Beliefs of Moroccan patients with chronic inflammatory rheumatic diseases regarding medication: related factors and correlation with therapeutic adherence

IF 2.1 Q3 RHEUMATOLOGY BMC Rheumatology Pub Date : 2024-09-18 DOI:10.1186/s41927-024-00419-1
Fatima Zahrae Taik, Noema El Mansouri, Rajaa Bensaid, Anass Adnine, Amine Amar, Maryam Fourtassi, Fatima Ezzahra Abourazzak
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Abstract

Medication adherence is one of the key elements of the management of patients with chronic inflammatory rheumatic diseases (CIRDs), adherence/medication regimes are prone to being influenced by beliefs about medicines; such beliefs can influence the management and quality of life of patients. Several factors may be associated with these beliefs, including demographic and clinical factors, as well as socio-psychological factors. The aim of this study is to assess beliefs regarding medications among Moroccan patients with CIRDs, the factors associated with these beliefs, and the correlation of these factors with medication adherence. This cross-sectional study included patients with CIRDs. Sociodemographic data, comorbidities, and information about CIRDs (type, disease duration, pain evaluation, disease activity and treatments) were collected. Beliefs regarding medication were assessed by the Belief about Medicine Questionnaire (BMQ). Therapeutic adherence was assessed using the Arabic version of the Compliance Questionnaire in Rheumatology (CQR). Sociopsychological factors, such as catastrophism and trust in physicians, were assessed by the Pain Catastrophizing Scale (PCS) and the Trust in Physicians Scale (TPS), respectively. Our sample included 189 patients. The average age was 47.49 ± 13.7; 52.4% had comorbidities; and 49.2% had a low level of education. Of the patients, 49.7% were on glucocorticoids, 61.9% on conventional synthetic disease-modifying antirheumatic drugs and 6.3% on biologics. The median necessity-concern differential was 6 [1–12]. Of the patients, 67.4% strongly believed that medication was essential to maintain their health. The long-term side effects were the main concerns about medicines (51.3%). In a multivariate analysis, there was a statistically significant association between low level of education, catastrophizing, methotrexate use, and trust in the physician as independent factors and the BMQ necessity-concern differential as the dependent factor. There was also a significant correlation between CQR and the BMQ necessity score. Moroccan patients with CIRDs have a rather positive perception of their medication. This perception seems to influence their adherence to treatment. Low levels of education, catastrophizing, methotrexate use, and trust in physicians are the most important factors associated with patients’ beliefs regarding medication.
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摩洛哥慢性炎症性风湿病患者的用药观念:相关因素及与坚持治疗的关系
坚持用药是慢性炎症性风湿病(CIRDs)患者管理的关键要素之一,坚持用药/用药方案很容易受到药物信仰的影响;这种信仰会影响患者的管理和生活质量。这些信念可能与多种因素有关,包括人口统计和临床因素以及社会心理因素。本研究旨在评估摩洛哥 CIRD 患者的用药信念、与这些信念相关的因素以及这些因素与坚持用药的相关性。这项横断面研究包括 CIRD 患者。研究人员收集了社会人口学数据、合并症和有关 CIRD 的信息(类型、病程、疼痛评估、疾病活动和治疗方法)。对药物治疗的信念通过 "医学信念问卷"(BMQ)进行评估。治疗依从性采用阿拉伯语版风湿病学依从性问卷(CQR)进行评估。疼痛灾难化量表(PCS)和医生信任量表(TPS)分别评估了灾难化和医生信任等社会心理因素。我们的样本包括 189 名患者。平均年龄为(47.49±13.7)岁;52.4%的患者患有合并症;49.2%的患者受教育程度较低。患者中,49.7%服用糖皮质激素,61.9%服用常规合成的改善病情抗风湿药物,6.3%服用生物制剂。必要性-关注度差异的中位数为 6 [1-12]。67.4%的患者坚信药物治疗对维持他们的健康至关重要。长期副作用是患者对药物的主要担忧(51.3%)。在多变量分析中,教育程度低、灾难化、使用甲氨蝶呤和对医生的信任作为独立因素与 BMQ 必要性-担忧差异作为因果因素之间存在统计学意义上的显著关联。CQR 与 BMQ 必要性评分之间也存在明显的相关性。摩洛哥的 CIRD 患者对自己的用药有相当积极的看法。这种看法似乎影响了他们对治疗的依从性。教育水平低、灾难化、甲氨蝶呤的使用以及对医生的信任是与患者用药观念相关的最重要因素。
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来源期刊
BMC Rheumatology
BMC Rheumatology Medicine-Rheumatology
CiteScore
3.80
自引率
0.00%
发文量
73
审稿时长
15 weeks
期刊最新文献
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