Pediatrics, The Children's Hospital of Philadelphia, Psychology, La Salle University, Philadelphia, PA, USA.
Pediatr Nephrol. 2011 Jun;26(6):953-9. doi: 10.1007/s00467-011-1805-1. Epub 2011 Mar 2.
Understanding patient beliefs about medications and perceived barriers is important for optimal medical management. Differentiating adolescent views from parents' perceptions would enhance care by increasing communication about regimens and reducing obstacles. This study explored beliefs about medications and perceived barriers among 40 adolescent kidney transplant patients and their parents. Younger adolescents reported greater concern about medication harmfulness (t(38) = 2.190, p < 0.05) and more barriers, particularly for practical problems including forgetfulness, organization, and coordination (t(38) = 2.049, p < 0.05). Fathers with a lower education reported their children having greater challenges with medications due to taste and size (t(37) = 2.933, p < 0.01). Families with incomes in the low and high levels expressed that their children need more medication reminders (F (2, 35) = 7.815, p < 0.005), and adolescents from lower-income families perceived medication to be more harmful (F (2, 36) = 3.815, p < 0.05). Adolescents expressed challenges with practical aspects of medication taking, whereas parents were more focused on medications being necessary for their health. Adolescent renal patients experience challenges to medication management that may differ from their parents, findings that can help tailor interventions to improve medication management.
了解患者对药物的信念和感知障碍对于优化医疗管理至关重要。区分青少年和父母的观点可以通过增加关于治疗方案的沟通和减少障碍来增强护理。本研究探讨了 40 名青少年肾移植患者及其父母对药物的信念和感知障碍。年龄较小的青少年报告称，他们更担心药物的危害性（t(38)=2.190，p<0.05），并且面临更多障碍，特别是在健忘、组织和协调等实际问题上（t(38)=2.049，p<0.05）。受教育程度较低的父亲报告说，他们的孩子由于药物的味道和大小而面临更大的药物挑战（t(37)=2.933，p<0.01）。收入处于低水平和高水平的家庭表示，他们的孩子需要更多的药物提醒（F(2, 35)=7.815，p<0.005），而来自低收入家庭的青少年认为药物更有害（F(2, 36)=3.815，p<0.05）。青少年表示在服用药物的实际方面存在挑战，而父母则更关注药物对健康的必要性。青少年肾移植患者在药物管理方面面临挑战，这些挑战可能与他们的父母不同，这些发现可以帮助定制干预措施以改善药物管理。
