Влияние эмпатии на комплаентность пациентов и клиническую эффективность лечения хронического гастрита

Abstract

The aim of the research. To study the influence of empathic care level provided by the attending physician on the level of chronic gastritis patients’ adherence to treatment and on therapy effectiveness. Material and methods. A total of 302 patients with chronic gastritis were examined. Depending on the level of patients’ adherence to treatment, the patients were divided into 4 groups. Group 1: 96 patients with chronic gastritis associated with H. pylori; group 2: 110 patients with chronic gastritis not associated with H. pylori. Patients in these groups had a high level of adherence. Group 3 was formed from 36 patients with chronic gastritis associated with H. pylori who rejected treatment; group 4 included 60 patients with chronic gastritis associated with H. pylori who partially adhered to the physician’s recommendations. The “Consultation and Relational Empathy Measure” (CARE Measure) questionnaire was used to assess the degree of empathy that arose between the physician and the patient during examination. Results. The maximum degree of eradication of the causative agent of chronic gastritis was over 80% and the minimum frequency of clinical manifestations and complications of the disease was observed in group 1. Patients of this group fully adhered to the physician’s recommendations and had high scores on the CARE Measure questionnaire at the beginning of the study (44 points), as well as the maximum number of visits to the physician in the observation period (9.0 [7.0; 10.0]) in comparison to groups 2 and 3 (8.0 [6.0; 9.0] and 5.0 [3.0; 6.0], respectively; p=0.012). The minimum result was noted in group 3, which was due to the extremely low adherence of these patients. At the same time, these patients noted a low level of empathy on the part of the doctor, which made a significant contribution to the decrease in the level of their adherence to treatment. Conclusion. The CARE score may be used as a criterion of chronic gastritis patients’ adherence to treatment and as a predictor of therapy effectiveness .