Estrategias de afrontamiento en paciente con artritis reumatoide y síndrome de Raynaud.

Abstract

This clinical case study explores the quality of life and coping strategies of a patient diagnosed with rheumatoid arthritis and Raynaud's syndrome. The main objective was to evaluate the physical, emotional, and social impact of both conditions and how the patient has managed her illness over time. A qualitative and descriptive methodology was employed, based on in-depth interviews and a documentary review of the patient's clinical history. Diagnosed in adolescence, the patient experienced multiple treatment interruptions due to adverse effects, medication shortages, and lack of health education. Findings revealed low therapeutic adherence, limited use of active coping, and strong influence from the patient's family and social environment on treatment continuity. The discussion draws on Dorothea Orem’s self-care theory, highlighting deficiencies in universal self-care requisites. It is concluded that although pharmacological treatment is essential, educational interventions, healthcare support, and strengthened self-care are key to improving the quality of life in patients with chronic autoimmune diseases. This case underscores the need for comprehensive strategies focused on the patient's emotional and physical well-being.