Fotheringham M J, Sawyer M G
Department of Psychiatry, University of Adelaide, Australia.
J Paediatr Child Health. 1995 Apr;31(2):72-8. doi: 10.1111/j.1440-1754.1995.tb00750.x.
Factors that appear to influence treatment adherence among adults have been the focus of considerable research in recent years. However, less research has focused on children's treatment adherence. This paper reviews current knowledge about factors that appear to influence adherence among children and adolescents.
Factors associated with adherence to medical regimens reviewed here include: (i) the psychosocial characteristics of children and their parents; (ii) the nature of the treatment regimen; and (iii) the relationship between health practitioners, parents and paediatric patients.
Issues for future research include: (i) the adherence of both children and their parents to children's treatment, and the allocation of responsibility for treatment adherence; (ii) the wide range of behaviours involved in regimen adherence should be acknowledge; patients' adherence to one aspect of their regimen should not be considered indicative of their overall adherence; and (iii) longitudinal studies are required to examine the causal relations between patient adherence and its antecedents.
近年来，影响成年人治疗依从性的因素一直是大量研究的重点。然而，针对儿童治疗依从性的研究较少。本文综述了目前已知的影响儿童和青少年治疗依从性的因素。
本文回顾的与治疗方案依从性相关的因素包括：（i）儿童及其父母的心理社会特征；（ii）治疗方案的性质；（iii）医疗从业者、父母与儿科患者之间的关系。
未来研究的问题包括：（i）儿童及其父母对儿童治疗的依从性，以及治疗依从性责任的分配；（ii）应认识到治疗方案依从性涉及的广泛行为；患者对治疗方案某一方面的依从性不应被视为其总体依从性的指标；（iii）需要进行纵向研究，以检验患者依从性与其前因之间的因果关系。
