Therapeutic education in patients followed for knee osteoarthritis at Souss Massa University Hospital

BENABDELMALEK, Nada and KADA, Sofia and BAHI, Nourelhouda and DRARI, Salma and RACHIDI, Siham and RAJA, Atika and TIDRARINE, Soukaina and LAHLOU, Laila and MOUBARIK, Latifa and KASSIMI, El Hassan and BOURAMANE, Amine and MALEK, Saadia AIT and GHOZLANI, Imad and ERRAOUI, Mariam (2025) Therapeutic education in patients followed for knee osteoarthritis at Souss Massa University Hospital. World Journal of Advanced Research and Reviews, 26 (1). pp. 3959-3969. ISSN 2581-9615

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.