Nivel de conocimiento de los pacientes con artritis reumatoide acerca de su enfermedad y tratamiento / Knowledge about their disease and treatment among patients with rheumatoid arthritis
Rev. méd. Chile
;
134(12): 1500-1506, dic. 2006. tab
Artigo
em Espanhol
| LILACS
| ID: lil-441427
ABSTRACT
Background:
The transfer of information in the physician-patient relationship is important, especially in chronic diseases such as Rheumatoid Arthritis (RA), since it influences the perception and behavior that the patient has about his or her illness.Aim:
To evaluate the level of knowledge and concern of their illness and treatment and their relationship with functional disability, perception of the pain and global assessment of disease activity, in patients with RA. Patients andMethods:
Cross sectional study of 104 patients (mean age 56 years, 100 women) with RA. Demographic and clinical variables were registered. The knowledge about their illness and requirement of further information and concern about aspects of the illness and treatment, were assessed. Physical functioning was measured using the Health Assessment Questionnaire (HAQ). A visual analogue (VAS) and Likert scales were used for a global assessment of disease activity.Results:
Sixty percent of patients had only primary school studies. The median evolution of the illness was 14 years. Ninety eight percent knew their diagnosis and 91 percent required further information. There was a high degree of concern about the disease and treatment. The average HAQ score was 0.9. There was a statistically significant relationship between HAQ score and pain VAS (r =0.41, p <0.01). There was a moderate agreement between the global assessment of disease activity made by patients and physicians (Kappa =0.499; p =0.000).Conclusions:
Even though patients with RA are informed about their disease, they require further information. Their highest concern is about the functional consequences of RA and they perceive a higher activity of the disease than their treating physicians.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Relações Médico-Paciente
/
Artrite Reumatoide
/
Conhecimentos, Atitudes e Prática em Saúde
Tipo de estudo:
Estudo observacional
/
Estudo de prevalência
/
Pesquisa qualitativa
/
Fatores de risco
Limite:
Adolescente
/
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2006
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
2Hospital Dr. Hernán Henríquez Aravena/CL
/
Universidad de La Frontera/CL
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