Impact of a nurse led telephone intervention on satisfaction and health outcomes of children with inflammatory rheumatic diseases and their families: a crossover randomized clinical trial

BMC Pediatrics

Research Article

Béatrice Fonjallaz¹  Christophe Gueniat²  Laura Rio³  Pierluigi Ballabeni³  Anne-Sylvie Ramelet⁴  Sandra Zoni⁵  Joachim Rapin⁵  Michaël Hofer⁵ 

[1] Geneva League for Rheumatology, La ligue Genevoise contre le Rhumatisme, Rue Merle d’Aubigné 22, 1207, Geneva, Switzerland;Haute Ecole de Santé Vaud (HESAV), University of Applied Sciences and Arts Western Switzerland, Rte de la Corniche 10, 1011, Lausanne, Switzerland;Institute of Higher Education and Research in Healthcare-IUFRS, University of Lausanne, University Hospital of Lausanne, Rte de la Corniche 10, 1011, Lausanne, Switzerland;Institute of Higher Education and Research in Healthcare-IUFRS, University of Lausanne, University Hospital of Lausanne, Rte de la Corniche 10, 1011, Lausanne, Switzerland;Pediatric Medico-chirurgical Department of University Hospital of Lausanne, CHUV, Rue du Bugnon 21, 1011, Lausanne, Switzerland;Pediatric Medico-chirurgical Department of University Hospital of Lausanne, CHUV, Rue du Bugnon 21, 1011, Lausanne, Switzerland;

关键词: Telehealth;    Telenursing;    Patient satisfaction;    Pediatrics;    Rheumatology;    Symptom management;   

DOI  :  10.1186/s12887-017-0926-5

 received in 2017-01-23, accepted in 2017-07-10,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundChildren suffering from rheumatic disease are faced with multidimensional challenges that affect their quality of life and family dynamics. Symptom management and monitoring of the course of the disease over time are important to minimize disability and pain. Poor disease control and anticipation of the need for treatment changes may be prompted by specialist medical follow-up and regular nurse-led consultations with the patient and families, in which information and support is provided. The purpose of this study was to evaluate the impact of a nurse-led telephone intervention or Telenursing (TN) compared to standard care (SC) on satisfaction and health outcomes of children with inflammatory rheumatic diseases and their parents.MethodsA multicentered, randomized, longitudinal, crossover trial was conducted with pediatrics outpatients newly diagnosed with inflammatory rheumatic diseases. Participants were randomly assigned to two groups TN and SC for 12 months and crossed-over for the following 12 months. TN consisted of providing individualized affective support, health information and aid to decision making. Satisfaction (primary outcome) and health outcomes were assessed with the Client Satisfaction Questionnaire-8 and the Juvenile Arthritis Multidimensional Assessment Report, respectively. A mixed effect model, including a group x time interaction, was performed for each outcome.ResultsSatisfaction was significantly higher when receiving TN (OR = 7.7, 95% CI: 1.8–33.6). Morning stiffness (OR = 3.2, 95% CI: 0.97–7.15) and pain (OR = 2.64, 95% CI: 0.97–7.15) were lower in the TN group. For both outcomes a carry-over effect was observed with a higher impact of TN during the 12 first months of the study. The other outcomes did not show any significant improvements between groups.ConclusionTN had a positive impact on satisfaction and on morning stiffness and pain of children with inflammatory rheumatic diseases and their families. This highlights the importance of support by specialist nurses in improving satisfaction and symptom management for children with inflammatory rheumatisms and their families.Trial registrationClinicalTrial.gov identifier: NCT01511341 (December 1st, 2012).

【 授权许可】

CC BY   
© The Author(s). 2017