Medication adherence in pediatric asthma: Reasoning, responsibility, and behavior
Medication adherence in pediatric asthma: Reasoning, responsibility, and behavior
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DOI：
10.1093/jpepsy/jsg022
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发表时间：
2003-07-01
影响因子：
3.6
通讯作者：
Fritz, GK
中科院分区：
文献类型：
--
作者：
McQuaid, EL;Kopel, SJ;Fritz, GK
目的评估儿童对预防性哮喘药物的依从性；调查哮喘知识、推理、管理责任和依从性之间的关系；并确定依从性和发病率之间的关系。方法研究对象为106例哮喘患儿及其家长。电子监测药物依从性1个月。参与者完成了自我报告测量。对儿童进行访谈以评估对哮喘的推理。结果患儿依从率约为处方剂量的48%。依从性与年龄呈负相关（r = - 0.21, p < 0.05）；少数族裔状态，F(1,98) = 7.55, p < 0.01；发病率（r = - 0.26, p < 0.01）。年龄与儿童知识（r = .47, p < .001）、哮喘推理（tau = .23, p < .01）和哮喘管理责任（r = .44, p < .01）增加有关。这些变量与依从性无关。结论虽然大龄儿童对哮喘的了解更多，承担的疾病管理责任也更多，但其依从性低于低龄儿童。依从性与儿童知识、哮喘推理或哮喘管理责任之间没有关联。
Objective To assess child adherence to preventive asthma medications; to investigate relations between knowledge, reasoning about asthma, and responsibility for management and adherence; and to determine the association between adherence and morbidity. Methods Participants were 106 children with asthma and their parents. Medication adherence was electronically monitored for 1 month. Participants completed self-report measures. Children were interviewed to assess reasoning about asthma. Results Children's adherence was approximately 48% of prescribed doses. Adherence was negatively related to age (r = -.21, p < .05); minority status, F(1, 98) = 7.55, p < .01; and morbidity (r = -.26, p < .01). Age was associated with increased child knowledge (r = .47, p < .001), reasoning about asthma (tau = .23, p < .01), and responsibility for asthma management (r = .44, p < .01). These variables were not associated with adherence. Conclusions Although older children know more about asthma and assume more responsibility for disease management, their adherence is lower than that of younger children. No association was found between adherence and child knowledge, reasoning about asthma, or responsibility for asthma management.