Intervenção de Enfermagem por Telemonitoramento para Pacientes com Artrite Reumatoide: Impacto na Dor e Funcionalidade

Abstract

(p<0,001). ABSTRACT Objective : To evaluate the impact of a telemonitoring nursing intervention on pain management and functionality of rheumatoid arthritis patients. Method : A retrospective study conducted as secondary analysis of an electronic database with 744 cases of rheumatoid arthritis. The nursing intervention was applied during 6 months and used telephone educational strategies. The continuous variables were compared by Paired T-Test, and the categorical variables were analyzed by the McNemar-Bowker Test. Results : Significant decrease in pain intensity (p<0.001) and significant increase in functionality (p<0.001) were verified. It was observed reduction of the number of cases of intense and moderate pain, as well as an increase in the number of cases of no pain or slight pain (p<0.001). Furthermore, there was a reduction in the number of sedentary patients and an increase of the number of patients who practice physical activities more than twice a week (p<0.001). Conclusions : The telephone nursing educational intervention showed a positive impact on pain management and functionality, and contributed to increase the practice of regular physical activity. Se observó una reducción en la cantidad de casos de dolor intenso y moderado y un aumento en la de casos de dolor ausente o leve (p<0,001). Además, se detectó una reducción en el número de pacientes sedentarios y un incremento en la cantidad de pacientes que practican actividad física más de dos veces por semana (p<0,001). Conclusiones : La intervención educativa de enfermería por vía telefónica tuvo un efecto positivo sobre el control del dolor y sobre la funcionalidad, además de contribuir al incremento de la actividad física periódica. Enfermería, crónico, Ejercicio.