NGHIÊN CỨU TUÂN THỦ ĐIỀU TRỊ THEO THANG ĐIỂM MORISKY Ở BỆNH NHÂN VIÊM KHỚP DẠNG THẤP TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objectives: To study the grade of treatment adherence in patients with RA according to the Morisky's scale and to analyze the relationship between the level of treatment compliance according to the Morisky's scores and some clinical and paraclinical characteristics in RA patients. Methods: A cross-sectional and descriptive study on 80 RA patients treated at Military Hospital 103. Treatment adherence was assessed according to the 8-question Morisky scale. Results: The mean of the Morisky score was 6.25/8 points. Of these, 43.8% had low compliance, 35% had medium compliance, and 21.2% had high compliance. Factors associated with poor compliance were mainly high drug costs and adverse effects, as well as low confidence in the treatment plan. Regarding disease characteristics, Morisky score was positively correlated with disease duration (adjusted B 0.269) with p=0.001, negatively correlated with DAS28-CRP (adjusted B -0.391), and number of DMARDs used (adjusted B -0.396) with all p <0.001. Conclusion: Treatment adherence in RA patients was mostly low. The main reasons for low adherence were treatment costs and adverse effects. Adherence was related to disease activity, number of DMARDs prescribed, and disease duration.