Factors affecting medication adherence in children receiving outpatient pharmacotherapy and parental adherence.

Factors affecting medication adherence in children receiving outpatient pharmacotherapy and parental adherence.
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DOI:
10.1111/jcap.12113
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发表时间:
2015-05
期刊:
Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
影响因子:
--
通讯作者:
Hanada H
Hanada H
中科院分区:
其他
文献类型:
--
作者:
Nagae M;Nakane H;Honda S;Ozawa H;Hanada H

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虽然药物治疗是儿童和青少年许多精神疾病的有效治疗方法,但儿童的药物依从率很低。本研究阐明了影响儿童服药依从性的因素和父母参与的作用。本研究纳入了年龄7-17岁、有精神药物治疗史的患者及其母亲。每一位母亲和孩子都完成了自填问卷。30对完整填写问卷的母子被纳入分析。当母亲认为“儿童的症状通过治疗和药物治疗得到改善”时,儿童和母亲的药物依从性更高。儿童和母亲的药物依从性与儿童对父母的信任显着相关。研究结果表明,需要心理社会支持,认为母亲对儿童精神科治疗的儿童的药物依从性的影响。
Although pharmacotherapy is an effective treatment for many psychiatric disorders in children and adolescents, medication adherence rates among children are low. This study clarifies factors affecting children's medication adherence and the role of parental involvement. Patients aged 7–17 years with a history of psychotropic medication treatment and their mothers were included in this study. Each mother and child completed self‐administered questionnaires. Thirty mother–child pairs who fully completed the questionnaires were included in the analysis. Medication adherence was greater in children and mothers when mothers felt that “children's symptoms improved with treatment and medication.” Medication adherence in children and mothers significantly correlated with the child's reported trust in their parent. The results suggest the need for psychosocial support that considers the influence of mothers on medication adherence in children treated in child psychiatry departments.