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

نویسندگان

1 Student Research Committee, Faculty of medicine, Qom University of Medical Sciences, Qom, Iran.

2 Clinical Research and Development Center, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran

3 Student Research Committee, Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran

4 Clinical Research and Development Center, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran

5 Clinical Research and Development Center, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran

6 Clinical Research and Development Center, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran

7 Student Research Committee, school of medicine, Alborz University of Medical Science, Karaj, Iran

doi
10.32592/RR.2026.11.2.26
چکیده

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 2023. 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 (98.8% of the total population) had a poor level of adherence to treatment with an MMAS index score of less than 6. 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.