Adherence to Treatment in Adolescents with Cystic Fibrosis: The Role of Illness Perceptions and Treatment Beliefs
Adherence to Treatment in Adolescents with Cystic Fibrosis: The Role of Illness Perceptions and Treatment Beliefs
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DOI：
10.1093/jpepsy/jsn135
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发表时间：
2009-09-01
影响因子：
3.6
通讯作者：
Horne, Rob
中科院分区：
文献类型：
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作者：
Bucks, Romola S.;Hawkins, Katharine;Horne, Rob
目的探讨青少年囊性纤维化（CF）患者的疾病认知、情绪表征、治疗信念与报告依从性之间的关系。方法38名青少年完成问卷调查，评估他们对CF的看法，对处方治疗的信念，并报告坚持胸部物理治疗，酶补充剂和抗生素。结果报告的不遵守胸部物理治疗与患者判断其个人治疗需求的方式相关，相对于他们对潜在不良反应的担忧。患者报告强烈怀疑胸部物理治疗的必要性。报告的抗生素不依从性与怀疑抗生素的必要性有关，认为CF不适合治疗控制。尽管有这些关于治疗的信念，但参与者认为CF是一种慢性疾病。结论研究结果提供了初步的自我监管模式的支持，使用的必要性，关注的框架，可操作的治疗信念，在解释坚持治疗的青少年CF。
Objectives This study was conducted to explore the relationships between illness perceptions, emotional representations, treatment beliefs and reported adherence in adolescents with cystic fibrosis (CF). Methods Thirty-eight adolescents completed questionnaires assessing their perceptions of CF, beliefs about prescribed treatments and reported adherence to chest physiotherapy, enzyme supplements, and antibiotics. Results Reported non-adherence to chest physiotherapy was associated with the way in which patients judged their personal need for treatment relative to their concerns about potential adverse effects. Patients reported strong doubts about the necessity of chest physiotherapy. Reported non-adherence to antibiotics was related to doubts about the necessity of antibiotics, believing that CF is not amenable to treatment control. Despite these beliefs about treatment, participants perceived CF as a chronic condition. Conclusions The findings provide preliminary support for the self-regulatory model, using the necessity-concerns framework to operationalize treatment beliefs, in explaining adherence to treatment in adolescents with CF.