Kools Susan, Kennedy Christine, Engler Marguerite, Engler Mary
Family Health Care Nursing, University of California, San Francisco, CA, USA.
J Spec Pediatr Nurs. 2008 Jul;13(3):168-79. doi: 10.1111/j.1744-6155.2008.00151.x.
Pediatric hyperlipidemia increases cardiovascular disease risk. The cornerstone of treatment is a restrictive, lipid-lowering diet. Child disease understandings and perceptions of dietary adherence were explored, a secondary aim of the Endothelial Assessment of Risk from Lipids in Youth trial.
Focus groups and individual interviews were conducted with participants, ages 9-20 years (n = 50). Data were thematically analyzed.
Adherence is influenced by individual characteristics (developmental level, knowledge), in the context of social interactions (family modeling, peer relationships, school).
Dietary practices are developed within social interactions. Interventions promoting adherence must consider children within their social contexts.
儿童高脂血症会增加心血管疾病风险。治疗的基石是限制性的降脂饮食。本研究探讨了儿童对疾病的理解以及对饮食依从性的认知，这是青少年脂质风险内皮评估试验的次要目标。
对9至20岁的参与者（n = 50）进行了焦点小组讨论和个人访谈。对数据进行了主题分析。
在社交互动（家庭模式、同伴关系、学校）的背景下，依从性受个体特征（发育水平、知识）的影响。
饮食习惯是在社交互动中形成的。促进依从性的干预措施必须考虑儿童所处的社会环境。
