Colitis ulcerosa en remisión: mejora de la adhesión terapéutica desde una perspectiva multidisciplinar

Abstract

Introduction

Lack of adherence to treatment with 5-ASA is a significant predictor of relapse in ulcerative colitis (UC). This study was conducted in order to investigate the perception about ulcerative colitis that have the different health professionals who interact with the patient along the course of the disease.

Material and methods

The study was designed as a qualitative research through focus groups among primary care physicians (n = 4), gastroenterologists (n = 4) and gastroenterology nurses (n = 4).

Results

Among the potential reasons for poor adherence, this study identified: lack of awareness of the patient who has no symptoms, poor communication, and psychiatric conditions such as anxiety and depression. All professional groups thought that reducing the number of daily doses could contribute to greater adherence to therapy. All of them pointed out the lack of communication between them, especially between primary care physicians and specialized care, despite being aware of its relevance.

Conclusion

The lack of adherence in ulcerative colitis is a complex problem that can involve many factors, such as the lack of patient awareness in the absence of symptoms, the fear of side effects or a deficient physician-patient communication. This study described fundamental aspects that could improve adherence, such as simplifying treatment to once daily doses, or fostering communication not only with the patient, but between different levels of care as well.