AB1044 The education of patients with gout improves the effects of treatment. (12th June 2018)

• Record Type: Journal Article
• Authors: Yoo, S.-J.; Kang, S.W.; Shim, S.C.; Kim, J.; Yoo, I.S.; Park, C.K.
• Is Part Of: Annals of the rheumatic diseases. Volume 77(2018)Supplement 2
• Page Start: 1637
• Page End: 1637
• Publication Date: 2018-06-12
• Subjects: Rheumatism -- Periodicals; 616.723005
• DOI: 10.1136/annrheumdis-2018-eular.1869
• Languages: English
• ISSNs: 0003-4967

Abstract

Abstract : Background: The recent studies about gout demonstrated the correlation between gout and cardiovascular disease (CVD). The urate lowering therapy (ULT) ameliorates the outcomes of CVD. The poor adherence with ULT in patients with gout is the main obstacle. It is induced mainly due to a lack of adequate information about the efficacy of ULT. Objectives: This study was performed to analyse the effects of the education for patients with gout. Methods: 116 patients with gout were enrolled and categorised by two groups, education and non-education. The face to face education was conducted by the specially educated nurse. And all participants in two groups received an leaflet about general information of gout including lifestyle advice, nutrition and drugs of ULT. The patients in non-education group were also educated by nurse on their second visit (after two or three month from first visit). The score of patients' satisfaction using the visual analogue scale (from 0 to 100 mm) and questionnaire about satisfaction and questionnaire of patients' knowledge about disease (gout) were assessed. And we analysed patients' serum uric acid level and drug compliance. Results: A total of 116 patients were randomised to education or non-education group equally. Patients' satisfaction in visual analogue scale was significantly higher in education group (education group: 82.7±21.0 mm, vs. non-education group: 72.8±20.7 mm, p<0.001). Patients' satisfaction questionnaire was significantly higher in education group (education group: 3.89±0.5, vs. non-education group: 3.69±0.4, p=0.017). The level of knowledge about gout was higher in education group (education group: 7.4±2.0, vs. non-education group: 6.2±2.3, p=0.004). The serum uric acid level on second visit is decreased after education (baseline: 5.97±1.93 mg/dL, vs. second visit: 5.32±1.35 mg/dL, p=0.001). Besides drug compliance on second visit is improved after education (baseline: 89.6%±16.4%, vs. second visit: 94.3%±9.9%, p=0.018). Conclusions: The face to face education for gout improved the patients' satisfaction, drug adherence and serum uric acid level. The education is very important part in treatment of gout. References: [1] Singh JA, Strand V. Gout is associated with more comorbidities, poorer health-related quality of life and higher healthcare utilisation in US veterans. Ann Rheum Dis2008;67:1310–6. [2] Reesi F, Jenkins W, Doherty MPatients with gout adhere to curative treatment if informed appropriately: proof-of-concept observational study. Ann Rheum Dis201372: 826–830. [3] Cho SK, Kim D, Choi J, et al. Impact of Patient Education on the Satisfaction of Rheumatoid Arthritis Patients: A Randomized Trial of Nurse-led Versus Medical Docter-led Education. J Rheum DisVol. 23, No. 2, April, 2016. Disclosure of Interest: None declared