A Cross-Sectional Study of Quality of Life, Treatment Adherence, and Health-Seeking Behavior in Turkish Patients with Rheumatoid Arthritis: Gender and Education as Key Predictors.

IF 2 3区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Patient preference and adherence Pub Date : 2025-09-25 eCollection Date: 2025-01-01 DOI:10.2147/PPA.S553233
Betülay Kilic, Emine Akdoğan, Fatma Ilknur Cinar, Melih Pamukcu, Filiz Bozdeveci
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引用次数: 0

Abstract

Purpose: This study aimed to examine the quality of life, treatment adherence, and health-seeking behavior among patients with rheumatoid arthritis.

Materials and methods: This cross-sectional study was conducted with 161 patients diagnosed with rheumatoid arthritis between May 2024 and May 2025. Data were collected using the "Personal Information Form", "Rheumatoid Arthritis Quality of Life Questionnaire (RAQoL)", "Compliance Questionnaire on Rheumatology (CQR-T)", and the "Health-Seeking Behavior Scale".

Results: The mean age of the participants was 57.94 ± 13.46 years, and 72% were female. The mean duration of symptoms was 12.95 ± 10.06 years, and the mean disease activity score was 6.09±2.59. The analyses showed that lower treatment adherence, greater symptom severity, and female gender had negative effects on quality of life, while higher disease activity had a positive effect (ß = -0.205; ß = -0.284; ß = -0.155; ß = 0.303, respectively). In addition, a decrease in quality of life was found to negatively affect treatment adherence, whereas professional health-seeking behavior improved adherence (ß = -0.164; ß = 0.519). Educational level was also found to have a positive effect on health-seeking behavior (ß = 0.304).

Conclusion: This study highlights the complex interplay of psychosocial, behavioral, and clinical factors influencing quality of life in patients with rheumatoid arthritis. Specifically, we found that male gender was a significant predictor of better quality of life, while higher education levels were associated with stronger health-seeking behavior. These findings underscore the importance of strengthening treatment adherence, promoting proactive health-seeking behavior, and considering sociodemographic differences such as gender and education in patient care. Moreover, this study is among the first to examine health-seeking behavior alongside quality of life and treatment adherence in RA, providing a unique contribution to the literature. Integrating these factors into management strategies can better support clinicians in improving both health outcomes and quality of life for their patients. This study highlights the complex interplay of psychosocial, behavioral, and clinical factors influencing quality of life in patients with rheumatoid arthritis. The findings underscore the importance of strengthening treatment adherence, promoting proactive health-seeking behavior, and considering sociodemographic differences such as gender and education in patient care. Moreover, this study is among the first to examine health-seeking behavior alongside quality of life and treatment adherence in RA, providing a unique contribution to the literature. Integrating these factors into management strategies can better support clinicians in improving both health outcomes and quality of life for their patients.

土耳其类风湿性关节炎患者生活质量、治疗依从性和健康寻求行为的横断面研究:性别和教育是关键预测因素
目的:本研究旨在探讨类风湿关节炎患者的生活质量、治疗依从性和求医行为。材料和方法:本横断面研究在2024年5月至2025年5月期间对161例诊断为类风湿性关节炎的患者进行了研究。采用“个人信息表”、“类风湿关节炎生活质量问卷(RAQoL)”、“类风湿学依从性问卷(CQR-T)”和“求医行为量表”收集数据。结果:参与者平均年龄57.94±13.46岁,其中72%为女性。平均症状持续时间为12.95±10.06年,平均疾病活动性评分为6.09±2.59分。分析表明,较低的治疗依从性、较大的症状严重程度和女性对生活质量有负面影响,而较高的疾病活动性对生活质量有积极影响(ß = -0.205; ß = -0.284; ß = -0.155; ß = 0.303)。此外,研究发现生活质量的下降对治疗依从性有负面影响,而专业的健康寻求行为改善了治疗依从性(ß = -0.164; ß = 0.519)。受教育程度对求医行为也有积极影响(ß = 0.304)。结论:本研究强调了影响类风湿关节炎患者生活质量的社会心理、行为和临床因素的复杂相互作用。具体来说,我们发现男性性别是更好的生活质量的重要预测因素,而高等教育水平与更强的健康寻求行为相关。这些发现强调了加强治疗依从性、促进主动求医行为以及在患者护理中考虑性别和教育等社会人口统计学差异的重要性。此外,这项研究是第一个研究RA患者寻求健康行为、生活质量和治疗依从性的研究,为文献提供了独特的贡献。将这些因素纳入管理策略可以更好地支持临床医生改善患者的健康结果和生活质量。本研究强调了影响类风湿关节炎患者生活质量的社会心理、行为和临床因素的复杂相互作用。研究结果强调了加强治疗依从性、促进主动求医行为以及考虑患者护理中性别和教育等社会人口统计学差异的重要性。此外,这项研究是第一个研究RA患者寻求健康行为、生活质量和治疗依从性的研究,为文献提供了独特的贡献。将这些因素纳入管理策略可以更好地支持临床医生改善患者的健康结果和生活质量。
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来源期刊
Patient preference and adherence
Patient preference and adherence MEDICINE, GENERAL & INTERNAL-
CiteScore
3.60
自引率
4.50%
发文量
354
审稿时长
6-12 weeks
期刊介绍: Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.
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