Impacto de las estrategias de afrontamiento y la calidad de vida sobre la adherencia al tratamiento en pacientes con nefritis lúpica
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Fecha
2025
Autores
Hernández Rosero, Kelly Katherin
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
La nefritis lúpica constituye una de las manifestaciones más graves del lupus eritematoso sistémico, asociada a un mayor riesgo de progresión a enfermedad renal crónica y a una elevada carga terapéutica. En este contexto, la adherencia al tratamiento representa un componente crítico del manejo clínico; sin embargo, su comportamiento está influenciado no solo por factores biomédicos, sino también por variables psicosociales, como la calidad de vida relacionada con la salud y las estrategias de afrontamiento. En el Caribe colombiano, la evidencia local que explore de manera integrada estos factores es limitada. Objetivo: Evaluar la relación entre las estrategias de afrontamiento individuales, la calidad de vida relacionada con la salud y la adherencia al tratamiento en pacientes con nefritis lúpica atendidos en una clínica de referencia en Barranquilla (Atl, CO) durante 2022–2023.
Lupus nephritis is one of the most severe manifestations of systemic lupus erythematosus and is associated with an increased risk of progression to chronic kidney disease and a high therapeutic burden. In this context, treatment adherence represents a critical component of clinical management; however, adherence behavior is influenced not only by biomedical factors but also by psychosocial variables, such as health-related quality of life and coping strategies. In the Colombian Caribbean region, local evidence exploring these factors in an integrated manner remains limited. Objective: To evaluate the relationship between individual coping strategies, healthrelated quality of life, and treatment adherence in patients with lupus nephritis treated at a referral clinic in Barranquilla (Atl, CO) during 2022–2023.
Lupus nephritis is one of the most severe manifestations of systemic lupus erythematosus and is associated with an increased risk of progression to chronic kidney disease and a high therapeutic burden. In this context, treatment adherence represents a critical component of clinical management; however, adherence behavior is influenced not only by biomedical factors but also by psychosocial variables, such as health-related quality of life and coping strategies. In the Colombian Caribbean region, local evidence exploring these factors in an integrated manner remains limited. Objective: To evaluate the relationship between individual coping strategies, healthrelated quality of life, and treatment adherence in patients with lupus nephritis treated at a referral clinic in Barranquilla (Atl, CO) during 2022–2023.
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Palabras clave
Nefritis lúpica, Adherencia al tratamiento, Calidad de vida relacionada con la salud, Estrategias de afrontamiento, Lupus eritematoso sistémico, Resultados reportados por el paciente, Caribe Colombiano
