Empathy, psychological characteristics, and compliance in patients with chronic gastritis
https://doi.org/10.23946/2500-0764-2022-7-2-84-93
Abstract
Aim. To study the associations between empathy, anxiety, and compliance in patients with chronic gastritis.
Materials and Methods. Here we recruited 302 patients with chronic gastritis, further stratifed into 4 groups: 1) 96 patients with H. pylori-associated gastritis and high compliance; 2) 110 patients negative for Helicobacter pylori and also having high compliance; 3) 36 patients with H. pylori-associated gastritis and low compliance; 4) 60 patients with Helicobacter pylori-associated gastritis and partial compliance. Empathy was evaluated using Consultation and Relational Empathy Measure (CARE Measure) questionnaire, whilst anxiety was determined using the Spielberger-Khanin questionnaire.
Results. The highest Helicobacter pylori eradication rate was observed in patients with high empathy and adherence and vice versa. Correlation analysis showed that physician interpersonal skills, therapeutic success, and adherence to treatment were positively associated with patient empathy and negatively associated with patient anxiety.
Conclusion. Doctor-patient relationship defnes the patient compliance, while patient empathy is a key factor determining adherence to treatment in patients with chronic gastritis.
About the Authors
S. A. SmakotinaRussian Federation
Prof. Svetlana A. Smakotina, MD, DSc, Head of the Department of Clinical Therapy and Clinical Pharmacology
22а, Voroshilova Street, Kemerovo, 650056
T. O. Kolmogorova
Russian Federation
Dr. Tatiana O. Kolmogorova, MD, PhD Student, Department of Clinical Therapy and Clinical Pharmacology
22а, Voroshilova Street, Kemerovo, 650056
References
1. Nagy P, Johansson S, Molloy-Bland M. Systematic review of time trends in the prevalence of Helicobacter pylori infection in China and the USA. Gut Pathog. 2016;8:8. https://doi.org/10.1186/s13099-016-0091-7
2. Sipponen P, Maaroos H. Chronic gastritis. Scand J. Gastroenterol. 2015;50(6):657-667. https://doi.org/10.3109/00365521.2015.1019918
3. Utemov SI. Trudnosti eradikatsionnoy terapii. Kak ikh preodolet'? Bulletin of medical internet conferences. 2018;8(8):353 (In Russ).
4. Nalyotov AV, Nalyotov SV, Barinova AS, Vunichenko YuS. The problem of compliance in modern gastroenterology. Universiti clinic. 2017;13(2):213-218. (In Russ).
5. Boltin D, Dotan I, Birkenfeld S. Improvement in the implementation of Helicobacter pylori management guidelines among primary care physicians following a targeted educational intervention. Ann. Gastroenterol. 2019;32(1):P.52-59. https://doi.org/10.20524/aog.2018.0329
6. Fagoonee S, Pellicano R. Helicobacter pylori: Molecular basis for colonization and survival in gastric environment and resistance to antibiotics. A Short Review. Infectious Diseases (Lond). 2019;51(6):399- 408. https://doi.org/10.1080/23744235.2019.1588472
7. Toole J, Kohansieh M, Khan U, Romero S, Ghali M, Zeltser R, Makaryus AN. Does Your Patient Understand Their Treatment Plan? Factors Affecting Patient Understanding of Their Medical Care Treatment Plan in the Inpatient Setting. J Patient Exp. 2020;7(6):1151-1157. https://doi.org/10.1177/237437352
8. El'zesser AS, Kapustina TV. O probleme komplaentnosti v kontekste sotsial'no znachimykh zabolevaniy. Rossiyskaya nauka i obrazovanie segodnya: problemy i perspektivy. 2019;5(30):93-96. (In Russ).
9. Argunova YuA, Trubnikova OA, Inozemtseva AA, Barbarash OL. Fizicheskie trenirovki kak faktor povysheniya priverzhennosti patsientov posle koronarnogo shuntirovaniya k medikamentoznoy i nemedikamentoznoy terapii. Lechashchij vrach. 2017;7:38. (In Russ). https://doi.org/10.17802/2306-1278-2017-6-3-166-174
10. Pomeshkina SA, Bezzubova VA, Argunova YuA, Barbarash OL. Adherence to a comprehensive rehabilitation program after coronary artery bypass grafting: a challenge for a patient or a physician? Medicine in Kuzbass. 2018;17(4):46-50 (In Russ).
11. Chey WD, Leontiadis GI, Howden CW, Moss SF. ACG clinical guideline: treatment of Helicobacter pylori infection. Am. J. Gastroenterol. 2017;112:212-239. https://doi.org/10.1038/ajg.2016.563
12. Lu X, Zhang R. Impact of patient information behaviours in online health communities on patient compliance and the mediating role of patients' perceived empathy. Patient Educ. Couns. 2021;104(1):186- 193. https://doi.org/10.1016/j.pec.2020.07.001
13. Saracino IM, Pavoni M, Zullo A, Fiorini G, Saccomanno L, Lazzarotto T, Cavallo R, Antonelli G, Vaira D. Antibiotic resistance and therapy outcome in Helicobacter pylorieradication failure patients. Antibiotics (Basel). 2020;9(3):121. https://doi.org/10.3390/antibiotics9030121
14. Yokota N, Ae R, Amenomori M, Kitagawa K, Nakamura T, Yokota T, Masato K, Sasahara T, Matsubara Y, Kosami K, Nakamura Y. Clinical background factors affecting outcomes of Helicobacter pylori eradication therapy in primary care. J Gen Fam Med. 2019;20(4):12- 21. https://doi.org/10.1002/jgf2.245
15. Chen Y, Yuan H, Ye H, Shi Z, Deng X, Zhang X, Hou X. Application of a semi-automatic, intensive follow-up for improving effcacy and adherence of Helicobacter pylori eradication therapy: A randomized controlled trial. Microbiology Open. 2021;10(1):e1172. https://doi.org/10.1002/mbo3.1172
16. Bikker AP, Fitzpatrick B, Murphy D, Forster L, Mercer SW. Assessing the Consultation and Relational Empathy (CARE) Measure in sexual health nurses' consultations. BMC Nurs. 2017;16:71. https://doi.org/10.1186/s12912-017-0265-8
17. Aomatsu M, Abe H, Abe K, Yasui H, Suzuki T, Sato J, Ban N, Mercer SW. Validity and reliability of the Japanese version of the CARE measure in a general medicine outpatient setting. Fam Pract. 2014;31(1):118-126. https://doi.org/10.1093/fampra/cmt053
18. Mercer SW, Fung CS, Chan FW, Wong FY, Wong SY, Murphy D. The Chinese-version of the CARE measure reliably differentiates between doctors in primary care: a cross-sectional study in Hong Kong. BMC Fam Pract. 2011;12:43. https://doi.org/10.1186/1471-2296-12-43
19. Jani BD, Blane DN, Mercer SW. The role of empathy in therapy and the physician-patient relationship. Forsch Komplementmed. 2012;19(5):252-257. https://doi.org/10.1159/00034299
20. Davydov SV. Medical aspects of quality of life in patients with hypertension. Kazan. med. zhurn. 2001; 82 (1): 35 -37. (In Russ).
21. Praktikum po psikhologii sostoyaniy: uchebnoe posobie. Prokhorova OA, editors. . Saint Petersburg: Rech'; 2004. 608 s. (In Russ).
22. Foley KA, Feldman-Stewart D, Groome PA, Wallace D, Peng Y, Mackillop W. What Aspects of Personal Care Are Most Important to Patients Undergoing Radiation Therapy for Prostate Cancer? Int . Radiat Onco. Biol Phys. 2016;94(2):280-288. https://doi.org/10.1016/j.ijrobp.2015.10.023
23. Safn MR. Compliance research problem. NovaUm.Ru. 2019;21:238- 240 (In Russ).
24. Andreev DN, Dicheva DT. Optimizing the treatment of patients with irritable bowel syndrome: focus on improving compliance. Meditsinsky Sovet. 2019;3:118-124. (In Russ). https://doi.org/10.21518/2079-701X-2019-3-118-124
25. Hannan J, Sanchez G, Musser ED, Ward-Peterson M, Azutillo E, Goldin D, Lara EG, Luna AM, Galynker I, Foster A. Role of empathy in the perception of medical errors in patient encounters: a preliminary study. BMC Res Notes. 2019;10;12(1):327. https://doi.org/10.1186/s13104-019-4365-2
Review
For citations:
Smakotina S.A., Kolmogorova T.O. Empathy, psychological characteristics, and compliance in patients with chronic gastritis. Fundamental and Clinical Medicine. 2022;7(2):84-93. (In Russ.) https://doi.org/10.23946/2500-0764-2022-7-2-84-93