Therapeutic Education for Safer Rheumatologic Care: A Scoping Review to Map Evidence on Infection Prevention.

Background: Patients with Rheumatic and Musculoskeletal Diseases (RMDs) who are treated with Disease-Modifying Anti-Rheumatic Drugs (DMARDs) face an increased risk of infections. Therapeutic education is often considered a valuable strategy to support preventive behaviors, but its actual impact rema...

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Publicado en:Nursing Reports Vol. 15; no. 12; pp. 431 - 445
Autores principales: El Aoufy, Khadija, Magi, Camilla Elena, Melis, Maria Ramona, Caffarri, Cristiana, Civile, Giovanni, Daffini, Elena, Loss, Eleonora, Ortis, Helena, Rinaldi, Antonella, Zonca, Claudia, Bambi, Stefano, Rasero, Laura
Formato: research systematic review tables/charts Journal Article
Publicado: MDPI Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Therapeutic Education for Safer Rheumatologic Care: A Scoping Review to Map Evidence on Infection Prevention.
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          El Aoufy, Khadija
          Magi, Camilla Elena
          Melis, Maria Ramona
          Caffarri, Cristiana
          Civile, Giovanni
          Daffini, Elena
          Loss, Eleonora
          Ortis, Helena
          Rinaldi, Antonella
          Zonca, Claudia
          Bambi, Stefano
          Rasero, Laura
        affil: Department of Health Sciences, University of Florence, 50134 Florence, Italy
      sug:
        subj:
          Infection Prevention and Control
          Therapeutics Education
          Musculoskeletal Diseases Drug Therapy
          Rheumatic Diseases Drug Therapy
          Antirheumatic Agents Therapeutic Use
          Patient Education
          Human
          Scoping Review
          PubMed
          CINAHL Database
          Embase
          Nurses
          Patient Compliance
          Multidisciplinary Care Team
          Health Literacy
          Socioeconomic Factors
          Telemedicine
          Health Services Accessibility
          Infection Control
      ab: Background: Patients with Rheumatic and Musculoskeletal Diseases (RMDs) who are treated with Disease-Modifying Anti-Rheumatic Drugs (DMARDs) face an increased risk of infections. Therapeutic education is often considered a valuable strategy to support preventive behaviors, but its actual impact remains uncertain. Objectives: This scoping review aims to examine how therapeutic education contributes to infection prevention in patients with RMDs receiving DMARDs, with attention to its potential benefits, limitations, and relevance in clinical practice. Methods: Following the PRISMA-ScR framework, we searched PubMed, CINAHL, EMBASE, and Web of Science for primary studies published between January 1990 and December 2024 in English or Italian language. Eligible studies involved adult patients with rheumatic diseases treated with DMARDs who had received some form of therapeutic education. Results: Among 1591 records, only 4 studies met the inclusion criteria. These studies emphasized the value of promoting preventive behaviors to minimize treatment-related infections. Therapeutic education was associated with increased patient awareness and adherence, especially when supported by multidisciplinary healthcare teams. However, several barriers—such as limited health literacy and socioeconomic challenges—affected access and effectiveness. Discussion and Conclusions: While existing studies support the potential of therapeutic education and patient education in general, the small number of relevant studies and the variation in approaches limit strong conclusions on the impact of patient education on reducing or preventing risk infection in the field of rheumatology in DMARD-treated patients. Moreover, several papers pointed out how digital tools and telemedicine are promising ways to expand access and improve adherence, particularly for underserved populations. Thus, further research should explore standardized, inclusive and interdisciplinary strategies—potentially incorporating digital tools—to improve prevention and ensure equitable access to educational interventions.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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