PHYSICAL EXERCISE AND FIBROMYALGIA: FACTORS RELATED TO NON-ADHERENCE TO TREATMENT
DOI:
https://doi.org/10.56238/rcsv16n3-004Keywords:
Fibromyalgia, Medication, Physical Exercise, Psychotherapy, TreatmentAbstract
Objectives: To analyze the reasons why patients with fibromyalgia (FM) adhere to or abandon pharmacological treatment, exercise, and/or psychological treatment. Methods: A cross-sectional prospective qualitative and descriptive study with 88 patients diagnosed with FM, attended at the Rheumatology outpatient clinic of IMEPAC, in Araguari, in 2024. For data collection, a questionnaire specifically developed for this study was used. After the collection and tabulation, the results were subjected to descriptive statistics. Results: There was a balance in the classification of family life between good (35.2%, n=31) and poor or complicated (45.5%, n=40). About 51.1% (n=45) classified their social life as complicated. The use of medication was the most prevalent (45.5%, n=40), while physical activity (1.1%, n=1) and psychotherapy (1.1%, n=1) were the least utilized. The most prevalent reasons for non-adherence to pharmacological treatment (20.5%, n=18) were high cost (38.9%, n=7) and lack of perceived improvement (33.3%, n=6). Non-adherence to physical exercise was due to lack of time (26.1%, n=12), orthopedic injuries (23.9%, n=11), and high cost (19.6%, n=9). Regarding psychotherapy, most participants (51.4%, n=36) reported not believing in its effectiveness. A positive correlation was found between the number of symptoms and family life (r=0.467; p<0.01) and between family life and social life (r=0.451; p<0.01). Conclusion: It was concluded that low adherence to different treatments is mainly related to high costs, lack of time, and the perception that the treatment is ineffective.
Downloads
References
1. Sarzi-Puttini P, Giorgi V, Marotto D, Atzeni F. Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nat Rev Rheumatol. 2020 Nov;16(11):645-660. doi: 10.1038/s41584-020-00506-w.
2. Goldenberg DL, Kaplan M. Fibromyalgia treatment in adults [Internet]. UpToDate; 2024 [updated 2024 Aug 15]. Available from: https://www.uptodate.com/contents/fibromyalgia-treatment-in-adults?search=fibromialgia%3A%20tratamento%20em%20adultos&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1. Subscription required.
3. Marques AP, Santo ASE, Berssaneti AA, Matsutani LA, Yuan SLR. A prevalência de fibromialgia: atualização da revisão de literatura. Rev Bras Reumatol. 2017;57(4):356-363. doi: 10.1016/j.rbr.2016.10.004.
4. Imboden JB, Stone JH. Current: Reumatologia: Diagnóstico e Tratamento. 3rd ed. São Paulo: AMGH; 2014.
5. Goren A, Gross HJ, Fujii RK, Pandey A, Mould-Quevedo J. Prevalência da percepção e do tratamento da dor e de seus resultados de saúde em diferentes condições no Brasil. Rev Dor. 2012;13(4):308-319. doi: 10.1590/S1806-00132012000400002.
6. Ribeiro KL, Marinho ISF. Fibromialgia e atividade física. Fitness Perform J. 2005;4(5):280-287. Available from: https://www.redalyc.org/pdf/751/75117015003.pdf.
7. Steffens RAK, Vale BR, Fonseca ABP, Viana MS, Brandt R, Andrade A. Efeito da caminhada sobre a qualidade de vida e autoeficácia de mulheres com síndrome da fibromialgia. Rev Bras Cienc Mov. 2012;20(1):41-46. doi: 10.18511/rbcm.v20i1.1894.
8. Steffens RAK, Fonseca ABP, Liz CM, Araújo AVMB, Viana MS, Andrade A. Fatores associados à adesão e desistência ao exercício físico de pacientes com fibromialgia: uma revisão. Rev Bras Ativ Fis Saude. 2011;16(4):353-357. doi: 10.12820/rbafs.v.16n4p353-357.
9. Campana AO, Padovani CR, Iaria CT, Freitas CBD, Paiva SAR, Hossne WS. Investigação científica na área médica. 1st ed. São Paulo: Manole; 2001.
10. Assembleia Médica Mundial. Declaração de Helsinque. 2000. Available from: https://www.fcm.unicamp.br/fcm/sites/default/files/declaracao_de_helsinque.pdf. Accessed 19 Dec 2024.
11. Silva DG da, Giordani JP, Dell'Aglio DD. Relações entre satisfação com a vida, com a família e com as amizades e religiosidade na adolescência. Est Inter Psicol [Internet]. 2017 [cited 2024 Dec 18];8(1):38-54. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S2236-64072017000100004&lng=pt&nrm=iso.
12. Castro MP, Mascarenhas MD, Chagas AFS, Gonçalves A. Influência da Lemeterapia sobre a qualidade de vida e percepção de dor de pacientes com fibromialgia. Rev Master - Ensino Pesquisa Extens. 2020;5(1 Suppl):35-38. Available from: https://revistamaster.emnuvens.com.br/RM/article/view/130/63.
13. Steen JP, Kannan V, Zaidi A, Cramer H, Jeremy YN. Mind-body therapy for treating fibromyalgia: a systematic review. Pain Med. 2024;25(12):703-737. doi: 10.1093/pm/pnae076.
14. Ram PR, Jeyaraman M, Jeyaraman N, Nallakumarasamy A, Khanna M, Gupta A, Yadav S. Além da dor: uma revisão narrativa sistemática dos últimos avanços no tratamento da fibromialgia. Cureus. 2023 Oct 31;15(10):e48032. doi: 10.7759/cureus.48032.
15. Flores FF, Cardoso BLC, Almeida CB, Mussi RFF. Fibromialgia e atividade física: benefícios e fatores de não adesão. Rev ComCiência, uma Rev Multidisciplinar. 2023;4(4):31-41. doi: 10.36112/issn2595-1890.v4i1.p31-41.
16. Michie S, Stralen MM, West R. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implement Sci [Internet]. 2011 [cited 2024 Dec 18];6:42. doi: 10.1186/1748-5908-6-42.
17. Umberson D, Karas Montez J. Social relationships and health: A flashpoint for health policy. J Health Soc Behav [Internet]. 2010 [cited 2024 Dec 18];51(Suppl):S54-66. doi: 10.1177/0022146510383501.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
