Determinant of medical adherence in patients referred to rheumatology clinic; A cross-sectional study

To evaluate the level of adherence to treatment of rheumatology clinic patients as an essential and new index in improving patients, which is still unknown in Iran, and search on the variables that can affect it for better treatment. A cross-sectional study was conducted among patients referred to a rheumatology clinic in Qom, Iran, in June ۲۰۲۳. Eighty-one patients who met the inclusion criteria were selected via the random sampling method. Data collection instruments included demographic information forms, Morisky Medication Adherence Scale (MMAS) questions, and laboratory data, pain severity score. The data were analyzed in SPSS software using descriptive tests and linear regression analysis. Based on the results, eighty patients (۹۸.۸% of the total population) had a poor level of adherence to treatment with an MMAS index score of less than ۶. Also, the degree of treatment adherence significantly correlated with the amount of white blood cells in the laboratory data. There was no relationship between treatment adherence and inflammatory index, pain intensity, nursing care, financial status, age, or gender. It seems that the study on adherence to treatment and identification of factors affecting it in rheumatology patients, especially in Iran, has been neglected. Also, few studies, including this study, evaluate its severity as unfavorable. Due to the lack of correlation Between most demographic variables and treatment compliance, it seems necessary to study a larger population of patients with more variables, including psychological issues.

کلیدواژه ها:

rheumatology ، Treatment Adherence ، treatment compliance ، Patient compliance