Non-compliance amongst adolescents with asthma: listening to what they tell us about self-management
Non-compliance amongst adolescents with asthma: listening to what they tell us about self-management
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DOI：
10.1093/fampra/17.2.134
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发表时间：
2000-04-01
期刊：
影响因子：
2.2
通讯作者：
Wood, SF
中科院分区：
文献类型：
--
作者：
Buston, KM;Wood, SF
背景资料。不遵守处方的抗哮喘药物被认为是一个主要问题。青少年可能不遵守他们的养生法的原因很难理解。本研究旨在更好地了解青少年哮喘患者不依从性的原因。对49名14-20岁的青少年进行了深入的访谈，他们在一年多前被诊断为哮喘，并在大格拉斯哥的一家医院哮喘诊所就诊。访谈的重点是年轻人对自己疾病的感受以及他们与疾病相关的行为，包括自我管理。大多数接受采访的年轻人承认，他们并不总是遵守自己的自我护理养生法。过去和现在不遵守处方用药的原因是：健忘、认为药物无效、否认自己患有哮喘、使用吸入器困难、不便、害怕副作用、尴尬和懒惰。大多数受访者认为，遵守处方药物是极其重要的，许多人是在一次负面经历后形成这种信念的，他们将其归因于不遵守规定。然而，障碍存在，这意味着最佳的自我护理并不总是实现的。有人建议，这一领域未来的保健举措应旨在提供实用信息，以帮助克服这些障碍，并帮助儿童和青少年在其作为哮喘患者的职业生涯早期充分认识到自己的脆弱性。同伴教育倡议可以达到这些目标，应该更多地考虑其发展和最佳形式。
Background. Non-compliance with prescribed anti-asthma medication is considered to be a major problem. The reasons why adolescents may fail to comply with their regimen are poorly understood.Objectives. This study set out to understand better the reasons for non-compliance in adolescents with asthma.Methods. In-depth interviews were conducted with a sample of 49 adolescents, aged 14-20 years, diagnosed as asthmatic more than a year previously and attending a hospital asthma clinic in Greater Glasgow. The interviews focused on young people's feelings about their illness and on their illness-related behaviour, including self-management.Results. Most of the young people interviewed admitted that they had not always complied with their self-care regimens. Reasons given for non-compliance with prescribed medication in the past or at present were: forgetfulness, belief that the medication is ineffective, denial that one is asthmatic, difficulty using inhalers, inconvenience, fear of side effects, embarrassment and laziness.Conclusion. Most of those interviewed believed that compliance with prescribed medication was extremely important, with many having formed this belief following a negative experience which they attributed to their non-compliance. Nevertheless, barriers exist which mean that optimum self-care is not always achieved. It is suggested that future health care initiatives in this area be designed to provide practical information which aids the surmounting of these barriers and helps children and adolescents to be sufficiently aware of their own vulnerability at an early stage of their career as asthmatics. Peer education initiatives may meet these objectives, and more thought should be given to their development and optimum form.