Typologies of Nonadherence in Cystic Fibrosis
Typologies of Nonadherence in Cystic Fibrosis
复制标题
囊性纤维化不依从的类型
DOI：
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发表时间：
1990
影响因子：
2.4
通讯作者：
L. J. Gudas
中科院分区：
文献类型：
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作者：
G. Koocher;Melanie L. McGrath;L. J. Gudas
维持囊性纤维化患者的健康和延长其生命所需的复杂而艰巨的治疗，加上其他因素，造成了一种气氛，在这种气氛中，积极遵守规定的医疗往往受到损害。作者的临床经验和收集了来自223名患者及其直系亲属的1200多起危急事件的描述，导致了对这种疾病的医学治疗中不遵守或不遵守的三种基本类型的描述。这些问题包括知识不足、心理抵制和受过教育的不遵守规定。临床使用这一概念框架可以加强诊断和治疗工作。尽管所描述的具体应用与囊性纤维化有关，但似乎可以合理地得出结论，相同的原则适用于其他儿童慢性疾病。
The complex and arduous treatments required to maintain the health and prolong the life of patients with cystic fibrosis combine with other factors to create a climate within which the active following of prescribed medical treatment is often compromised. The authors' clinical experience and collection of descriptions of more than 1,200 critical incidents from 223 patients and members of their immediate families has led to the description of three basic typologies of nonadherence or noncompliance in the medical treatment of this illness. These are inadequate knowledge, psychosocial resistance, and educated nonadherence. Clinical use of this conceptual framework may enhance diagnostic and treatment efforts. Although the specific application described is concerned with cystic fibrosis, it seems reasonable to conclude that the same principles are applicable to other chronic illnesses of childhood.