1 Department of Rheumatology, Hassan 2 Hospital, University Hospital of Souss Massa, Agadir - Morocco.
2 Community medicine, preventive medicine, public health and hygiene, FMPA, Ibn Zohr University, Agadir – Morocco.
3 Department of Nutrition, ISPITS, Agadir-Morocco.
4 Department of physical medicine and rehabilitation, Hassan 2 Hospital, University Hospital of Souss Massa, Agadir - Morocco.
5 Department of Rheumatology, Oued Eddahab Military Hospital, Agadir – Morocco.
6 CARBONE research team, LARISS Laboratory, FMPA, Ibn Zohr University, Agadir-Morocco.
World Journal of Advanced Research and Reviews, 2025, 26(01), 3959-3969
Article DOI: 10.30574/wjarr.2025.26.1.1331
Received on 07 March 2025; revised on 17 April 2025; accepted on 19 April 2025
Objective: To evaluate the impact of therapeutic patient education (TPE) in patients with knee osteoarthritis, focusing on clinical outcomes and lifestyle changes.
Methods: Thirty-two female patients, aged 45 to 65 years, presenting knee osteoarthritis were included in this prospective cohort and divided into two groups: 16 benefited from TPE carrying on nutrition, weight management and exercise, while 16 did not receive TPE. Clinical assessments included the WOMAC Index, EQ-5D-3L, visual analog scale (VAS) for pain, and levels of activity before and after 4 months of TPE.
Results: A comparison analysis between educated and non-educated patients reveals a significant differences on the practice of physical activity (p=0.004), a significant differences in dietary adoption (p<0.001), an improvement in weight distribution (p=0.69), thus the number of obese patients halved, from 12 to 6. The results reveal a statistically significant reduction in the perception of pain among educated patients (p = 0.023).They also show significant changes in treatments received for knee osteoarthritis.
After TPE the number of patients with a normal WOMAC algofunctional score increased from 2 to 9 patients. The evaluation of the EQ-5D-3L score shows significant changes in patients' quality of life.
Conclusion: The TPE has demonstrated promising results in improving the quality of life of patients with knee osteoarthritis, particularly by enhancing mobility and autonomy and reducing the severity of pain.
Knee osteoarthritis; Therapeutic education; WOMAC; EQ-5D-3L; Quality of life
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Nada BENABDELMALEK, Sofia KADA, Nourelhouda BAHI, Salma DRARI, Siham RACHIDI, Atika RAJA, Soukaina TIDRARINE, Laila LAHLOU, Latifa MOUBARIK, El Hassan KASSIMI, Amine BOURAMANE, Saadia AIT MALEK, Imad GHOZLANI and Mariam ERRAOUI. Therapeutic education in patients followed for knee osteoarthritis at Souss Massa University Hospital. World Journal of Advanced Research and Reviews, 2025, 26(01), 3959-3969. Article DOI: https://doi.org/10.30574/wjarr.2025.26.1.1331.
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