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MS-Patienten in einem überregionalen ambulanten MS-Zentrum: Einfluss der Einrichtung einer Patientenakademie auf die Adhärenz und Gründe für den Therapiewechsel

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Erstveröffentlichung
2017-03-08
DOI
10.18725/OPARU-4263

Dissertation

Autoren
Riester, Benedikt Raphael
Gutachter
Weber, Frank
v. Wietersheim, Jörn
Fakultäten
Medizinische Fakultät
Institutionen
Bundeswehrkrankenhaus Ulm (BWK)
UKU. Klinik für Psychosomatische Medizin und Psychotherapie
Lizenz
Standard
https://oparu.uni-ulm.de/xmlui/license_v3
Zusammenfassung
Background Multiple sclerosis is a chronic disease with unknown cure. Though several therapies exist, only consequent medication receipts lead to satisfying results. To reach this, qualified patient education seems to be the relevant key to constructive adherence. Therefore, a patient academy was introduced and the benefits of this academy were examined. In addition, the comparatively new oral drugs have been examined as they seem to be more comfortable in receipts, but the concrete reasons for changing the treatment have not been well examined prior to this study. Material and Methods A prospective online survey as a questionnaire was carried out in Germany to gain data on treatment adherence and reasons for changes in medical treatment of MS patients. Patients were asked about their own perception of knowledge and adherence to the treatment of their disease. Furthermore, the reasons and recommendations for treatment change were examined. Results 214 patient questionnaires were used as a base for this analysis. Approximately 87% recorded a RRMS. 113 patients changed from parenteral treatment to oral drugs. The self-assessment of treatment adherence was 1.46 on average, the self-assessment of the level of knowledge was 2.1 (1=very good, 5=very bad). Most patients visited 5 or fewer meetings at patients’ academy. There was a significant correlation in linear regression between knowledge and adherence (p=0.0006, r²=0.05). The most important reason for treatment change was the general hope for improvement. The most influential factor on the decision to change treatment was the advice given by the medical professionals, namely treating physicians and MS nurses. Conclusions The most important factor for adherence is professional mediated knowledge. The recommendations for treatment change by commercial advertising has not been identified to be a relevant factor.
Erstellung / Fertigstellung
2016
Normierte Schlagwörter
Multiple Sklerose [GND]
Neurologie [GND]
Therapietreue [GND]
Patientenschulung [GND]
Compliance <Patient> [GND]
Multiple sclerosis [MeSH]
Multiple sclerosis; Therapy [MeSH]
Patient education as topic [MeSH]
Patient compliance [MeSH]
Medication adherence [MeSH]
Schlagwörter
Adhärenz; Therapiewechsel
DDC-Sachgruppe
DDC 610 / Medicine & health

Metadata
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Zitiervorlage

Riester, Benedikt Raphael (2017): MS-Patienten in einem überregionalen ambulanten MS-Zentrum: Einfluss der Einrichtung einer Patientenakademie auf die Adhärenz und Gründe für den Therapiewechsel. Open Access Repositorium der Universität Ulm. Dissertation. http://dx.doi.org/10.18725/OPARU-4263

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