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.
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.
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。
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