Because of the unpredictability people with arthritis face on a daily basis, patient education programmes have become an effective complement to traditional medical treatment giving people with arthritis the strategies and the tools necessary to make daily decisions to cope with the disease.
To assess the effectiveness of patient education interventions on health status in patients with rheumatoid arthritis.
We searched MEDLINE, EMBASE and PsycINFO and the Cochrane Controlled Trials Register. A selection of review articles (see references) were examined to identify further relevant publications. There was no language restriction.
Randomised controlled trials (RCT's) evaluating patient education interventions that included an instructional component and a non-intervention control group; pre- and post-test results available separately for RA, either in the publication or from the studies' authors; and study results presented in full, end-of-study report.
Data collection and analysis
Two reviewers examined and screened search results. Dichotomous items were summarized as relative risk. Standardized mean difference and weighted mean difference were calculated for continuous data. Heterogeneity was assessed using chi square.
Thirty-one studies with relevant data were included.
We found significant effects of patient education at first follow-up for scores on disability, joint counts, patient global assessment, psychological status, and depression. A trend favouring patient education was found for scores on pain. Physician global assessment was not assessed in any of the included studies. The dimensions of anxiety and disease activity showed no significant effects. At final follow up no significant effects of patient education were found, although there was a trend favouring patient education for scores on disability.
Patient education as provided in the studies reviewed here had small short-term effects on disability, joint counts, patient global assessment, psychological status and depression. There was no evidence of long-term benefits in adults with rheumatoid arthritis.
搜尋包括MEDLINE, EMBASE，PsycINFO ，Cochrane Controlled Trials Register，同時搜尋回顧文章之參考文獻以發現更多相關的文章，沒有語言的限制。
此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌。
病患教育顯示對成人類風濕關節炎患者只有短期益處。其目的是研究病患教育對在類風濕關節炎(RA)病人的健康狀況(疼痛，功能障礙，心理健康和疾病的活動)的成效。病人教育只有在第一次追蹤其殘疾，疼痛關節數，病人的總體評估，心理狀態和憂鬱症有小的益處。在最後的追蹤(3 – 14個月)，沒有發現有意義的重大利益。