Department of Psychology, Fordham University, 441 E. Fordham Road, Bronx, NY, 10458, USA.
Department of Pediatrics, Icahn School of Medicine at Mount Sinai, Kravis Children's Hospital, New York, NY, USA.
Paediatr Drugs. 2020 Oct;22(5):501-509. doi: 10.1007/s40272-020-00414-2.
The transition from childhood and adolescence to adulthood is often tumultuous. For individuals with a chronic medical condition, this progression also includes a gradual transition to independence in healthcare management as well as a transfer in care location at some set point. As adolescents navigate these sometimes challenging processes, there is a significant risk for a decline in adequate health behaviors, which can have dire consequences. One of the most vital components of the transfer to adult care is medication adherence. Poor medication adherence puts patients at risk for worse outcomes, with the most profound being increased mortality for many conditions. In recent years, acknowledgment of the need to create evidence-based methods to aid patients during the transition period has been growing. This paper seeks to provide an overview of current research and recommendations for interventions to increase adherence to medication regimens during this period.
从儿童和青少年到成年的过渡时期通常是动荡的。对于患有慢性疾病的个体来说,这种进展还包括在医疗保健管理方面逐渐过渡到独立,以及在某个设定的时间点转移护理地点。当青少年经历这些有时具有挑战性的过程时,他们的健康行为很可能会出现显著下降,这可能会带来可怕的后果。向成人护理过渡的最重要组成部分之一是药物依从性。药物依从性差会使患者面临更糟糕的结果,其中最严重的是许多疾病的死亡率增加。近年来,人们越来越认识到需要创建基于证据的方法来帮助患者在过渡期间,这一需求日益增长。本文旨在概述当前的研究和建议,以增加患者在这一时期对药物治疗方案的依从性。