预测患者儿童的药物坚持:保护动机理论的应用
Chunsong Yang1, Weiqi Deng2, Linan Zeng1
1Department of Pharmacy, Evidence-based Pharmacy Center, West China Second Hospital, Sichuan University, China; Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, China.
Epilepsy & behavior : E&B
|November 29, 2024
概括
患有的儿童的药物坚持通常很差. 保护动机理论 (PMT) 的诸如自我效能和易受性等因素对坚持有积极影响,而成本则对坚持有负面影响.
科学领域:
- 儿科神经学 儿科神经学
- 健康心理学 心理健康心理学
- 行为科学 行为科学
背景情况:
- 影响全球众多儿童,需要有效的管理策略.
- 药物坚持对于控制发作和改善儿科患者的生活质量至关重要.
- 了解坚持的心理和社会决定因素是制定有针对性的干预措施的关键.
研究的目的:
- 通过保护动机理论 (PMT) 评估患者儿童的药物坚持.
- 确定影响该群体药物坚持的心理,环境和社会因素.
- 应用结构方程建模 (SEM) 来对这些因素进行全面分析.
主要方法:
- 一项涉及1357名患有的儿童从儿童神经病诊所招募的横截面研究.
- 基于PMT构造 (严重程度,易感性,自我有效性等) 的23项问卷的开发和验证. ) 的情况.
- 使用莫里斯基药物坚持度表评估药物坚持度,并通过SEM和路径分析进行分析.
主要成果:
- 积极影响坚持的因素包括自我有效性,易感性和感知严重程度.
- 负面影响坚持的因素包括外部回报,内部回报和反应成本.
- 年龄较小,独生子女,护理人员失业和并发性疾病与较高的坚持得分有关.
结论:
- 患有的儿童的药物坚持通常是不理想的.
- PMT提供了一个强大的框架来解释和预测儿科的坚持行为.
- 干预措施应侧重于加强健康教育,个性化指导和护理人员支持,以改善遵守.
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