Upload
ethan-blake
View
215
Download
3
Tags:
Embed Size (px)
Citation preview
The Adherence to Treatment Regarding of the Patients with
Rheumatoid Arthritis
Ana-Maria Toma (Gabor), Estera Gabor
6th year – Faculty of Medicine
Scientific supervisor: Monica Copotoiu, MD, PhD
Motto
“Drugs don’t work in patients who don’t take them.” C. Everett Koop M.D.- Medication Adherence and Chronic Disease Management, Cynthia Jackevicius, National Conference of State Legislatures,December 2009;28
Introduction
• Understanding that non-adherence to treatment is a real problem in nowadays medical structure.
• Identifying adherence problems concerning the treatment of patients diagnosed with rheumatoid arthritis – an invalidating disease.
• Identify related factors to non-adherence to treatment in rheumatoid arthritis.
Material and methods
Questionnaire
Patients with rheumatoid arthritis hospitalized in the Rheumatology Clinic of Emergency County Hospital of Târgu Mureş between 1st July and 1st October 2013
Results
Fig. 2 Adherence based on the situation when patients felt better with the prescribed medication
Results
Fig. 3 Adherence based on the situation when patients felt worse with the prescribed medication
Results
Fig. 4 Distribution regarding the patients financial level based on their easiness for coming to regular monitoring
Results No. Related factors Prefered answers Alternative answers
1 Information sources 90% - rheumatologist recomandations
10% - other sources
2 Natural therapy 72% - prefer the allopathic therapy
28% - would try a natural therapy
3 Understanding the medication importance
84% - the doctor explained
16% - did not understood or the
doctor did not explained4 The reading impact
of medication prospectus
82% - followed the doctor indications after reading the
prospectus
18% - stopped the medication after reading
5 Other methods preferred instead of
prescribed medication
86% - would follow doctor indications
14% - would give up medication instead of a
healthy lifestyle and physical therapy
Results No. Related factors Prefered answers Alternative answers
6 Psychological status 80% - without problems
20% - felt anxious or depressed related to their
disease
7 Confidence in medical system
96% - yes 4% - no
8 Doubt regarding the efficiency of the
medication
84% - consider the treatment useful
16% - medication is on long running and it might be
useless
9 The Romanian medical system’s quality level
72% - consider they have access to quality
health servicies
28% - Romanian medical system does not offer quality health servicies
10 Health status influenced by the administrated
medication (side effects)
66% - believe that the medication offers more
benefits than risks
34% - consider that medication worsened their
health status because of drugs’ side effects
Results
Fig. 6 The patients’ incidence regarding adherence to treatment in the situation when they have considered they have felt better, compared by age
Results
Fig. 7 The patients’ incidence regarding adherence to treatment in the situation when they have considered they have felt better, compared by environment of origin
P=0,75
Results
p=0.001; RR=2,08; 95%IC=1,29-3,33
Fig. 8 The patients’ incidence regarding adherence to treatment in the situation when they have considered they have felt better, compared by years from diagnosis
Conclusions• The young adults (18-60 years old), despite
their education, are less adherent to treatment.
• The adherence to treatment of the over 60 years patients is due to their paternalism relation with the physician.
• A long onset of the disease is a factor that predicts a less adherence to the medical treatment in rheumatoid arthritis.