McGann Elizabeth F, Sexton Dorothy, Chyun Deborah A
Department of Nursing, Quinnipiac University, Hamden, Connecticut 06518, USA.
Clin Nurs Res. 2008 Aug;17(3):151-70; discussion 171-3. doi: 10.1177/1054773808320273.
A descriptive study examining the relationship of denial of illness and compliance with inhaled controller asthma medications is conducted with 51 adults taking inhaled asthma controller medications. Affective and cognitive denial are assessed with the Levine Denial of Illness Scale. Severity is determined by portable spirometry; compliance is measured for 2 weeks with DOSER, a microelectronic monitor. The mean percent compliance rate for inhaled controller medications is 36%, with only 10.4% of the participants demonstrating optimal compliance (>80%). Although cognitive denial is not significantly associated with compliance, those in the suboptimal compliance group do have significantly higher information avoidance subscale scores (M = 1.88; p = .02). Affective denial is inversely correlated with compliance (r = -.31; p = .05) and is significantly higher in the suboptimal compliance group (M = 11.51; p =.05). These study findings suggest that affective denial may be a contributor to suboptimal compliance.
一项描述性研究对51名正在使用吸入性哮喘控制药物的成年人进行了调查，以探讨疾病否认与吸入性哮喘控制药物依从性之间的关系。使用莱文疾病否认量表评估情感性否认和认知性否认。通过便携式肺活量测定法确定疾病严重程度；使用微电子监测器DOSER对依从性进行为期2周的测量。吸入性控制药物的平均依从率为36%，只有10.4%的参与者表现出最佳依从性（>80%）。虽然认知性否认与依从性没有显著关联，但依从性欠佳组的参与者在信息回避分量表上的得分显著更高（M = 1.88；p = .02）。情感性否认与依从性呈负相关（r = -.31；p = .05），且在依从性欠佳组中显著更高（M = 11.51；p =.05）。这些研究结果表明，情感性否认可能是导致依从性欠佳的一个因素。
