Steigerung der Therapietreue durch niederschwellige Kontakte

ZUSAMMENFASSUNG

Besonders bei Menschen mit chronischen Erkrankungen, z. B. Multiple Sklerose (MS), stellt die Einhaltung der verordneten Therapie über einen langen Zeitraum eine große Herausforderung dar. Teils alarmierend niedrige Adhärenzraten und ein dadurch geringerer Therapienutzen sind die Folge. Neben einem verbesserten Nebenwirkungsmanagement haben sich Vertrauen in die Therapie und wahrgenommenes Engagement des Arztes als modifizierbare positive Einflussgrößen auf die Adhärenz herausgestellt. Die nötige umfassende Betreuung der Patienten über Jahre hinweg kann dabei nicht allein durch den Arzt bewältigt werden, sondern bedarf idealerweise der Unterstützung durch Patientenprogramme und speziell ausgebildeter MS-Schwestern (Nurses), die dem Patienten eine unkomplizierte Kontaktaufnahme zur Besprechung von Sorgen oder Fragen unabhängig von Arztterminen ermöglicht. Diese niederschwelligen Kontakte konnten als signifikanter Faktor identifiziert werden, der über die Therapietreue entscheiden kann. Zusätzlich haben in den letzten Jahren digitale Anwendungen wie Apps bei langen und unvorhersehbaren Krankheitsverläufen wie bei der MS an Bedeutung gewonnen und können ohne Belastung des ärztlichen Zeitbudgets als smarte Therapiebegleiter fungieren.

ABSTRACT

Adhering to the prescribed therapy over a long period of time displays a major challenge, for people with chronic diseases such as multiple sclerosis (MS). This often results in alarmingly low adherence rates and lower therapeutic benefit. In addition to improved management of side effects, confidence in the treatment and perceived engagement of the physician have turned out to be modifiable factors positively influencing adherence. The necessary comprehensive care of the patients over the years cannot be managed by the physician alone, but ideally requires the support of patient support programs and specially trained nurses. The availability of nurses enables the patient to easily contact them to discuss concerns or questions independently of doctor’s appointments. These so-called low-threshold contacts could be identified as a significant factor that can determine adherence. In recent years digital applications have gained importance for long and unpredictable disease courses such as MS and can act as smart therapy companions without burdening the physician’s time budget.

Schlüsselwörter

Adhärenz - Multiple Sklerose - E-Health - Krankheitsmanagement - Patientenengagement

Key words

Adherence - multiple sclerosis - e-health - disease management - patient engagement

Publikationsverlauf

Artikel online veröffentlicht:
28. Juli 2022

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