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العنوان
Evaluation of treatment adherence in patients with Behçet{u2019}s disease: its relation to disease parameters and patients’ beliefs about medications /
الناشر
Esraa Mohammed Seif Eldin ,
المؤلف
Esraa Mohammed Seif Eldin
هيئة الاعداد
باحث / Esraa Mohammed Seif Eldin
مشرف / Hania Salah Mohammed Zayed
مشرف / Basma Mohammed Medhat Ali
مناقش / Basma Mohammed Medhat Ali
تاريخ النشر
2017
عدد الصفحات
192 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الروماتيزم
تاريخ الإجازة
6/8/2018
مكان الإجازة
جامعة القاهرة - كلية الطب - Rheumatology and Rehabilitation
الفهرس
Only 14 pages are availabe for public view

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from 207

Abstract

Aim: Behçet{u2019}s disease (BD) is a chronic systemic vasculitis, in which adherence to treatment is essential for successful management.This study evaluated medication adherence in BD and factors potentially affecting it. Patients and Methods: Sixty-seven patients with BD were included. Patients were interviewed to assess a) socioeconomic status using the family socioeconomic status questionnaire (SES) for health research in Egypt b) treatment adherence using the compliance questionnaire of rheumatology (CQR), c) beliefs about medications through the Beliefs about Medication Questionnaire (BMQ), and d) quality of life using the short form 36 (SF36). Results: The study included 67 patients including 57 (85%) male. The mean age of onset was 35.1±9.27 years, while the mean disease duration was 129±91 months. The median of the CQR was 70; upon which the patients were divided into adherent [N=38 (57%)] and non-adherent groups [N=29 (43%)]. Apart from beliefs about medications, there were no statistically significant differences between the two groups. Predictors for medication adherence were; the score of the health care domain of the SES (Ý=0.38; P=0.004), necessity beliefs of the BMQ (Ý=0.82; P=0.002) and emotional wellbeing and social functioning scores of the SF 36 (Ý=0.3 and 0.38; P=0.03 and 0.006, respectively), while neurological involvement and occurrence of side effects predicted non-adherence to treatment (Ý=-0.29 and -0.35; P=0.028 and 0.009, respectively). Conclusions: The frequency of adherence to treatment in BD is suboptimal. Several predictors of adherence were identified