Knowledge of physician prescriptions and adherence to treatment among children with cystic fibrosis and their mothers

Knowledge of physician prescriptions and adherence to treatment among children with cystic fibrosis and their mothers
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DOI:
10.1097/00004703-199910000-00008
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发表时间:
1999-10-01
影响因子:
2.4
通讯作者:
Lambert, RG
Lambert, RG
中科院分区:
医学4区
文献类型:
--
作者:
Ievers, CE;Brown, RT;Lambert, RG

文献摘要

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这项研究调查了囊性纤维化(CF)儿童及其母亲坚持治疗方案的相关因素。研究对象为45名6~10岁的儿童及其母亲。研究结果表明,儿童和父母对依从性水平的报告与他们对医学处方治疗相关具体细节的了解有关。在这个样本中,12%到32%的母亲对医生对孩子治疗的建议没有准确的理解。在控制了处方治疗方案中的个体差异后,父母和儿童对所开处方的了解占了儿童报告的与治疗相关的行为差异的很大一部分。研究结果对未来旨在提高治疗依从性的干预研究以及这一领域临床努力的未来方向的影响进行了讨论。
This investigation examined factors related to adherence to treatment regimens for children with cystic fibrosis (CF) and their mothers. Subjects were 45 children with CF who ranged in age from 6 to 10 years and their mothers. Findings revealed that children's and parents' reports of level of adherence were related to their knowledge of the specific details associated with medically prescribed treatments. In this sample, 12% to 32% of mothers did not have an accurate understanding of physician recommendations for their children's treatments. When controlling for individual differences in the prescribed treatment regimens, parents' and children's knowledge of what had been prescribed accounted for a significant portion of the variance in the children's reported treatment-related behaviors. Results are discussed in terms of implications for future intervention research aimed at enhancing adherence to treatment as well as for future directions for clinical efforts in this area.