More Added Value of Therapeutic Education in the Management of Patients With Rheumatoid Arthritis (ETP-PR)

More Added Value of Therapeutic Education in the Management of Patients With Rheumatoid Arthritis

Taking into account the recommendations of the Health Authority [1] and the application of patients' associations, we have structured a course of therapeutic education includes three stages for patients with rheumatoid arthritis and followed at Nantes University Hospital. Step 1: initial interview with a nurse patient education for diagnosis and education with the patient to choose three subjects from among 10 offered him problematic; Step 2: Orientation in an educational path that provides access to 6 months group workshops (3 maximum) and / or interviews tailored to the three selected topics; Step 3: final interview with a nurse said therapeutic education formative assessment to take stock. The main objective of our work is to ensure that the patient finds it easier solutions to the three problematic topics him after 6 months of education after six months without treatment.

Inclusion Criteria:

• Patient presenting at clinics for Rheumatology or the Rheumatology Day Hospital at the University Hospital or hospitalized in the department of Rheumatology
• Men or women
• Having signed the consent
• major
• Affiliated to social security or covered by the CMU
• Patient with rheumatoid arthritis meeting the ACR criteria
• Patient with rheumatoid arthritis stable for at least 6 months (change in DAS 28 <1.2)

Exclusion Criteria:

• Patient can not understand the information
• Patient confined to bed or chair, unable to care for himself or not doing with difficulty
• pregnant patient
• minors
• Adults under guardianship