Physician–patient interaction and medication adherence in lupus nephritis

Autor:	Sofia Georgopoulou, Louise Nel, David D'Cruz, Shirish Sangle
Rok vydání:	2020
Předmět:	Adult Male Health Knowledge Attitudes Practice medicine.medical_specialty 2019-20 coronavirus outbreak Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Lupus nephritis Medication adherence Trust Medication Adherence Doctor patient communication Rheumatology Surveys and Questionnaires Internal medicine medicine Humans In patient Physician patient Aged Physician-Patient Relations Systemic lupus erythematosus business.industry Middle Aged medicine.disease Lupus Nephritis Cross-Sectional Studies Disease Progression business Decision Making Shared
Zdroj:	Lupus. 29:1168-1178
ISSN:	1477-0962 0961-2033
DOI:	10.1177/0961203320935977
Popis:	ObjectiveThe quality of physician–patient interaction can have a significant impact on medication adherence. Little is known about this relationship in patients with lupus nephritis.MethodsA cross-sectional, quantitative study. Data collected included demographics, current medication, systemic lupus erythematosus disease activity index, medication adherence, beliefs about medicines, shared decision-making, patient–doctor depth of relationship, patient–doctor quality of relationship, interpersonal trust in a physician and illness perceptions.ResultsNinety-eight patients with lupus nephritis completed the questionnaires. Logistic regression indicated that medication adherence was significantly predicted by (a) interpersonal trust in a physician (B = 0.85, Wald 3.94, 95% confidence interval (CI) 1.01, 5.44; P = 0.05); (b) timeline cyclical (B = –0.89, Wald 4.95, 95% CI 0.19, 0.90; P ConclusionThe findings highlighted two key elements: (a) the importance of trust in relation to medication adherence; and (b) a good understanding of patients’ illness is linked to a better relationship with their doctor and greater participation in shared decision-making which is associated with increased trust. Tailored psycho-educational interventions could contribute to improving the patient–doctor relationship quality, trust and increased shared decision-making, which, in turn, might improve medication adherence in patients with lupus nephritis.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7d26b9b7417c903dcfe02115187e7373 https://doi.org/10.1177/0961203320935977 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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