Trojanowska Alina, Emeryk Andrzej, Zarzycka Danuta
Department of Paediatrics and Paediatric Nursing, Medical University of Lublin, Lublin, Poland.
Department of Paediatric Pulmonology and Rheumatology, Medical University of Lublin, Lublin, Poland.
Postepy Dermatol Alergol. 2022 Apr;39(2):258-264. doi: 10.5114/ada.2022.115886. Epub 2022 May 9.
Strict compliance with medical advice is a prerequisite for complete asthma control. Inadequate compliance with recommendations reduces the effectiveness of treatment, increases the costs of therapy and the number of related complications.
To try to answer the question: To what extent is it, and what determines the adherence to therapy by children suffering from bronchial asthma and their parents?
The survey was conducted in 2019 among 109 children with bronchial asthma aged 7-18 years (mean age: 12.5 ±0.97) treated at the University Children's Hospital in Lublin and their parents. The research applied the Morisky-Green test and the VAS Scale for self-assessment of the degree of cooperation, as well as an original questionnaire.
The conducted research demonstrated that a large percentage of parents (91.74%) declare that their child complies with the therapy throughout the disease, but 44.44% of them express the fear of medicating their children with GCSs. Non-compliance with the therapy by the children subject to our analysis was mainly due to: resolution or alleviation of symptoms of the disease (45.83%), reluctance to take medications every day (44.43), and difficulties in using the inhaler (16.67%).
In the investigated group of children with asthma and their parents, compliance with medical recommendations and, consequently, the therapy used, was not optimal and depended mainly on the severity of the disease, the child's age and knowledge about the treatment. There is a need for continued education of asthmatic children and their parents about recommended therapy.
严格遵守医嘱是实现哮喘完全控制的前提条件。不充分遵守建议会降低治疗效果，增加治疗成本以及相关并发症的数量。
试图回答以下问题：患有支气管哮喘的儿童及其父母对治疗的依从程度如何，以及是什么决定了这种依从性？
2019年对在卢布林大学儿童医院接受治疗的109名7至18岁（平均年龄：12.5±0.97）支气管哮喘儿童及其父母进行了调查。研究采用了Morisky-Green测试、自我评估合作程度的视觉模拟量表（VAS Scale）以及一份原创问卷。
所进行的研究表明，很大比例的父母（91.74%）宣称他们的孩子在整个患病期间都遵守治疗，但其中44.44%的父母表示担心给孩子使用糖皮质激素（GCSs）。在我们分析的儿童中，不遵守治疗主要是由于：疾病症状缓解或消除（45.83%）、不愿意每天服药（44.43%）以及使用吸入器困难（16.67%）。
在被调查的哮喘儿童及其父母群体中，对医疗建议以及因此对所使用治疗方法的依从性并非最佳，并且主要取决于疾病的严重程度、孩子的年龄以及对治疗的了解。有必要持续对哮喘儿童及其父母进行关于推荐治疗方法的教育。
