Intervención terapéutica para controlar la actividad de la enfermedad en pacientes con artritis reumatoide.

Abstract

The objective of this research was to reduce the levels of rheumatoid arthritis activity in patients with this disease belonging to the La Merced neighborhood, city of Puyo, Pastaza province. Rheumatoid arthritis is a rheumatic, systemic and chronic disease that has a maintained inflammatory process capable of causing different complications in the different organs of the human economy. To reduce morbidity and mortality, it is vital to achieve clinical disease control. A therapeutic intervention was implemented based on the results obtained when applying DAS 28, modifications were made in the therapeutic schemes to 28 of the 31 patients incorporated in the research. The McNemar test was applied to determine changes in the frequency of disease activity and control of rheumatoid arthritis activity. The main results obtained were the decrease in the levels of clinical activity of patients with rheumatoid arthritis and the increased control of disease activity in these patients. It is concluded that the therapeutic intervention applied caused significant changes in the clinical activity of rheumatoid arthritis and in the control of activity. It is recommended: to health professionals the importance of referring patients with rheumatoid arthritis to specialized consultation in order to modify inappropriate therapeutic schemes to reduce the clinical activity of the disease, minimize complications and morbidity and mortality.