A Standardized Educational Program Directed To Patients For Self-Care Promotion Can Be Equally Effective In Patients With Rheumatoid Arthritis (Ra), Systemic Lupus Erythematosus (Sle), Ankylosing Spondylitis (As)

Objectives To evaluate the results of a standardized educational intervention to improve the quality of life related to health (HRQL), physical function, adherence and pain perception in 3 diagnostic groups (RA, SLE, AS). Methods Design: Uncontrolled open intervention. Patients: 30 RA (ACR criteria), 30 AS (ASAS criteria) and 23 SLE (ACR criteria) followed in the Rheumatology Service, HRUCH. Intervention: Training Group activity was provided by a nurse, an occupational therapist and a physiotherapist. The main topics were: (1) what is the AR/AE/SLE? (2) The treatment; (3) Promoting healthy behaviours and joint protection; (4) non-pharmacological management of pain; (5) Physical activity; and (6) Technical aids for daily living. Outcomes and variables: HRQL was assessed with EQ-5D and SF-36, the perception of pain and patient disease assessment with a VAS (0-100), physical function by HAQ for RA and SLE, HAQ-AS for AS, the adherence by Moriski-Green test, the chronic pain with chronic pain coping questionnaire (CAD-R). All variables ere collected before educational activity and after 3 months. Statistical analysis: Comparison between diagnostic groups of quantitative variables was performed by ANOVA one factor. Results A total of 83 patients were studied: 30 with RA (83.3% women), 23 with SLE (100% women) and 30 with AS (33.3% women). The intervention improved the HRQL expressed as EQ-5D (p Conclusions This standardized educational program directed to patients with AS, RA and SLE for self-care promotion produce an improvement quite homogeneous in all patients independent their diagnosis. Disclosure of Interest None Declared