Influence of Self-Management Instruction on Outcomes of Health for Systemic Lupus Erythematosus Patients

Abstract

Introduction: Systemic lupus erythematosus (SLE) is an autoimmune multisystem inflammatory, chronic disease that is accompanied by momentous morbidity, mortality, and reduced quality of life. Proper self-management reduces mortality and disability, improves quality of life, and decreases healthcare expenses and improves self-efficacy. Aim: This study objective to evaluate the influence of self-management instruction on, outcome of health and self-efficacy for SLE patients at Mansoura University Hospital. Design of study: A quasiexperimental design was utilized. Setting: The study was conducted at medical inpatient and outpatient departments in addition to rheumatology outpatient clinics on Saturdays, Tuesdays, and Thursdays. Subject: A purposive sample of 65 patients admitted to inpatients of medical departments and medical and rheumatology outpatients before and after implementation of self-management instruction were included in the study. The study was conducted between February 2021 and August 2021. Tool: A questionnaire on health assessment and questionnaire on health outcomes in the fatigue and pain severity scales were used in the study. Results: After implementation of self-management instruction, there were a highly statistically significant difference as regards severe pain, awareness, and generalized health status (P < 0.001). Conclusion: There were positive effects on SLE patients post implementation of instruction in decreasing fatigue and improving of pain and disability. Recommendation: An education program of patient to improve care of SLE patients by written and demonstrated guidelines need to be accessible in all SLE clinics and departments.