Methods for measuring adherence to oral disease-modifying drugs in rheumatoid arthritis and factors associated with low adherence to pharmacological treatment

Rincón, Jenny; Jaimes, Diego; Casallas, Julio César García; Beltrán, Adriana; Téllez, Angélica María Carvajal; Fernández-Ávila, Daniel G.; Karam, Claudia Mora

doi:10.1016/j.rcreue.2019.04.006

Cited by 2 publications

(3 citation statements)

References 58 publications

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“…19 Es fundamental intervenciones, principalmente educativas, para que el paciente tenga mayor conocimiento acerca de su enfermedad y la importancia de su tratamiento, con el fin de mejorar la adherencia al mismo y lograr las metas terapéuticas y generar un impacto positivo en la calidad de vida. 20 Las enfermedades que se asocian a una peor calidad de vida por limitación física son la artritis reumatoide, artrosis de rodilla y lumbalgia. 21,22,23 La CVRS en pacientes con AR es mala, similar a enfermedades crónicas como: insuficiencia renal crónica y diabetes mellitus lo que demanda una valoración oportuna y temprana desde un enfoque multidisciplinario.…”

Section: A C a L I D A D D E V I D A E N E L P A C I E N T E R E U M ...unclassified

Calidad de vida en reumatología una visión desde los cuidados paliativos

Araujo,

Villao,

Miñarcaja

et al. 2022

RevReumDia

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Los cuidados paliativos (CP) se conocen como los cuidados de confort y alivio de síntomas, es la atención que se brinda para mejorar la calidad de vida de los pacientes portadores de una enfermedad crónica avanzada e incurable. Las enfermedades crónicas impactan en la morbimortalidad y en la calidad de vida relacionada con la salud (CVRS). La CVRS es un concepto multidimensional, está relacionado con el impacto individual de la enfermedad en la capacidad funcional y la percepción del paciente en los roles sociales, físicos y mentales. La medicina paliativa tiene una amplia población de atención que incluye; pacientes oncológicos con enfermedad avanzadas, enfermedades degenerativas como las enfermedades autoinmunes sistémicas (EAS), siendo este grupo las que constituye el papel central de la atención en reumatología. Los CP se centran en la atención integral activa, continua del paciente, su familia y su entorno, este seguimiento se realiza por un equipo multidisciplinario cuando la expectativa no es la curación. Proporciona mejoría en la calidad de vida y su atención cubre aspectos físicos, psicosociales y espirituales extendiéndose incluso hasta el periodo del duelo. La siguiente revisión describe como las enfermedades reumáticas impactan en la calidad de vida del paciente, las diferentes escalas aplicadas para su medición y la importancia de la integración temprana de los cuidados paliativos en Reumatología.

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Section: A C a L I D A D D E V I D A E N E L P A C I E N T E R E U M ...unclassified

Calidad de vida en reumatología una visión desde los cuidados paliativos

Araujo,

Villao,

Miñarcaja

et al. 2022

RevReumDia

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“…[22][23][24][25][26][27][28][29][30][31] Likewise, it has been determined that the number of studies examining the treatment adherence levels of rheumatoid arthritis patients is high. [32][33][34][35][36][37][38][39][40][41] However, it has been determined that the number of studies on the continuity of care in rheumatoid arthritis patients is limited to only one study, 42 and more importantly, there is no study that evaluates the relationship between continuity of care and health outcomes with a comprehensive disease management approach.…”

Section: Introductionmentioning

confidence: 99%

“…When the literature on rheumatoid arthritis is examined, it is possible to come across studies that examine the effects of rheumatoid arthritis on health outcomes such as quality of life and physical activity disorder in terms of one dimension in both international and national literatüre 22–31 . Likewise, it has been determined that the number of studies examining the treatment adherence levels of rheumatoid arthritis patients is high 32–41 . However, it has been determined that the number of studies on the continuity of care in rheumatoid arthritis patients is limited to only one study, 42 and more importantly, there is no study that evaluates the relationship between continuity of care and health outcomes with a comprehensive disease management approach.…”

Section: Introductionmentioning

confidence: 99%

Serial multiple mediation of treatment adherence and disease activity in the relationship between continuity of care and health outcomes among rheumatoid arthritis patients

İlgün

ŞAHİN

2022

Health Planning & Management

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Objective To evaluate the effect of continuity of care on health outcomes (quality of life and functionality) in patients with rheumatoid arthritis and to reveal whether treatment adherence and disease activity have a serial multiple mediator role on this relationship. Methods The study was cross‐sectional on 440 rheumatoid arthritis patients who applied to a university hospital rheumatology outpatient clinic. Research data were obtained from both the questionnaire method, which is the primary data source, and the patient files, which are the secondary data source. Process analysis was used in the analysis of the data. Results It was found that the continuity of care has a direct effect on the quality of life and the functionality. In addition, it is seen that treatment adherence has a single partial mediator role on the relationship between continuity of care and quality of life; It has been determined that treatment adherence and disease activity have both partial single mediation and serial multiple mediation roles on the relationship between continuity of care and functionality. Conclusion It is thought that these findings will provide clinicians with important data and information in the management of rheumatoid arthritis.

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Methods for measuring adherence to oral disease-modifying drugs in rheumatoid arthritis and factors associated with low adherence to pharmacological treatment

Cited by 2 publications

References 58 publications

Calidad de vida en reumatología una visión desde los cuidados paliativos

Calidad de vida en reumatología una visión desde los cuidados paliativos

Serial multiple mediation of treatment adherence and disease activity in the relationship between continuity of care and health outcomes among rheumatoid arthritis patients

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