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[Pulmonology in adolescence]

I Camelo-Nunes1, D Solé

  • 1Univerisidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.

Jornal De Pediatria
|December 17, 2003
PubMed
Summary

Adolescents often view asthma and allergic rhinitis as episodic, leading to poor adherence to regular medication due to peer pressure. Improving adherence requires open communication and shared responsibility in treatment plans.

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Area of Science:

  • Pediatric Pulmonology
  • Adolescent Medicine
  • Allergy and Immunology

Background:

  • Adolescents with respiratory conditions like asthma and allergic rhinitis often exhibit poor treatment adherence.
  • This non-adherence is frequently linked to their perception of the illness and social pressures within their peer groups.

Purpose of the Study:

  • To review the concepts, long-term treatment strategies, and unique approaches for managing adolescents with respiratory allergy, asthma, and/or allergic rhinitis.
  • To identify factors influencing treatment adherence in this demographic.

Main Methods:

  • A systematic review of studies published in the BIREME database from 1990 to 2001 was conducted.
  • The review focused on understanding the perspectives and challenges faced by adolescents with respiratory conditions.

Main Results:

  • A significant number of teenagers perceive asthma and allergic rhinitis as episodic, not requiring consistent medication.
  • Fear of social stigma and appearing different from peers contributes to reluctance in adhering to prescribed treatment regimens.
  • Poor treatment adherence is a notable challenge in managing adolescent respiratory allergies.

Conclusions:

  • Effective management necessitates comprehensive patient education regarding their condition and proper medication.
  • Establishing open communication channels between clinicians and adolescent patients is crucial.
  • Addressing adolescent fears and anxieties, alongside fostering shared responsibility for treatment, are vital for improving outcomes.

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