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本文引用的文献

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An Automated Strategy to Calculate Medication Regimen Complexity.一种自动计算药物治疗方案复杂性的策略。
AMIA Annu Symp Proc. 2024 Jan 11;2023:1077-1086. eCollection 2023.
2
Self-management support needs of patients with inflammatory arthritis and the content of self-management interventions: a scoping review.炎症性关节炎患者的自我管理支持需求和自我管理干预内容:范围综述。
Semin Arthritis Rheum. 2023 Jun;60:152203. doi: 10.1016/j.semarthrit.2023.152203. Epub 2023 Apr 6.
3
Factors related to self-care drug treatment and medication adherence of elderly people in Japan.日本老年人自我护理药物治疗及用药依从性的相关因素。
Public Health Pract (Oxf). 2021 Mar 21;2:100106. doi: 10.1016/j.puhip.2021.100106. eCollection 2021 Nov.
4
The Assessment of Fatigue in Rheumatoid Arthritis Patients and Its Impact on Their Quality of Life.类风湿关节炎患者疲劳状况的评估及其对生活质量的影响。
Clin Pract. 2022 Jul 26;12(4):591-598. doi: 10.3390/clinpract12040062.
5
Metabolic Profiling in Rheumatoid Arthritis, Psoriatic Arthritis, and Psoriasis: Elucidating Pathogenesis, Improving Diagnosis, and Monitoring Disease Activity.类风湿关节炎、银屑病关节炎和银屑病的代谢谱分析:阐明发病机制、改善诊断及监测疾病活动度
J Pers Med. 2022 Jun 2;12(6):924. doi: 10.3390/jpm12060924.
6
The burden of illness of rheumatoid arthritis in Latin America-A systematic literature review.类风湿关节炎在拉丁美洲的疾病负担:系统文献综述。
Int J Rheum Dis. 2022 Apr;25(4):405-421. doi: 10.1111/1756-185X.14295. Epub 2022 Jan 31.
7
Orem's Self-Care Deficit Nursing Theory to Improve Children's Self-Care: An Integrative Review.奥瑞姆的自理缺陷护理理论对提高儿童自理能力的作用:一项综合评价。
J Sch Nurs. 2023 Feb;39(1):6-17. doi: 10.1177/10598405211050062. Epub 2021 Oct 12.
8
Impact of Medication Regimen Simplification on Medication Adherence and Clinical Outcomes in Patients with Long-Term Medical Conditions.简化药物治疗方案对患有长期疾病患者的药物依从性和临床结局的影响。
Patient Prefer Adherence. 2020 Nov 2;14:2135-2145. doi: 10.2147/PPA.S268499. eCollection 2020.
9
Renegotiating dimensions of the self: A systematic review and qualitative evidence synthesis of the lived experience of self-managing rheumatoid arthritis.重新协商自我的维度:类风湿性关节炎自我管理的生活体验的系统评价和定性证据综合
Health Expect. 2020 Dec;23(6):1388-1411. doi: 10.1111/hex.13122. Epub 2020 Sep 1.
10
Correlations of fatigue in Danish patients with rheumatoid arthritis, psoriatic arthritis and spondyloarthritis.丹麦类风湿关节炎、银屑病关节炎和脊柱关节炎患者疲劳的相关性。
PLoS One. 2020 Aug 3;15(8):e0237117. doi: 10.1371/journal.pone.0237117. eCollection 2020.

药物治疗复杂性对类风湿关节炎患者自我护理的影响。

Impact of pharmacotherapy complexity on self-care in individuals with rheumatoid arthritis.

作者信息

Matricardi Jhoniffer Lucas das Neves, Queiróz-Cardoso Andréia Insabralde de, Higa Carla Moreira Lorentz, Arruda Guilherme Oliveira de, Zulin Maria Eduarda Gonçalves, Ferreira Júnior Marcos Antonio, Ribeiro Aline Fernanda Alves

机构信息

Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil.

出版信息

Rev Bras Enferm. 2025 Jul 11;78(3):e20240436. doi: 10.1590/0034-7167-2024-0436. eCollection 2025.

DOI:10.1590/0034-7167-2024-0436
PMID:40667908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12419784/
Abstract

OBJECTIVES

to analyze the relationship between self-care and pharmacotherapy complexity in individuals with rheumatoid arthritis.

METHODS

this cross-sectional study was conducted at a teaching hospital in the Central-West region of Brazil from October to December 2023. Individuals with rheumatoid arthritis undergoing treatment for at least three months were included. A sociodemographic questionnaire, the Appraisal of Self-Care Agency Scale-Revised, and the Pharmacotherapy Complexity Index were used. Analytical statistics were applied using percentiles, the Shapiro-Wilk test, post hoc analysis, ANOVA, and the Kruskal-Wallis test.

RESULTS

the sample consisted of 96 individuals. The mean self-care and pharmacotherapy complexity scores were at intermediate levels, 56.33 and 18.29, respectively. Relationships were identified between dose frequency and self-care development, as well as between overall pharmacotherapy complexity and reduced self-care capacity.

CONCLUSIONS

a high dosage frequency may positively influence self-care development in individuals with arthritis, whereas higher pharmacotherapy complexity scores may impair self-care capacity.

摘要

目的

分析类风湿关节炎患者自我护理与药物治疗复杂性之间的关系。

方法

本横断面研究于2023年10月至12月在巴西中西部地区的一家教学医院进行。纳入接受治疗至少三个月的类风湿关节炎患者。使用了一份社会人口学调查问卷、修订后的自我护理能力评估量表和药物治疗复杂性指数。采用百分位数、夏皮罗-威尔克检验、事后分析、方差分析和克鲁斯卡尔-沃利斯检验进行分析统计。

结果

样本包括96名个体。自我护理和药物治疗复杂性的平均得分分别处于中等水平,分别为56.33和18.29。确定了给药频率与自我护理发展之间的关系,以及整体药物治疗复杂性与自我护理能力降低之间的关系。

结论

高给药频率可能对关节炎患者的自我护理发展产生积极影响,而较高的药物治疗复杂性得分可能损害自我护理能力。