De relatie tussen vertrouwen in de reumatoloog, tevredenheid met de reumatoloog/reumaverpleegkundige, zelf-effectiviteit en medicatie therapietrouw bij reumatoïde artritis patiënten

Comşa, M.E. (2015) De relatie tussen vertrouwen in de reumatoloog, tevredenheid met de reumatoloog/reumaverpleegkundige, zelf-effectiviteit en medicatie therapietrouw bij reumatoïde artritis patiënten.

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Abstract:Background: Medication adherence in patients with rheumatoid arthritis is low, varying between 30 to 80 percent. However, medication adherence in RA-patients is essential in achieving a good quality of life. Since it is not clear why RA-patients do not always adhere to their medication, it is important to identify the factors that may influence nonadherence. In this current study, satisfaction with the rheumatologist, trust in the rheumatologist/rheumatology nurse and self-efficacy of RA-patients were examined, since these subjects are relatively unstudied. If these factors seem to influence medication adherence among patients with RA, then interventions would be required to improve trust, satisfaction and self-efficacy. Method: In this study, secondary data was used. The participating RA-patients in this study were recruited from the patient database of the Arthritis Center Twente in Enschede, the Netherlands. In total two hundred sixty patients completed four self-report questionnaires that assesses medication adherence (MMAS), satisfaction with their rheumatologist (QUOTE for rheumatic patients), trust in their rheumatologist/rheumatology nurse (TRIP_sf) and self-efficacy in communication with their rheumatologist (PEPPI-5). Further, the patients were asked about their social-demographics and disease-related factors. The patients were assigned to either a medication adherence group or a nonadherence group based on the MMAS score, after which both groups where compared for differences in socio-demographics, disease-related factors and healthcare related factors. Results: 48.8% of the RA-patients in the sample were found to be noncompliance. Disease-related an health care factors were not significantly different between the adherence and nonadherence groups. Age appeared to differ significantly between the two groups, where on an average, the adherence group is six years older than the nonadherence group. Conclusion: The degree of satisfaction with the rheumatologist/ rheumatic nurse, trust in rheumatologist and perceived self-efficacy does not differ between the medication adherent and non-adherent among RA-patients. Age does seem to be a affect medication adherence. Interventions should focus on younger RA-patients to promote medication adherence. Future research should focus on the reasons reported for medication adherence.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/68306
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