{"title":"护士主导的疾病管理教育对强直性脊柱炎患者预后的影响：一项随机对照试验","authors":"Ayten Dağ, Zeliha Tulek, Emire Seyahi","doi":"10.1177/17449871251328936","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Compliance to treatment is often poor in ankylosing spondylitis (AS), and it is well known that treatment compliance has a significant impact on patient outcomes.</p><p><strong>Purpose: </strong>This study was carried out to investigate the effect of a nurse-led disease management education programme on outcomes of patients with AS. The study was conducted as a randomised controlled experimental study.</p><p><strong>Methods: </strong>A total of 122 patients, 61 in the intervention group and 61 in the control group, participated in this study. All patients were using TNF-α inhibitors. Patients were assessed using Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Compliance Questionnaire on Rheumatology (CQR), Ankylosing Spondylitis Quality of Life Scale (ASQoL) and Tampa Scale for Kinesiophobia (TSK).</p><p><strong>Results: </strong>Mean age of the intervention and the control group were 42.6 (±9.9) and 44.8 (±8.6) years, respectively. Although all scale scores were similar at baseline, by the end of the study, the mean scores for BASDAI (<i>p</i> < 0.001), BASFI (<i>p</i> = 0.026), ASQoL (<i>p</i> < 0.001), TSK (<i>p</i> = 0.001) and CQR (<i>p</i> < 0.001) in the intervention group showed significant improvement.</p><p><strong>Conclusions: </strong>Nurse-led disease management education is effective in improving patient outcomes. Continuous education and counselling should be provided to patients, their families and caregivers.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871251328936"},"PeriodicalIF":2.0000,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420644/pdf/","citationCount":"0","resultStr":"{\"title\":\"The impact of nurse-led disease management education on outcomes of patients with ankylosing spondylitis: a randomised controlled trial.\",\"authors\":\"Ayten Dağ, Zeliha Tulek, Emire Seyahi\",\"doi\":\"10.1177/17449871251328936\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Compliance to treatment is often poor in ankylosing spondylitis (AS), and it is well known that treatment compliance has a significant impact on patient outcomes.</p><p><strong>Purpose: </strong>This study was carried out to investigate the effect of a nurse-led disease management education programme on outcomes of patients with AS. The study was conducted as a randomised controlled experimental study.</p><p><strong>Methods: </strong>A total of 122 patients, 61 in the intervention group and 61 in the control group, participated in this study. All patients were using TNF-α inhibitors. Patients were assessed using Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Compliance Questionnaire on Rheumatology (CQR), Ankylosing Spondylitis Quality of Life Scale (ASQoL) and Tampa Scale for Kinesiophobia (TSK).</p><p><strong>Results: </strong>Mean age of the intervention and the control group were 42.6 (±9.9) and 44.8 (±8.6) years, respectively. Although all scale scores were similar at baseline, by the end of the study, the mean scores for BASDAI (<i>p</i> < 0.001), BASFI (<i>p</i> = 0.026), ASQoL (<i>p</i> < 0.001), TSK (<i>p</i> = 0.001) and CQR (<i>p</i> < 0.001) in the intervention group showed significant improvement.</p><p><strong>Conclusions: </strong>Nurse-led disease management education is effective in improving patient outcomes. Continuous education and counselling should be provided to patients, their families and caregivers.</p>\",\"PeriodicalId\":47172,\"journal\":{\"name\":\"Journal of Research in Nursing\",\"volume\":\" \",\"pages\":\"17449871251328936\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-09-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420644/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Research in Nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/17449871251328936\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Research in Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/17449871251328936","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
The impact of nurse-led disease management education on outcomes of patients with ankylosing spondylitis: a randomised controlled trial.
Background: Compliance to treatment is often poor in ankylosing spondylitis (AS), and it is well known that treatment compliance has a significant impact on patient outcomes.
Purpose: This study was carried out to investigate the effect of a nurse-led disease management education programme on outcomes of patients with AS. The study was conducted as a randomised controlled experimental study.
Methods: A total of 122 patients, 61 in the intervention group and 61 in the control group, participated in this study. All patients were using TNF-α inhibitors. Patients were assessed using Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Compliance Questionnaire on Rheumatology (CQR), Ankylosing Spondylitis Quality of Life Scale (ASQoL) and Tampa Scale for Kinesiophobia (TSK).
Results: Mean age of the intervention and the control group were 42.6 (±9.9) and 44.8 (±8.6) years, respectively. Although all scale scores were similar at baseline, by the end of the study, the mean scores for BASDAI (p < 0.001), BASFI (p = 0.026), ASQoL (p < 0.001), TSK (p = 0.001) and CQR (p < 0.001) in the intervention group showed significant improvement.
Conclusions: Nurse-led disease management education is effective in improving patient outcomes. Continuous education and counselling should be provided to patients, their families and caregivers.
期刊介绍：
The Journal of Research in Nursing is a leading peer reviewed journal that blends good research with contemporary debates about policy and practice. The Journal of Research in Nursing contributes knowledge to nursing practice, research and local, national and international health and social care policy. Each issue contains a variety of papers and review commentaries within a specific theme. The editors are advised and supported by a board of key academics, practitioners and policy makers of international standing. The Journal of Research in Nursing will: • Ensure an evidence base to your practice and policy development • Inform your research work at an advanced level • Challenge you to critically reflect on the interface between practice, policy and research
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