以质量求发展,以服务铸品牌

护理学报 ›› 2019, Vol. 26 ›› Issue (4): 23-26.doi: 10.16460/j.issn1008-9969.2019.04.023

• 文献研究 • 上一篇    下一篇

类风湿关节炎患者用药依从性促进策略研究进展

冯红, 袁理, 丁淑贞, 徐一元   

  1. 大连医科大学附属第一医院 护理部,辽宁 大连 116011
  • 收稿日期:2018-09-08 出版日期:2019-02-25 发布日期:2020-07-08
  • 通讯作者: 丁淑贞(1951-),女,辽宁大连人,本科学历,主任护师,硕士研究生导师。E-mail:dsz51@163.com
  • 作者简介:冯 红(1994-),女,山东济宁人,本科学历,硕士研究生在读。

  • Received:2018-09-08 Online:2019-02-25 Published:2020-07-08

摘要: 目的 论述类风湿关节炎患者用药依从性的促进策略,为临床护理工作及类风湿关节炎患者的用药管理提供借鉴。方法 通过全面检索,总结归纳国内外关于类风湿关节炎患者用药促进策略的最新研究进展。结果 类风湿关节炎患者用药依从性促进策略包括优化用药方案、采用用药行为提醒方式、使用自我监测及应用电子药物检测系统、心理干预及其他用药管理策略5部分。结论 我国类风湿关节炎患者用药依从性较差,建议医务人员指导患者探索更全面更有效的综合用药管理方案,提高患者的用药依从性。

关键词: 类风湿关节炎, 用药依从性, 健康促进

中图分类号: 

  • R473.58
[1] Vera M A D, Mailman J, Galo J S. Economics of Non-Adherence to Biologic Therapies in Rheumatoid Arthritis[J]. Curr Rheumatol Rep,2014,16(11):1-9.DOI:10.1007/s11926-014-0460-5.
[2] Samantha J, Rick V D Z, Fredrick J, et al. Medication Adherence in Patients with Rheumatoid Arthritis: The Effect of Patient Education, Health Literacy, and Musculoskeletal Ultrasound[J]. Biomed Res Int, 2015, 2015:1-10. DOI:10.1155/2015/150658.
[3] Morgan C, Mcbeth J, Cordingley L, et al.The Influence of Behavioural and Psychological Factors on Medication Adherence over Time in Rheumatoid Arthritis Patients: A Study in the Biologics Ara[J].Rheumatology (Oxford),2015,54(10):1780-1791. DOI:10.1093/rheumatology/kev105.
[4] Suh Y S, Cheon Y H, Kim H O, et al.Medication Nonadherence In Korean Patients With Rheumatoid Arthritis: The Importance of Belief About Medication and Illness Perception[J]. Korean J Intern Med, 2018, 33(1):203-210. DOI:10.3904 /kjim.2015.383.
[5] Hromadkova L, Soukup T, Vlcek J.Quality of Life and Drug Compliance: Their Interrelationship in Rheumatic Patients[J]. J Eval Clin Pract, 2015, 21(5):919-924.DOI:10.1111/jep.12399.
[6] Rauscher V, Englbrecht M, Désirée van der Heijde, et al. High Degree of Nonadherence to Disease-modifying Antirheumatic Drugs in Patients with Rheumatoid Arthritis[J]. J Rheumatol, 2015, 42(3):386-390. DOI:10.3899/ jrheum.140982.
[7] Jørgensen T S, Kristensen L E, Christensen R, et al.Effectiveness and Drug Adherence of Biologic Monotherapy in Routine Care of Patients with Rheumatoid Arthritis: A Cohort Study of Patients Registered in the Danish Biologics Registry[J]. Rheumatology(Oxford), 2015,54(12):2156-2165. DOI:10.1093 / rheumatology/ kev216.
[8] Curtis J R, Bharat A, Chen L, et al.Agreement between Rheumatologist and Patient-reported Adherence to Methotrexate in a US Rheumatoid Arthritis Registry[J]. J Rheumatol, 2016, 43(6):1027-1036. DOI:10.3899/jrheum.151136.
[9] Wong P K.Medication Adherence in Patients with Rheumatoid Arthritis:Why Do Patients Not Take What We Prescribe?[J]. Rheumatol Int, 2016, 36(11):1-8. DOI:10.1007 / s00296-016-3566-4.
[10] Heidari P, Cross W, Crawford K.Do Out-of-pocket Costs Affect Medication Adherence in Adults with Rheumatoid Arthritis? A Systematic Review[J]. Semin Arthritis Rheum, 2018,48(1):12-21. DOI:10.1016/j.semarthrit.2017.12.010.
[11] Radner H, Yoshida K, Tedeschi S, et al.Different Rating of Global Rheumatoid Arthritis Disease Activity in Rheumatoid Arthritis Patients with Multiple Morbidities[J]. Arthritis Rheumatol,2017,69(4):720-727.DOI:10.1002 /art. 39988.
[12] Claxton A J, Cramer J, Pierce C.A Systematic Review of the Associations between Dose Regimens and Medication Compliance[J]. Clin Ther, 2001,23(8):1296-1310. DOI:10.1016/S0149-2918(01)80109-0.
[13] Poulos C, Hauber A B, González, Juan Marcos, et al.Patients' Willingness to Trade Off Between the Duration and Frequency of Rheumatoid Arthritis Treatments[J]. Arthritis Care Res (Hoboken), 2014, 66(7):1008-1015.DOI:10.1002/acr.22265.
[14] Zhifeng G, Yunfei X, Rulan Y, et al.Treatment Adherence to Disease-modifying Antirheumatic Drugs in Chinese Patients with Rheumatoid Arthritis[J]. Patient Prefer Adherence, 2016:735-742. DOI:10.2147/PPA.S98034.
[15] Robinson A.Review Article: Improving Adherence to Medication in Patients with Inflammatory Bowel Disease[J]. Aliment Pharmacol Ther, 2010, 27(s1):9-14. DOI:10.1111/j.1365-2036.2008.03604.x.
[16] Bruera S, Lopezolivo M A, Barbo A, et al.Use of Medication Reminders in Patients with Rheumatoid Arthritis[J]. Value Health,2014,17(7):A384-A390. DOI:10.1016/j.jval.2014.08.2637.
[17] Roitman, Jeffrey L, Kalra, et al. Intervention to Improve and Herence to Lipid lowering Medcation[J]. J Am Coll Cardio, 2016,67(13):1954-1954.DOI:10.1016 /S0735-1097(16)31955-6.
[18] Hughes L D, Done J, Young A.Not 2 old 2 TXT: There is Potential to Use Email and SMS Text Message Healthcare Reminders for Rheumatology Patients up to 65 Years Old[J]. Health Informatics J,2011,17(4):266-276.DOI:10.1177/1460458211422019.
[19] Cameron W, Fenerty, Feldman, et al.The Effect of Reminder Systems on Patients' Adherence to Treatment[J]. Patient Prefer Adherence,2012, 6(default):127-135. DOI:10.2147/PPA.S26314.
[20] Keystone E C, Taylor P C, Tanaka Y.Patient-reported Outcomes from a Phase 3 Study of Baricitinib Versus Placebo or Adalimumab in Rheumatoid Arthritis Secondary Analyses from the RA-BEAM Study[J]. Ann Rheum Dis, 2017, 76(11):1853-1861.DOI:10.1136/annrheumdis-2017-211259.
[21] Waimann C A, Marengo M F, De Achaval S, et al.Electronic Monitoring of Oral Therapies in Ethnically Diverse and Economically Disadvantaged Patients with Rheumatoid Arthritis: Consequences of Low Adherence[J]. Arthritis Rheum, 2013, 65(6):1421-1429.DOI:10.1002/art.37917.
[22] Zwikker H E, Dulmen S V, Broeder A A D, et al. Perceived Need to Take Medication is Associated with Medication Non-adherence in Patients with Rheumatoid Arthritis[J]. Patient Prefer Adherence, 2014,25(8):1635-1645.DOI:10.2147/PPA.S66849.
[23] Kelly A, Tymms K, Tunnicliffe D J, et al.Patients' Attitudes and Experiences of Disease-modifying Anti-rheumatic Drugs in Rheumatoid Arthritis and Spondyloarthritis: A Qualitative Synthesis[J]. Arthritis Care Res(Hoboken), 2018, 70(4):525-532.DOI:10.1002/acr.23329.
[24] De Cuyper E, De Gucht V, Maes S, et al.Determinants of Methotrexate Adherence in Rheumatoid Arthritis Patients[J]. Clin Rheumatol,2016,35(5):1335-1339.DOI:10.1007/s10067-016-3182-4.
[25] Fergason A, Ibrahim F A, Thomas V, et al.Improving Medication Adherence in Rheumatoid Arthritis (RA): A Pilot Study[J]. Psychol Health Med, 2015, 20(7):781-789. DOI:10.1080/13548506.2015. 1009917.
[26] Joplin S K, Zwan R V D, Bagga H, et al. Pilot Study Assessing the Novel Use of Musculoskeletal Ultrasound in Patients with Rheumatoid Arthritis to Improve Patient Attitudes and Adherence to Medication[J]. Int J Rheum Dis, 2014, 19(7):658-664. DOI:10.1111/1756-185X. 12402.
[27] Mendelson A.Comic Book as an Educational Tool for Children with Juvenile Idiopathic Arthritis[J]. Pediatr Rheumatol Online J,2017,15(1):69. DOI:10.1186/s12969-017-0198-5.
[28] Betegnie A L, Gauchet A, Lehmann A, et al.Why Do Patients with Chronic Inflammatory Rheumatic Diseases Discontinue Their Biologics? An Assessment of Patients' Adherence Using a Self-report Questionnaire[J]. J Rheumatol, 2016, 43(4):724-730. DOI:10.3899/jrheum.150414.
[29] 施春香,钱慧. 类风湿关节炎患者实施关爱俱乐部模式健康教育的效果[J]. 解放军护理杂志, 2011, 28(9):69-71. DOI:10.3969/j.issn.1008-9993.2011.09. 026.
[30] 常小霞,袁丽,杨小玲.2型糖尿病老年患者胰岛素治疗依从性现状及影响因素研究进展[J].护理学报,2016,23(21):26-30.DOI:10.16460/j.issn1008-9969.2016.21. 026.
[1] 吴元虹, 王晓辉, 王宇宇, 高歌, 王哲, 吴善玉. 基于主客体互倚模型的老年糖尿病患者胰岛素用药依从性影响因素分析[J]. 护理学报, 2024, 31(13): 24-29.
[2] 高若男, 王翠玲, 李亭雨, 田美雨, 张楠, 郑锐. 基于Pender健康促进模式食管癌术后患者饮食管理方案的构建[J]. 护理学报, 2024, 31(1): 12-16.
[3] 刘兰娟, 刘晓棠, 刘成, 张杰. 孕妇妊娠期运动的安全性有效性研究进展[J]. 护理学报, 2023, 30(6): 31-35.
[4] 袁婷, 徐妮妮, 范雪燕, 吕云鹏, 慕晓莹, 周芬. 艾灸干预类风湿关节炎护理操作关键点研究报告现状分析[J]. 护理学报, 2023, 30(5): 47-52.
[5] 董世攀, 梁小英, 黄兰怡, 梁善英, 梁锦波, 代炜, 赵玉玲, 黄沂. 功能性腹胀患者健康促进行为量表的汉化及信效度检验[J]. 护理学报, 2023, 30(3): 11-15.
[6] 李娜, 黄懿炘, 刘美兰, 邓银辉, 邹小芳. 老年人健康促进行为量表的汉化及信效度评价[J]. 护理学报, 2023, 30(17): 5-10.
[7] 周静茹, 赵莉, 王海潮, 范静, 李倩儿, 郭思思, 周丹, 谭勤. 214名结直肠癌患者一级亲属健康促进生活方式现状及影响因素分析[J]. 护理学报, 2023, 30(13): 53-58.
[8] 沈影, 王梅, 罗迎霞, 谢雅瑞, 毛惠娜. 基于能力-机会-动机-行为模型老年肺癌衰弱患者健康促进方案的构建[J]. 护理学报, 2022, 29(6): 65-70.
[9] 周黎雪, 姜云霞, 周云平, 冯鸿雁, 孙雪霞, 于鹏丽. 自我效能在类风湿关节炎患者社会支持和经验性回避之间的中介效应[J]. 护理学报, 2022, 29(3): 7-11.
[10] 徐靖贻, 施春香, 陈茹, 谢彤. 类风湿关节炎患者晨僵评估及干预的研究进展[J]. 护理学报, 2022, 29(19): 30-34.
[11] 刘旭, 王文辰, 马春艳. 基于健康促进模型的结直肠癌永久性肠造口患者体力活动影响因素分析[J]. 护理学报, 2022, 29(11): 59-64.
[12] 杨湘薇, 王艳芳, 罗辉芳, 冼贞. 类风湿关节炎患者足部护理最佳证据总结[J]. 护理学报, 2021, 28(14): 47-51.
[13] 刘明慧, 覃惠英. 210名肿瘤科护士专业生活品质现状及影响因素分析[J]. 护理学报, 2020, 27(5): 28-34.
[14] 张瑾钰, 谢仙萍, 苗华丽, 薛会元, 李卓霞, 张年年. 老年类风湿关节炎患者上肢功能锻炼基于希望理论运动干预的效果观察[J]. 护理学报, 2020, 27(10): 69-73.
[15] 刘慧,靳艳,郑婧,王亚霖. 经皮冠状动脉介入术后中青年患者健康促进生活方式现状及影响因素分析[J]. 护理学报, 2016, 23(5): 14-18.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!