Adherence to treatment in adolescents
Adherence to treatment in adolescents
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DOI：
10.1093/pch/13.1.19
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发表时间：
2008-01-01
影响因子：
1.9
通讯作者：
Frappier, Jean-Yves
中科院分区：
文献类型：
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作者：
Taddeo, Danielle;Egedy, Maud;Frappier, Jean-Yves
卫生保健专业人员必须警惕青春期治疗依从性低的普遍现象。依从性低会增加发病率和医疗并发症，导致生活质量下降和医疗保健系统的过度使用。许多不同的因素都会影响依从性。然而，青少年需要考虑的关键因素是他们的发展阶段和挑战、情绪问题和家庭功能障碍。已经描述了直接和间接方法来评估依从性。获取依从性历史是临床医生评估依从性的最有用方法，并且可能是与青少年进行建设性对话的开始。提高依从性的干预措施有多种——适当管理心理健康问题、建立牢固的关系、在可能的情况下定制治疗方案、赋予青少年处理依从性问题的能力、提供信息、确保家人和同伴的支持以及动机增强治疗。定期评估依从性应该是青少年卫生保健的一个重要方面。
Health care professionals must be alert to the high prevalence of low adherence to treatment during adolescence. Low adherence increases morbidity and medical complications, contributes to poorer quality of life and an overuse of the health care system. Many different factors have an impact on adherence. However, critical factors to consider in teens are their developmental stage and challenges, emotional issues and family dysfunction. Direct and indirect methods have been described to assess adherence. Eliciting an adherence history is the most useful way for clinicians to evaluate adherence, and could be the beginning of a constructive dialogue with the adolescent. Interventions to improve adherence are multiple - managing mental health issues appropriately, building a strong relationship, customizing the treatment regimen if possible, empowering the adolescent to deal with adherence issues, providing information, ensuring family and peer support, and motivational enhancement therapy. Evaluation of adherence at regular intervals should be an important aspect of health care for adolescents.