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Nived O, Andersson M, Lindgren M, Malcus-Johnsson P, Nihlberg A, Nived K, Reimer-Rasmusson G, Sturfelt G, Ståhl-Hallengren C, Bengtsson AA. Adherence with advice and prescriptions in SLE is mostly good, but better follow up is needed: a study with a questionnaire. Lupus 2007; 16:701-6. [PMID: 17728362 DOI: 10.1177/0961203307080635] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The objective was to evaluate the efficacy of the information policy given to all systemic lupus erythematosus (SLE) patients. One hundred consecutive SLE patients were asked to answer anonymously a questionnaire covering demographic issues including education, adherence with prescriptions and advice given and methods of sourcing information. Seventy-three females and ten males responded. The demographic data showed that 34 had a university education, 29 high school and 19 primary school education. An inability to work due to disease was increased compared with the matched population (P < 0.001). Forty-two reported that they had received advice about physical training and forty of them followed this advice. Only 28 out of 46 smokers reported that they had got any advice about smoking, and out of these only 13 followed the advice. The patients with university background were less likely to smoke (P < 0.05) and followed the advice more often (P < 0.05). Most patients followed given advice about exposure to sunlight. Thirty-five percent of those prescribed glucocorticoids reported that they varied from the prescribed dosages without consultation with their specialist. This behaviour was more common in the university group (P < 0.05), this grouping also had a higher median dosage. Seventy-three patients had read the booklet about SLE provided by the clinic. Accessing internet information was more common for those with university education (P < 0.01). This study shows that on the whole SLE patients follow given advice, but adherence varies. Aside from the issue of glucocorticoid dosage adherence, educational level seems to be the most important predictor for adherence to advice. Thus, we conclude that a more individualized approach to delivery of information is required and better follow up is needed.
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Affiliation(s)
- O Nived
- Department of Rheumatology, University Hospital, S-22185 Lund, Sweden
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Fex E, Larsson BM, Nived K, Eberhardt K. Effect of rheumatoid arthritis on work status and social and leisure time activities in patients followed 8 years from onset. J Rheumatol 1998; 25:44-50. [PMID: 9458201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
OBJECTIVE To evaluate the development of handicap in patients with rheumatoid arthritis (RA) followed 8 years from onset. METHODS The study group consisted of 106 patients participating in a prospective early RA study. The mean duration of joint symptoms at inclusion was one year. The patients were assessed at least once annually. Disability was measured with the Health Assessment Questionnaire (HAQ) and emotional distress with a self-administered test (Symptom Checklist). Work status and different social measures were registered. A structured interview regarding work capacity, leisure time, and social activities was performed about 8 years after disease onset. RESULTS Compared to study start, disease activity had decreased, emotional distress was unchanged, disability had increased somewhat, and radiographic changes had increased markedly. The prevalence of work disability at the end of the study was 37%. The majority of patients that eventually got disability pension had stopped working the first year after onset. Seventy-eight percent of the patients who continued to work had to adjust their work conditions to stay employed. The 3 most important predictors for work disability were higher HAQ at study start, lower educational level, and older age. Three-quarters of the patients had to alter leisure time activities and half of them were not satisfied with their recreation. Many patients experienced difficulties in their roles as spouse and parent. Higher levels of emotional distress were associated with these handicaps. CONCLUSION In this cohort of patients with RA we found a high frequency of different types of handicaps at an early stage. Slightly more than 1/3 were work disabled. The majority had stopped working during the first year. Patients perceived handicaps in terms of changed leisure time activities, and difficulties performing different social roles were frequent. Patients with these handicaps felt more emotional distress.
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Affiliation(s)
- E Fex
- Department of Rheumatology, Lund University Hospital, Sweden
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Lorig K, Seydel E, Taal E, Rasker H, Basler HD, Geidel H, Leuschner G, Verreusel RLP, Lubberts EW, Theunisse HAM, Falkenbach A, Wigand R, Kaltwasser P, Clayson M, Phillips P, Graafsma EAM, Riemsma R, Brus H, Rasker JJ, Cziske R, Jaeckel WH, Jacobi E, Manshanden MAC, Schenk FC, Dijkmans BAC, Nordenskiöld U, Harmer R, Wright V, Hill J, Bird H, Elst P, Eshof IVD, Fits IVD, Laar MVD, Willigen JV, Boomgaardt IK, Tulleken JE, de Vries EGE, van Rijswijk MH, Lankveld WV, Daamen K, Bosch PV'P, Richardson MUS, Huiskes CJAE, Kraaimaat FW, Bijlsma JWJ, de Witte LP, Winants BAC, Tilli DJP, van der Linden S, van der Horst FG, Groen JJ, Sargautyté R, Kočiùnas R, Ammer K, Karetta M, Samuelsson A, Bjelle A, Sullivan M, Pincus T, Callahan LF, Persson LO, Berglund K, Kuiper CHZ, Poulsen A, Oosterveld FGJ, Jacobs JWG, Overmars HJA, Uytterhoeven R, Keulemans M, Dequeker J, Geusens P, Struthers TJ, Brown J, Dapper MML, Phiferons H, van der Velde EA, Janssen M, Raspe HH, Mattussek S, Deck R, Malcus-Johnson P, Sandqvist G, van Veldhoven G, Demeester V, Bird HA, Maycock J, Peeters W, Welkenhuysen M, Cartois J, Wassenaar WH, Tulleken JE, Tromp CN, Löfkvist U, Eberhardt K, Kessler S, Potthoff P, Ekdahl C, Brooks RH, Bakker CH, Rutten-van Mölken M, van Doorslaer E, Boykinov IN, Lolkema W, van Leeuwen MA, Fordham JN, Stamp J, Holwerda-Straver I, Wexsahl H, Torud Y, Eggen AE, Kruse-Jensen A, Munthe E, Lubberts EW, Lacko BJS, Theunisse HAM, van Riel PLCM, Bos AME, Brattström M, Thorsell U, Widell G, Claesson K, Karlsson L, Struthers J, Doeglas D, Suurmeijer T, Sanderman R, Krol B, Tuinstra J, Suurmeyer TPBM, Pelt RAGB, Goei The HS, Thomassen JMC, Damhuis-Friedrich E, Chikanza IC, Panayi GS, Forre O, Fredriksen B, Bakken L, Guillemin F, Larsson BM, Nived K, Eberharsdt K, Ahlund O, Briancon S, Baumann M, Kroll B, Douglas D, Suurmeijer T, Le Gallez P, Siesling M, Brown GMM, Jessop S, Ropers G, Sangha O, Kriegel W, Konietzny G, Suurmeijer TPBM, Skarulis R, Gaigaliene B, Raistenskis J, Ceremnych-Aleksejenko E, Cobotas M, Barlow JH, Macey SJ, Struthers G, Gorjaev YA, Menshikova LV, Fahmy Z, Braun B, Lohmann J. Third International Symposium for health professionals in rheumatology. Clin Rheumatol 1990. [DOI: 10.1007/bf02031982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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