Factors associated with knowledge and safety skills of arthritis patients receiving biologics: A survey of 677 patients - 06/03/17
, Bruno Fautrel d, e, Elisabeth Flipon f, Laure Gossec d, e, Laurent Marguerie g, Henri Nataf h, Béatrice Pallot-Prades i, Rose-Marie Poilvert j, Valérie Royant k, Fatiha Sadji l, Christelle Sordet m, Corinne Thevenot n, Catherine Beauvais jFrench Society of Rheumatology Patient Education section
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 6 |
| Iconographies | 0 |
| Vidéos | 0 |
| Autres | 0 |
Abstract |
Objective |
We aimed to determine patient and rheumatologist factors associated with the safety skills of patients receiving bDMARDs for inflammatory arthritis.
Methods |
Data were obtained from a descriptive observational cross-sectional nationwide survey performed in 2011 in France. Community- and hospital-based rheumatologists were selected at random. The BioSecure questionnaire was used to collect information on patient safety skills.
Results |
Of the 677 patients included (mean age 53±13years old; 452 (67%) women, 411 (61%) had RA; 421 (64%) received subcutaneous bDMARDs). Patients had received information about their treatments from their physician 610 (90%), a nurse 207 (31%), by a written booklet 398 (59%), and/or during therapeutic patient education (TPE) sessions 99 (15%). The median BioSecure total score was 72/100 (IQR 60-82). In total, 99 (16.4%) patients had a low skill level; 321 (53.2%) a moderate skill level and 183 (30.3%) a high skill level. On multivariate regression analysis, as compared with high safety skills, low skills were associated with living alone (OR 2.8 [95% CI 1.3⿿6.0]), low educational level (OR 4.3 [2.1⿿8.9]), living in a large city (OR 3.1 [1.2⿿8.2]), being unemployed (OR 3.3 [1.6⿿6.7]) and not receiving written information, participating in TPE sessions or consulting a nurse (OR 3.8 [1.6⿿8.8]). One rheumatologist-related factor was a high number of patients receiving bDMARDs in the practice.
Conclusion |
We reveal factors associated with low safety skills of patients receiving bDMARDs for inflammatory arthritis, which should be addressed to improve safety skills in this population.
Le texte complet de cet article est disponible en PDF.Keywords : Biologics, Subcutaneous injection, Intravenous injections, Coping, Knowledge, Therapeutic education, Inflammatory arthritis, Safety
Plan
Vol 84 - N° 2
P. 163-168 - mars 2017 Retour au numéro
Article précédent
- Association of hidradenitis suppurativa and familial Mediterranean fever: A case series of 6 patients
- Salam Abbara, Sophie Georgin-Lavialle, Katia Stankovic Stojanovic, Claude Bachmeyer, Patricia Senet, David Buob, Sylvain Audia, Véronique Delcey, Soraya Fellahi, Jean-Philippe Bastard, Fawaz Awad, Marie Legendre, Serge Amselem, Gilles Grateau
- Pregnancy and foetal outcomes following anti-tumor necrosis factor alpha therapy: A prospective multicentre study
- Ariela Hoxha, Antonia Calligaro, Emma Di Poi, Susanna Peccatori, Maria Favaro, Teresa Del Ross, Roberta Ramonda, Chiara Grava, Bernd Raffeiner, Paola Ravagni, Salvatore De Vita, Amelia Ruffatti
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?