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哮喘患儿家长哮喘药物依从性的相关因素:计划行为理论

Factors Associated with Asthma Medication Adherence in Parents with Asthmatic Children: Theory of Planned Behaviour.

作者信息

Alshehri Ahmed M, Almogbel Yasser S, Alsahali Saud M, Alosaily Yousif A, Almohaimeed Ghada M, Alotayk Lamis I, Alqunaisy Abdulrahman A

机构信息

Clinical Pharmacy Department, College of Pharmacy, Prince Sattam Bin Abdulaziz University, Al-Kharj 16273, Saudi Arabia.

Department of Pharmacy Practice, College of Pharmacy, Qassim University, Buraidah 51452, Saudi Arabia.

出版信息

Healthcare (Basel). 2025 Jul 5;13(13):1613. doi: 10.3390/healthcare13131613.

Abstract

BACKGROUND/OBJECTIVES: Asthma is a prevalent chronic condition affecting approximately 300 million people globally. Despite advancements in treatment protocols, poor adherence to asthma medication remains a significant issue, often leading to severe complications, especially in children. This study aimed to identify factors influencing medication adherence among parents of children with asthma, using constructs from the theory of planned behaviour to better understand and improve adherence.

METHODS

This cross-sectional study employed a survey incorporating constructs from the theory of planned behaviour, demographic variables, and other adherence-related factors. Descriptive statistics and logistic regression analyses were applied to explore the relationship between these factors and adherence to asthma medications.

RESULTS

Out of 152 parents who visited the survey link, 150 were eligible. The average age was 35.58 ± 9.913 years; most participants were married (82%) and female (62.6%). Multivariate linear regression analysis of the parents' factor showed parental attitude (β = 0.38, < 0.001) and subjective norms (β = 0.34, < 0.002) were significantly associated with parents' intention to adhere to asthma medications.

CONCLUSION

The study found that parental attitudes and subjective norms significantly impact the intention to adhere to asthma medication. Improving adherence is crucial for effective disease management, reducing healthcare costs, and enhancing the quality of life for children and their families. Interventions should focus on educating parents about the importance of adherence and engaging more family members to positively influence adherence through strengthened subjective norms.

摘要

背景/目的:哮喘是一种普遍的慢性疾病,全球约有3亿人受其影响。尽管治疗方案有所进步,但哮喘药物的依从性差仍然是一个重大问题,常常导致严重并发症,尤其是在儿童中。本研究旨在利用计划行为理论中的概念,确定影响哮喘患儿家长药物依从性的因素,以更好地理解和提高依从性。

方法

这项横断面研究采用了一项调查,纳入了计划行为理论中的概念、人口统计学变量以及其他与依从性相关的因素。应用描述性统计和逻辑回归分析来探讨这些因素与哮喘药物依从性之间的关系。

结果

在访问调查链接的152名家长中,150名符合条件。平均年龄为35.58±9.913岁;大多数参与者已婚(82%)且为女性(62.6%)。对家长因素的多元线性回归分析表明,家长态度(β = 0.38,<0.001)和主观规范(β = 0.34,<0.002)与家长坚持使用哮喘药物的意愿显著相关。

结论

该研究发现,家长态度和主观规范对坚持使用哮喘药物的意愿有显著影响。提高依从性对于有效管理疾病、降低医疗成本以及提高儿童及其家庭的生活质量至关重要。干预措施应侧重于教育家长了解依从性的重要性,并让更多家庭成员参与进来,通过强化主观规范来积极影响依从性。

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