Factores asociados al incumplimiento del tratamiento con ADALIMUMAB 40 mg Iny. en pacientes con Artritis Reumatoide en el Hospital Nacional Edgardo Rebagliati Martins - EsSALUD, Lima, durante el periodo 2008 - 2009
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Date
2010
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Publisher
Universidad Nacional de Trujillo
Abstract
El presente es un estudio descriptivo, retrospectivo y de corte transversal cuyo objetivo es determinar los factores asociados al incumplimiento del tratamiento con Adalimumab 40 mg ¡ny. en pacientes con Artritis Reumatoide en el Hospital Nacional Edgardo Rebagliati Martins, durante el periodo 2008-2009. Fueron analizados el totalidad de las Historias Clínicas del los pacientes protocolizados para recibir el tratamiento con Adalimumab 40 mg ¡ny. durante el periodo mencionado donde se pudo identificar a 36 pacientes los cuales reciben periódicamente el medicamento estudiado. Se determinó que el 19% de los pacientes cumple el tratamiento mientras que el 81% de la pacientes lo incumple; siendo los principales factores asociados al incumplimiento en orden decreciente: falta de medicamento 48.4%, reacciones adversas 17.2%, falta de respuesta y suspensión médica 13.8% cada uno, mientras que decisión propia y olvido de cita ambos representan el 3.4% del total. Así mismo se estableció que el más alto porcentaje de incumplimiento lo registra el género femenino con un 48% del total , con respecto a los del género masculino cuyo porcentaje es de 33%, además se determinó que el mayor porcentaje de pacientes incumplidores tienen entre 40 y 59 años.
ABSTRACT The present is a descriptive, retrospective and transverse- court study whose objective is to determine factors once the unfulfihlment of the treatment with Adalimumab 40 mg iny. in Reumatoide arthritic patients into the Hospital Nacional Edgardo Rebagliati Martins, during the period 2008-2009. They were examined the totality of the case histories of the the patients notarized to receive the treatment with Adalimumab 40 mg Iny. during the mentioned period where you could provide evidence of identity to 36 patients which receive the studied medication periodically. It was determined than 19 % of patients you obey the treatment while 81 % of the patient disobeys it; Being principal correlated factors the unfulfihlment in decreasing order: Lack of medication 48,4 %, adverse reactions 17,2 %, fack of answer and medical suspension 13,8 % each one, in the meantime than own decision and oversight of appointment both represent 3,4 % of the total. Likewise it was established that the highest percentage of unfulfihlment is registered by the feminine kind with 48 % of the total, with respect to give them the masculine gender whose percentage is of 33 %, besides the fact that they have unreliable patients' bigger percentage between 40 and 59 years etermined itself.
ABSTRACT The present is a descriptive, retrospective and transverse- court study whose objective is to determine factors once the unfulfihlment of the treatment with Adalimumab 40 mg iny. in Reumatoide arthritic patients into the Hospital Nacional Edgardo Rebagliati Martins, during the period 2008-2009. They were examined the totality of the case histories of the the patients notarized to receive the treatment with Adalimumab 40 mg Iny. during the mentioned period where you could provide evidence of identity to 36 patients which receive the studied medication periodically. It was determined than 19 % of patients you obey the treatment while 81 % of the patient disobeys it; Being principal correlated factors the unfulfihlment in decreasing order: Lack of medication 48,4 %, adverse reactions 17,2 %, fack of answer and medical suspension 13,8 % each one, in the meantime than own decision and oversight of appointment both represent 3,4 % of the total. Likewise it was established that the highest percentage of unfulfihlment is registered by the feminine kind with 48 % of the total, with respect to give them the masculine gender whose percentage is of 33 %, besides the fact that they have unreliable patients' bigger percentage between 40 and 59 years etermined itself.
Description
Keywords
Artritis reumatoide. FARMEs biológicos. Adalimumab y incumplimiento de
tratamiento.