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Rheumatoid arthritis (RA) is a systemic autoimmune disease characterized by an involvement of sensorimotor and psychological factors, which can impact on the sufferer's quality of life. Education and health promotion activities from a multidisciplinary approach including nursing could help in symptom management. This review aims to analyze and evaluate health promotion interventions from a nursing perspective in patients with RA. A scoping review method was employed to identify relevant peer-reviewed articles published between 2019 and 2024 across PubMed and Web of Science databases. The Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist was followed. The specific search strategy was: (rheumatoid arthritis) AND (health promotion OR health education OR promotion OR education OR therapeutic education OR health care OR health management) AND (nursing intervention AND nursing). Six articles met the inclusion criteria, showing that nursing interventions include educational sessions (for patients or family caregivers), interviews, daily phone calls, written information and professional counseling. They implied an improvement in disease activity (even in biochemical parameters), medical adherence or readiness, self-efficacy, quality of life, and psychological wellbeing. Besides, a reduction in pain intensity was described. This review demonstrates that nursing interventions within multidisciplinary teams, as well as comprehensive and individualized care, significantly improve sensorimotor and psychological variables, which contribute to managing chronic pain in patients with RA.
Grande-Alonso et al. (Wed,) studied this question.