mrjСовременная ревматологияModern Rheumatology Journal1996-70122310-158XIMA-PRESS, LLC10.14412/1996-7012-2021-4-43-49mrj-1169Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL INVESTIGATIONSУдовлетворенность обезболивающей терапией пациентов с ревматическими заболеваниями в реальной клинической практике, по данным исследования КОМПАС (Качество Обезболивания по Мнению Пациентов с Артритом и болью в Спине)Satisfaction with analgesic therapy in patients with rheumatic diseases in real clinical practice, according to the KOMPAS study (Quality of Pain Relief in the Opinion of Patients with Arthritis and Back Pain)https://orcid.org/0000-0001-5103-5447ПогожеваЕ. Ю.PogozhevaE. Yu.

Елена Юрьевна Погожева

115522, Москва, Каширское шоссе, 34А

Elena Yurievna Pogozheva

34A, Kashirskoe Shosse, Moscow 115522

dr.pogozheva@gmail.comhttps://orcid.org/0000-0002-1391-0711КаратеевА. Е.KarateevA. E.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

БулгаковаН. А.BulgakovaN. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0001-5382-6357АмирджановаВ. Н.AmirdzhanovaV. N.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

ФилатоваЕ. С.FilatovaE. S.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

НестеренкоВ. А.NesterenkoV. A.

115522, Москва, Каширское шоссе, 34А

34A, Kashirskoe Shosse, Moscow 115522

https://orcid.org/0000-0002-6068-3080ЛилаА. М.LilaA. M.

кафедра ревматологии

115522, Москва, Каширское шоссе, 34А125993, Москва, ул. Баррикадная, 2/1, стр. 1

Department of Rheumatology

34A, Kashirskoe Shosse, Moscow 1155222/1, Barrikadnaya St., Build. 1, Moscow 125993

ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»РоссияV.A. Nasonova Research Institute of RheumatologyRussian FederationОбщероссийская общественная организация инвалидов «Российская ревматологическая ассоциация «Надежда»РоссияAll-Russian Public Organization of Disabled People «Russian Rheumatological Association «Nadezhda»Russian FederationФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»; ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования»РоссияV.A. Nasonova Research Institute of Rheumatology; Russian Medical Academy of Continuing Professional EducationRussian Federation2021140820211544349Copyright © Погожева Е.Ю., Каратеев А.Е., Булгакова Н.А., Амирджанова В.Н., Филатова Е.С., Нестеренко В.А., Лила А.М., 20212021Погожева Е.Ю., Каратеев А.Е., Булгакова Н.А., Амирджанова В.Н., Филатова Е.С., Нестеренко В.А., Лила А.М.Pogozheva E.Y., Karateev A.E., Bulgakova N.A., Amirdzhanova V.N., Filatova E.S., Nesterenko V.A., Lila A.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://mrj.ima-press.net/mrj/article/view/1169

Удовлетворенность пациентов лечением – один из основных показателей качества оказываемой медицинской помощи, особенно важный для оценки эффективности терапии скелетно-мышечной боли при ревматических заболеваниях (РЗ).Цель исследования – определение удовлетворенности пациентов с РЗ обезболиванием и анализ факторов, влияющих на субъективную оценку анальгетической терапии.Пациенты и методы. Проведен анонимный опрос 1040 пациентов (возраст 55,8±14,0 лет, 76,8% женщин) с различными РЗ: ревматоидным артритом (РА), остеоартритом (ОА), спондилоартритами, системными заболеваниями соединительной ткани, подагрой. Оценивали наличие боли и ее терапию, удовлетворенность лечением, мнение больных о причинах низкой эффективности обезболивания. Проанализирована зависимость неудовлетворенности лечением от ряда демографических и клинических факторов.Результаты и обсуждение. 71,5% пациентов испытывали боль в одной или нескольких суставных областях и/или в спине. 70,6% пациентов использовали нестероидные противовоспалительные препараты (НПВП), 1,6% – парацетамол, 40,0% – немедикаментозные средства и методы альтернативной медицины. Полностью удовлетворены лечением были 15,6% опрошенных, частично – 64,0%, полностью не удовлетворены – 20,4%. Основными субъективными причинами недостаточной эффективности анальгетической терапии оказались: опасение принимать назначенные лекарства из-за возможных осложнений (45,4%), низкая эффективность препаратов (15,7%), невнимательное отношение врачей (20,3%). Мужской пол, индекс массы тела >30 кг/м2 , сильная боль, боль в нескольких областях, а также диагноз ОА статистически значимо ассоциировались с неудовлетворенностью лечением. У пациентов с РА, напротив, отмечалась большая удовлетворенность лечением.Заключение. Большинство пациентов с РЗ недовольны результатами терапии боли. Необходимы образовательная работа с пациентами и персонализированный подход к назначению анальгетической терапии.

Patient's satisfaction with treatment is a fundamental indicator of the quality of medical care, which is especially important for assessing the effectiveness of therapy for musculoskeletal pain in rheumatic diseases (RD).Objective: to determine satisfaction of patients with RD with pain relief therapy and to analyze the factors influencing the subjective assessment of analgesic therapy.Patients and methods. Anonymous survey of 1040 patients (age 55.8±14.0 years, 76.8% were women) with RD, rheumatoid arthritis (RA), osteoarthritis (OA), spondyloarthritis, systemic connective tissue diseases and gout, was carried out. The presence of pain and its therapy, satisfaction with treatment, and patient's opinion about the reasons of low pain relief effectiveness were assessed. The dependence of the presence of dissatisfaction with treatment on a number of demographic and clinical factors was analyzed.Results and discussion. 71.5% of patients experienced pain in one or more joint areas and/or in the back. 70.6% of patients used non-steroidal antiinflammatory drugs (NSAIDs), 1.6% – paracetamol, 40.0% – non-drug modalities and methods of alternative medicine. 15.6% of the respondents were completely satisfied with the treatment, 64.0% were partially satisfied, and 20.4% were completely dissatisfied. The main subjective reasons for the insufficient effectiveness of analgesic therapy were: fear of taking prescribed medications due to possible complications (45.4%), low effectiveness of drugs (15.7%), insufficient attention of doctors (20.3%). Male gender, body mass index >30 kg/m2 , severe pain, pain in several areas, and the diagnosis of OA were statistically significantly associated with treatment dissatisfaction. In contrast, patients with RA showed greater satisfaction with treatment.Conclusion. Most patients with RD are dissatisfied with the results of pain therapy. Educational work with patients and a personalized approach to prescribing analgesic therapy is needed.

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The authors declare that there are no conflicts of interest present.