How Can We Improve Disease Education in People with Gout?

被引:17
|
作者
Fields, Theodore R. [1 ,2 ]
Batterman, Adena [3 ]
机构
[1] Hosp Special Surg, Div Rheumatol, 535 East 70th St,Suite 848 West, New York, NY 10021 USA
[2] Weill Cornell Coll Med, New York, NY 10065 USA
[3] Hosp Special Surg, Dept Social Work Programs, 535 E 70th St, New York, NY 10021 USA
关键词
Gout; Patient education; Self-management; Adherence; Crystal arthritis; Multi-disciplinary care; PATIENT-REPORTED OUTCOMES; QUALITY-OF-LIFE; RHEUMATOID-ARTHRITIS; SELF-MANAGEMENT; GENERAL-PRACTICE; HEALTH-CARE; PHYSICIAN COMMUNICATION; MEDICATION ADHERENCE; ILLNESS PERCEPTIONS; UNITED-STATES;
D O I
10.1007/s11926-018-0720-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of Review Gout management is currently suboptimal despite excellent available therapy. Gout patient education has been shown to enhance medication adherence and self-management, but needs improvement. We explored the literature on gout patient education including gaps in gout patient knowledge; use of written materials; in-person individual and group sessions; education via nurses, pharmacists, or multi-disciplinary groups; and use of phone, web-based, mobile health app, and text messaging educational efforts. Recent Findings Nurse-led interventions have shown significant improvement in reaching urate goals. Pharmacist-led programs have likewise succeeded, but to a lesser degree. A multi-disciplinary approach has shown feasibility. Needs-assessments, patient questionnaires, and psychosocial evaluations can enhance targeted education. Summary An interactive and patient-centered approach can enhance gout educational interventions. Optimal programs will assess for and address educational needs related to knowledge gaps, health literacy, race, gender, socio-economic status, and level of social support.
引用
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页数:9
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