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The efficacy of a nurse-led interventional program to improve the health of patients with axial spondyloarthritis

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The efficacy of a nurse-led interventional program to improve the health of patients with axial spondyloarthritis

Rheumatology Oxford Journal

Fecha de publicación: 27 de noviembre de 2020

DOI: https://doi.org/10.1093/rheumatology/keaa639

Autores: Jürgen Braun, Dietmar Krause, Uta Kiltz

Abstract

This editorial refers to ‘Evaluation of the impact of a nurse-led program of patient self-assessment and self-management in axial spondyloarthritis: results of a prospective, multicentre, randomized, controlled trial (COMEDSPA)’, by Anna Molto et al., on pages 888–895.

In this issue of Rheumatology, Molto et al. report their evaluation of the impact of a nurse-led program of self-management, including home exercises and self-assessment of disease activity, on coping in patients with axial SpA (axSpA). International recommendations on the management of axSpA and RA increasingly promote treat-to-target strategies that, although mainly focussing on pharmacological and non-pharmacological treatments, also include patient education, self-management and physical activity . The clinical relevance of the important aspect of coping with a chronic disease, which has been shown to influence mental and physical well-being as indicators of quality of life, has also been stressed by a recent report that a 3 month period of high-intensity exercise can reduce disease activity in patients with axSpA —a very challenging result in different regards. EULAR recommendations on the important role of nurses in the management of chronic inflammatory arthritis were recently updated .

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