Taking into account the recommendations of the Health Authority \[1\] and the application of patients' associations, we have structured a course of therapeutic education includes three stages for patients with rheumatoid arthritis and followed at Nantes University Hospital. Step 1: initial interview with a nurse patient education for diagnosis and education with the patient to choose three subjects from among 10 offered him problematic; Step 2: Orientation in an educational path that provides access to 6 months group workshops (3 maximum) and / or interviews tailored to the three selected topics; Step 3: final interview with a nurse said therapeutic education formative assessment to take stock. The main objective of our work is to ensure that the patient finds it easier solutions to the three problematic topics him after 6 months of education after six months without treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
NONE
Enrollment
62
Access to the course of immediate therapeutic education
Group receiving therapeutic education 6 months later (control group)
Maugars
Nantes, France
EVA measures the overall ability to find solutions applicable to their situation
Investigate whether, overall, the patient is more easily applicable solutions to the situation after six months of therapeutic education after six months without therapeutic education for three problems identified after the initial filling of the questionnaire (controls ) and after the initial interview with the nurse (test group)
Time frame: 12 months
EVA measures the ability to find solutions applicable to their situation for each of the three problems identified.
Ability to find solutions applicable to their situation for each of the three problems identified
Time frame: 12 months
Knowledge (score / 10) treatments for rheumatoid arthritis, knowledge (note/10) signs of a flare of rheumatoid arthritis.
Skills that we consider indispensable
Time frame: 12 months
Self-efficacy against a disease flare (EVA), self-efficacy against a side effect of treatment (EVA)
Perceived self-efficacy compared to rheumatoid arthritis
Time frame: 12 months
RAPID score 4 (scale)
Scalability of rheumatoid arthritis
Time frame: 12 months
EVA measuring fatigue
Fatigue
Time frame: 12 months
Duration of morning stiffness in minutes or hours.
Duration of stiffness
Time frame: 12 months
CRP and VS
Biological criteria
Time frame: 12 months
Scale of STAI S Scale of STAI S
Anxiety
Time frame: 12 months
Beck Scale
Depression
Time frame: 12 months
Evaluation Test of adherence of Girerd
Observance
Time frame: 12 months
Dosage Cortancyl or Solupred.
Use of steroids
Time frame: 12 months
Number of visits to physician, rheumatologist at at therapist, psychiatrist, occupational physician, number of hospitalizations, number of meetings with occupational therapist, social worker, dietician, physiotherapist, psychologist...
Consumption of medical and paramedical
Time frame: 12 months
Patient satisfaction with respect to information received, the caller and the improvement in different areas of health (EVA)
Satisfaction with patient education
Time frame: 12 months
Attendance at meetings / workshops offered after the initial diagnosis.
Membership
Time frame: 12 months
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