Orrell-Valente Joan K, Cabana Michael D
Department of Pediatrics, University of California, San Francisco, California, USA.
Curr Opin Pediatr. 2008 Dec;20(6):703-4. doi: 10.1097/MOP.0b013e328319bad1.
Medical nonadherence has been termed the "Achilles' heel of modern healthcare." In considering the need to improve medical adherence among chronically ill children, it is necessary to understand parent adherence. Parents have long been acknowledged to be the primary socialization agents in children's development across the various domains of functioning. Through communication of their beliefs, the behavior they model, and direct training, parents exert a powerful influence on the development of children's beliefs and behavior. Adherence may be similarly conceptualized as a socialization process, in which parents influence the development of children's beliefs and behavior regarding their eventual disease self-management. Given this perspective, it is important for clinicians to emphasize the need for parental adherence to a child's treatment regimen. An increased focus on parental adherence will require an investment of time and effort that will pay dividends in the long term.
医疗不依从被称为“现代医疗保健的阿喀琉斯之踵”。在考虑提高慢性病患儿医疗依从性的必要性时，了解家长的依从性很有必要。长期以来，家长一直被认为是儿童在各个功能领域发展中的主要社会化推动者。通过传达他们的信念、示范的行为以及直接培训，家长对儿童信念和行为的发展产生强大影响。依从性同样可以被概念化为一个社会化过程，在此过程中，家长影响儿童对其最终疾病自我管理的信念和行为的发展。从这个角度来看，临床医生强调家长坚持孩子治疗方案的必要性非常重要。更多地关注家长的依从性需要投入时间和精力，从长远来看会带来回报。
