Thompson S M, Dahlquist L M, Koenning G M, Bartholomew L K
University of Houston, USA.
J Pediatr Psychol. 1995 Jun;20(3):291-7. doi: 10.1093/jpepsy/20.3.291.
Investigated the behaviors of pediatric rheumatology health care providers that were expected to be related to patient or parent adherence. Medical charts of 108 patients ages 1 to 20 years diagnosed with Juvenile Rheumatoid Arthritis were examined. The 473 outpatient visits over 15 months yielded a total of 2,578 treatment recommendations, but only 1,390 adherence-facilitating behaviors by medical staff were documented. Providing information about how often to perform the recommendation was the most common staff behavior. In contrast, care providers rarely indicated that they addressed their patients' concerns and barriers to implementing the recommendations, or employed behavior modification strategies to increase adherence. Implications of these findings for development of programs designed to increase treatment adherence in children with chronic diseases requiring time-consuming, intrusive medical regimens are discussed.
研究了预计与患者或家长依从性相关的儿科风湿病医护人员行为。检查了108名年龄在1至20岁之间被诊断为幼年类风湿性关节炎患者的病历。在15个月内的473次门诊共产生了2578条治疗建议，但医护人员记录的促进依从性的行为仅有1390条。提供关于执行建议频率的信息是医护人员最常见的行为。相比之下，医护人员很少表明他们解决了患者对执行建议的担忧和障碍，或采用行为改变策略来提高依从性。讨论了这些发现对制定旨在提高患有需要耗时、侵入性医疗方案的慢性病儿童治疗依从性的项目的意义。
