[The "Emmerich Arthritis Record", function and acceptance within the scope of an integrated treatment concept].
For a comprehensive model of rheumatoid arthritis treatment, we designed an arthritis manual for continuous treatment of chronic illness. One goal of introducing the manual to the patients was the improvement of communication between patient and different doctors and therapists. The first part includes of a doctor's documentation sheet and a patient calendar (6 months each) for daily self-documentation of drug compliance. The second part is a daily pain-rating scale. The 3-year evaluation of 655 patient manuals for 286 patients was analyzed to estimate the compliance in using the manual. Overall, 87% of diagnoses, 83% of disease-modifying anti-rheumatic drugs (DMARDs), 87% of non-steroidal anti-rheumatic drugs (NSAIDs) had been documented in the manual. Data indicates that the general practitioner and the rheumatologist accepted the manual form. In addition, 85% of the documented patients used the DMARDs, 74% used the daily pain score, and 43% the daily physiotherapy. Subgroup data (n = 130 RA patients) suggest additional results: 1) there was no difference in sociodemographic data between the patient manual user group and the non-user group; 2) the user group consisted of patients with higher disease activity (ARA-criteria), higher pain score, and negative mood pattern. Furthermore, the user group was more active in daily physiotherapy, ergotherapy, and balneotherapy.
St. Willibrord-Spital, Emmerich-Rees gGmbH.
G
G
Ropers
J
J
Kuhn
P
P
Schütte
H
H
Heger
O
O
Sangha
W
W
Kriegel
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000009:adverse effects; D018501:Antirheumatic Agents / Q000008:administration & dosage / Q000009:adverse effects; D001172:Arthritis, Rheumatoid / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D004185:Disability Evaluation; D004282:Documentation / Q000379:methods*; D005858:Germany; D006801:Humans; D008134:Long-Term Care; D008501:Medical Records, Problem-Oriented; D050607:Organogold Compounds; D010147:Pain Measurement; D010342:Patient Acceptance of Health Care; D010348:Patient Care Team; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods*
D000894:Anti-Inflammatory Agents, Non-Steroidal; D018501:Antirheumatic Agents; D050607:Organogold Compounds
Der "Emmericher Arthritispass", Funktion und Akzeptanz im Rahmen eines integrierten Behandlungskonzepts.