Expert consensus on chronic disease management in patients with rheumatoid arthritis

RA is an autoimmune, systemic, chronic inflammatory polyarthritis for which there is currently no cure

In October 2014, 46 nursing experts in the Department of Rheumatology and Immunology discussed and revised to form the "Expert Consensus on Chronic Disease Management of Rheumatoid Arthritis", which contains a total of 12 recommendations

1 Once a patient is diagnosed with RA, chronic disease management should be started while receiving treatment;

2 The management of RA should be multidisciplinary cooperation.

The goal of 3RA chronic disease management is to improve the patient's self-management ability, maintain the patient's physical structure and function, and maintain and promote the patient's social participation;

4 The content of RA chronic disease management should include self-management education, symptom management, drug management, complication management, psychological support, social and occupational support, and rehabilitation exercise;

5RA patients should learn self-assessment methods for pain, fatigue, disease activity, and physical function;

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7RA patients should quit smoking, avoid high-sugar, trans-fat-containing, fried foods and excessive alcohol, and adding fish oil to the diet can help improve patients’ clinical symptoms and inflammatory markers in serum;

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9 RA chronic disease management should be individualized, and the patient’s background (socio-demographic data), treatment options, self-management behaviors, symptoms, self-efficacy, disease activity, physical function, quality of life, anxiety and depression, Coping methods, needs and opinions, establish chronic disease management files and patient records, and carry out individualized management according to the evaluation content;

10RA Chronic disease management should be patient-centered, emphasizing patient participation, cultivating patients’ self-management skills, encouraging patients to self-expression and self-analysis, actively communicating with health care providers, and participating in the formulation of treatment and chronic disease management plans;

11 RA chronic disease management should have feedback and evaluation, encourage patients to record self-management behaviors, and arrange telephone follow-up and follow-up visits with patients;

12 Pay attention to the guidance of information channels, cultivate the ability of patients to identify information, and encourage patients to search for RA-related information from formal channels