Trust in the attending rheumatologist, health-related hope and medication adherence among Japanese systemic lupus erythematosus patients.
Rheumatology (Oxford)
; 62(6): 2147-2153, 2023 06 01.
Article
en En
| MEDLINE
| ID: mdl-36190334
ABSTRACT
OBJECTIVE:
Poor medication adherence among patients with SLE is a critical problem associated with adverse outcomes. This study examined the relationship between trust in one's physician and goal-oriented thinking, hope and medication adherence among Japanese patients with SLE who were ethnically matched to their physicians.METHODS:
This cross-sectional study was conducted in the rheumatology outpatient clinics at five academic centres. Patients with SLE who were prescribed oral medications were included. The main exposures were trust in one's physician measured via the 5-item Japanese version of the Wake Forest Physician Trust Scale and the 18-item Health-related Hope Scale, with each score ranging from 0 to 100 points. Medication adherence was measured using the 12-item Medication Adherence Scale with scores ranging from 5 to 60 points. A general linear model was created after adjusting for demographics, socioeconomic status, disease activity, disease duration, basic health literacy, depression, medication variables, experiencing adverse effects and concerns regarding lupus medications.RESULTS:
Altogether, 373 patients with SLE were included. The mean age of the patients was 46.4 years; among them, 329 (88.2%) were women. Both trust in one's physician (per 10-point increase 0.86, 95% CI 0.49, 1.22) and the Health-related Hope score (per 10-point increase 0.66, 95% CI 0.35, 0.97) were associated with better medication adherence.CONCLUSIONS:
This study demonstrated that patients' health-related hope and trust in their rheumatologist were both associated with better medication adherence in SLE.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Relaciones Médico-Paciente
/
Cumplimiento de la Medicación
/
Reumatólogos
/
Pueblos del Este de Asia
/
Lupus Eritematoso Sistémico
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Rheumatology (Oxford)
Asunto de la revista:
REUMATOLOGIA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Japón