheumatic Diseasesmentioning

confidence: 99%

Nurses’ roles, interventions, and implications for management of rheumatic diseases

Auyezkhankyzy,

Khojakulova,

Yessirkepov

et al. 2024

Rheumatol Int

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Nurses have become integral members of multidisciplinary teams in managing rheumatic diseases, departing from their traditional patient care roles. This article provides a comprehensive review of nurses’ roles, interventions, and impacts in several rheumatic diseases, including rheumatoid arthritis, osteoarthritis, spondyloarthritis, gout, systemic lupus erythematosus, and polymyalgia rheumatica. It has been demonstrated that care under nursing supervision is effective and safe, with benefits including disease management, quality of life, and treatment adherence. In addition, nurses play a crucial role in promoting health, educating patients, and administering biological disease-modifying anti-rheumatic drugs. The COVID-19 pandemic has highlighted the significance of telehealth services and nurses’ role in delivering remote care. However, nursing education and training challenges persist, particularly in standardization and access to postgraduate education. Efforts to enhance the role of nurses in rheumatology care are necessary to optimize patient outcomes and meet the evolving needs of individuals with rheumatic diseases. Collaboration across healthcare institutions, professional groups, and educational facilities is necessary for promoting the continual growth and advancement of rheumatology nurse practice. By equipping nurses with the requisite knowledge, expertise, and resources to deliver top-notch care, we can enhance the well-being of individuals with rheumatic diseases and foster improved overall health outcomes.

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“…The systematic literature shows that tracker-based interventions increase physical activity alone or combined [ 336 ]. Indeed, wearing a tracker is considered an intervention and an increased motivation by information and peer mentoring [ 337 ].…”

Section: New Applicationsmentioning

confidence: 99%

Physical Activity as the Best Supportive Care in Cancer: The Clinician’s and the Researcher’s Perspectives

Torregrosa

Chorin

Beltran

et al. 2022

Cancers

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Multidisciplinary supportive care, integrating the dimensions of exercise alongside oncological treatments, is now regarded as a new paradigm to improve patient survival and quality of life. Its impact is important on the factors that control tumor development, such as the immune system, inflammation, tissue perfusion, hypoxia, insulin resistance, metabolism, glucocorticoid levels, and cachexia. An increasing amount of research has been published in the last years on the effects of physical activity within the framework of oncology, marking the appearance of a new medical field, commonly known as “exercise oncology”. This emerging research field is trying to determine the biological mechanisms by which, aerobic exercise affects the incidence of cancer, the progression and/or the appearance of metastases. We propose an overview of the current state of the art physical exercise interventions in the management of cancer patients, including a pragmatic perspective with tips for routine practice. We then develop the emerging mechanistic views about physical exercise and their potential clinical applications. Moving toward a more personalized, integrated, patient-centered, and multidisciplinary management, by trying to understand the different interactions between the cancer and the host, as well as the impact of the disease and the treatments on the different organs, this seems to be the most promising method to improve the care of cancer patients.

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The effect of nurse‐led care on fatigue in patients with rheumatoid arthritis: A systematic review and meta‐analysis of randomised controlled studies

Cited by 8 publications

References 42 publications

MITIG.RA: study protocol of a tailored psychological intervention for managing fatigue in rheumatoid arthritis randomized controlled trial

MITIG.RA: study protocol of a tailored psychological intervention for managing fatigue in rheumatoid arthritis randomized controlled trial

Nurses’ roles, interventions, and implications for management of rheumatic diseases

Physical Activity as the Best Supportive Care in Cancer: The Clinician’s and the Researcher’s Perspectives

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