[在ChAMP UT-Health休斯顿计划中,注意力缺陷多动症 (ADHD) 的治疗坚持]
Rachitha P Jadala1, Hali Temkin2, Kerri L Daniel2
1McGovern Medical School, Houston, Texas, EE.UU.
改善注意力缺陷/多动障碍 (ADHD) 的药物坚持包括解决患者知识,简化治疗方案和减少医疗保健障碍. 了解这些因素可以提高长期的ADHD管理.
科学领域:
- 儿科心理学 儿科心理学
- 神经发育障碍 神经发育障碍
- 药理疗法 药理疗法 药理疗法
背景情况:
- 注意力缺陷/多动症 (ADHD) 治疗是有效的,但患者的坚持仍然是一个重大挑战.
- 许多可修改的因素有助于ADHD儿童和青少年的治疗坚持不佳.
研究的目的:
- 审查最近关于儿童多动症药物坚持的文献.
- 识别影响遵守的因素和那些可以改善的因素.
主要方法:
- 对ADHD药物坚持性研究的文献综述.
- 来自临床队列 (n=117) 的坚持数据的分析.
- 检查患者的人口统计,处方细节和遵守率.
主要成果:
- 关键的坚持影响因素包括疾病特征,患者因素,医疗保健系统,社会经济地位,药物特性和环境.
- 通过增强患者/家长的知识,每天一次的延长释放配方,年龄较小 (<12岁),女性性别,可获得的医疗保健和父母的积极态度来改善坚持.
结论:
- 优化ADHD治疗的坚持对于改善长期结果至关重要.
- 加强促进坚持的因素和缓解知识差距是关键策略.
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