Modifications in self-care, quality of life and therapeutic adherence in patients with rheumatoid arthritis during the SARS-CoV-2 pandemic treated by telehealth
Hernández-Zambrano, Sandra Milena; Castiblanco-Montañez, Ruth-Alexandra; Valencia Serna, Angie Marcela; Nonzoque Toro, Valentina; Sánchez Camargo, Maria Paula; Restrepo Rodríguez, Leidy Natalia; Rodríguez-Vargas, Gabriel-Santiago; Villareal, Laura; Rubio-Rubio, Jaime-Andrés; Quintero-Muñoz, Elías; Gómez Pineda, María Alejandra; Chávez-Chavéz, Josefina; Rivera-Triana, Diana; Casanova, Rosangela; Rojas-Villarraga, Adriana; Santos-Moreno, Pedro.
Rev. colomb. reumatol
; 29(4)oct.-dic. 2022.
Artigo
em Inglês
| LILACS | ID: biblio-1536220
Introduction:
Rheumatoid arthritis (RA) is an autoimmune disease characterized by chronic inflammation, causing pain and stiffness in the joints. SARS-CoV-2 increases the clinical vulnerability of the population with RA and has led to the implementation and/or development of telemedicine.Objective:
To describe changes in level of therapeutic adherence, quality of life and capacity for self-care agency, during the follow-up period of a group of patients linked to a non-face-to-face multidisciplinary consultation model during the SARS-CoV-2 pandemic.Methodology:
Descriptive cohort study (July to October 2020). Description of the level of therapeutic adherence (Morisky Green Test), quality of life (EuroQOL-5-Dimensions-3-Level-version) and self-care capacity (ASA-R Scale) in the context of a telehealth model. A univariate and bivariate analysis was performed (Stata Software, Considered p-value <0.05).Results:
Of 71 patients treated under the telehealth model, 85.9% were women, the age range was between 33 and 86 years with a median of 63. The most prevalent comorbidity was arterial hypertension (35.2%). Quality of life did not change during follow-up nor did adherence to treatment, apart from in one item [the patients did not stop taking the medication when they were well (p = 0.029)]. In self-care capacity, there were significant improvements in five dimensions (p < 0.05), without significant differences in the global score.Conclusion:
Patients with RA evaluated in the context of telehealth in a period of pandemic did not present significant changes in quality of life, adherence to treatment, or capacity for self-care, and remained close to baseline values when they attended a traditional face-to-face assessment.
Biblioteca responsável:
CO356.9
Texto completo