University of Twente Student Theses


Voorspellers en mate van therapieontrouw bij patiënten met ontstekingsreuma

Olde Olthof, S.H.A. (2013) Voorspellers en mate van therapieontrouw bij patiënten met ontstekingsreuma.

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Abstract:Background/aim: Rheumatism is a chronic auto-immune disease, which can be divided into three categories: inflammatory rheumatism, osteoarthritis and soft tissue rheumatism. Rheumatism leads to pain, stiffness, fatigue and degradation of the bone and the cartilage, but eventually also leads into distortions and position change. The symptoms that rheumatoid arthritis patients experience are often treated through medication. However, not all patients are adherent. The effectiveness of the treatment is limited because this non adherence. Due to of conflicting results that are pointed out in the literature, the aim of the present study is to find out how big non adherence is in patients with inflammatory rheumatism and which variables exist to predict non adherence. Methods: Arthritis patients from two hospitals in the Netherlands were asked to participate in the study by completing a questionnaire. In total, 519 questionnaire were completed and send back. The questionnaire consists questions on (non)adherence, sociodemographic factors, disease-related factors, psychosocial characteristics of the patient and the doctor-patient relationship. The patients were divided into two groups, adherent or nonadherent, and the differences between these groups were tested by a Mann-Whitney U-test or a Chi-square test. Results: This study shows that almost one on five patients is nonadherent (19%). Significant differences appear for the variables age and informedness: patients in the nonadherent group were significant younger and were less informed about their treatment. The percentage nonadherent patients who take Sulfasalazine is higher than the percentage on other medicines. For all the other variables tested, the differences do not differ significantly, and therefore have no predictive value for nonadherence for patients with inflammatory rheumatism. Conclusions: Adherence is essential for effective treatment of rheumatoid. The findings indicate a need for interventions to counter further nonadherence and should focus on the risk group: a younger patients who is less informed. Further research should point out the effects of these interventions.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
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