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Psicologia, Saúde & Doenças

versão impressa ISSN 1645-0086

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NEDER, Patrícia Regina Bastos; FERREIRA, Eleonora Arnaud Pereira  e  CARNEIRO, José Ronaldo. Adherence to the treatment of lupus: effects of three intervention conditions. Psic., Saúde & Doenças [online]. 2017, vol.18, n.1, pp.203-220. ISSN 1645-0086.  http://dx.doi.org/10.15309/17psd180117.

Systemic lupus erythematosus (SLE) is an autoimmune and multisystem disease. It occurs predominantly in women. The treatment is diverse and contains complex rules, which difficult to adhesion. This research studied the effects of three intervention conditions on behaviors adherence to treatment in women with SLE. This is a longitudinal study with data collection at 30, 60, 90 and 120 days. Participant are fifteen patients with SLE, followed at an outpatient clinic of a public hospital. We used: observation form of medical consultation; chart analysis protocol; interview scripts; checklist on adherence to treatment; self-monitoring registration forms; visual analogue pain scale; Beck depression inventory (BDI); Quality of life Assessment Questionnaire SF-36 and Disease Activity Index (SLEDAI). Participants were distributed sequentially in three intervention conditions: Condition A (n = 5), routine and interview; Condition B (n = 5), and routine interview with use of checklist; Condition C (n = 5), routine interview with use of self-monitoring checklist and records. There was quantitative and qualitative analysis, comparing the data in different times of the study. As a result, it was found that, regardless of the condition to which the participant was exposed, there was improvement in reported adherence, the clinical status and quality of life of the participants at the end of the study; however, participants of Condition C kept the adherence behaviors installed even after the withdrawal of the intervention procedure, suggesting better compliance rate to treatment (average of 95.71).

Palavras-chave : Systemic lupus erythematosus; Adhesion index; Self-monitoring.

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