Nagae Masaharu, Nakane Hideyuki, Honda Sumihisa, Ozawa Hiroki, Hanada Hiroko
Department of Nursing, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Department of Psychiatric Rehabilitation Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
J Child Adolesc Psychiatr Nurs. 2015 May;28(2):109-17. doi: 10.1111/jcap.12113.
Although pharmacotherapy is an effective treatment for many psychiatric disorders in children and adolescents, medication adherence rates among children are low. This study clarifies factors affecting children's medication adherence and the role of parental involvement.
Patients aged 7-17 years with a history of psychotropic medication treatment and their mothers were included in this study. Each mother and child completed self-administered questionnaires. Thirty mother-child pairs who fully completed the questionnaires were included in the analysis.
Medication adherence was greater in children and mothers when mothers felt that "children's symptoms improved with treatment and medication." Medication adherence in children and mothers significantly correlated with the child's reported trust in their parent.
The results suggest the need for psychosocial support that considers the influence of mothers on medication adherence in children treated in child psychiatry departments.
尽管药物治疗对儿童和青少年的许多精神疾病是一种有效的治疗方法，但儿童的药物依从率较低。本研究阐明了影响儿童药物依从性的因素以及父母参与的作用。
本研究纳入了有精神药物治疗史的7至17岁患者及其母亲。每位母亲和孩子都完成了自行填写的问卷。30对完全完成问卷的母子被纳入分析。
当母亲认为“孩子的症状通过治疗和药物得到改善”时，儿童和母亲的药物依从性更高。儿童和母亲的药物依从性与孩子报告的对父母的信任显著相关。
结果表明，在儿童精神科接受治疗的儿童中，需要考虑母亲对药物依从性影响的社会心理支持。
