<rp id="qhdgi"></rp>

  • <tbody id="qhdgi"></tbody>

        <tbody id="qhdgi"></tbody>
      <tbody id="qhdgi"></tbody>
    1. <menuitem id="qhdgi"></menuitem>
      <code id="qhdgi"></code>
        ?
        基于保護動機理論的兒童抽動障礙患者用藥依從性研究
        x

        請在關注微信后,向客服人員索取文件

        篇名: 基于保護動機理論的兒童抽動障礙患者用藥依從性研究
        TITLE:
        摘要:
        目的研究兒童抽動障礙TD患者用藥依從性現狀及影響因素為改善兒童TD患者的用藥依從性提供依據方法
        于保護動機理論設計調查問卷采用橫斷面調查研究方法于20181-201912月對四川大學華西第二醫院確診的兒童TD 患者進行問卷調查并根據理論假設建立結構方程模型采用極大似然法估計模型對單因素分析中有顯著影響的因素進行多元 線性回歸分析并開展路徑分析和中介效應檢驗結果共納入317例患者平均年齡為8.38±2.54平均病程為3.19±2.46用藥依從性平均得分為5.70±1.69其中15.1為依從性低37.5為依從性中等47.3為依從性高多元線性回歸分析 顯示有無共患病β=0.124SE=0.167P=0.011)、主要監護人受教育程度β=0.236SE=0.110P<0.000 1)、生活質量β0.399SE=0.112P<0.000 1和服用藥物種類β=0.166SE=0.047P=0.001是影響兒童TD患者用藥依從性的影響因素構方程模型分析顯示嚴重性β=0.29595置信區間0.103~0.493)、外部回報β=0.83095置信區間0.662~1.002)、自我效 β=0.20095置信區間0.057~0.353)、易感性β=0.22095置信區間0.084~0.352和生活質量β=0.35395置信區0.211~0.500對患者用藥依從性均有直接的正向影響生活質量在外部回報和依從性變量之間起中介作用中介效應占總效 應值的13.9)。結論兒童TD患者用藥依從性不高建議各級醫療機構的兒科醫務工作者從嚴重性易感性外部回報和自我效 能去管理患者的用藥依從性以提高患者及其監護人對疾病及用藥不依從的嚴重性和易感性的認識同時弱化外部回報和增加自 我效能最終提升患者的用藥依從性
        ABSTRACT:
        OBJECTIVETo study the current status and influencing factors of medication compliance in children with tic disorderTD),and to provide reference for improving medication compliance in TD children. METHODSThe questionnaire was
        designed according to the protection motivation theory. The cross-sectional study was adopted to conduct questionnaire survey
        among TD children in West China Second Hospital of Sichuan University from Jan. 2018 to Dec. 2019. The structural equation
        model was established according to the theoretical assumptionsand the maximum likelihood method was used to estimate the
        modelmultiple linear regression analysis was carried out for the factors with significant influence in the single factor analysisand
        path analysis and intermediary effect test were carried out. RESULTSA total of 317 patients with TD were includedthe mean age was8.38±2.54yearsand the mean course of disease was3.19±2.46years. Average medication compliance scores was 5.70±1.69),among which 15.1was low compliance37.5moderate complianceand 47.3high compliance. Multivariate linear regression analysis showed that comorbiditiesβ=0.124SE=0.167P=0.011),education level of the main guardianβ0.236SE=0.110P<0.001),quality of lifeβ=0.399SE=0.112P<0.001and the types of drugs takenβ=0.166SE0.047P=0.001were the factors affecting medication compliance of children with TD. Structural equation model analysis showed that severityβ=0.29595CI0.103-0.493),external returnβ=0.83095CI
        0.662-1.002),self-efficacyβ=0.20095CI0.057-0.353),susceptibilityβ=0.22095CI0.084-0.352and quality of lifeβ=0.35395CI0.211-0.500had a direct positive impact on medication compliance. Quality of life mediated between external returns and compliance variablesintermediary effect accounted for 13.9of the total effect value. CONCLUSIONSChildren with TD have low medication compliance. It is recommended that pediatricians in medical institutions at all levels to manage the medication compliance of patients with TD from the severitysusceptibilityexternal returns and self-efficacyso as to improve patients and guardiansawareness of the severity and susceptibility of disease and medication non-adherenceweaken external returns and increase self-efficacyand ultimately improve medication compliance of patients
        期刊: 2021年第32卷第19期
        作者: 楊春松,張伶俐,李佳圓,俞 丹,楊亞亞,吳小芳
        AUTHORS: ANG Chunsong,ZHANG Lingli,LI Jiayuan,YU Dan,YANG Yaya,WU Xiaofang
        關鍵字: 兒童;抽動障礙;用藥依從性;保護動機理論;結構方程模型;影響因素
        KEYWORDS: Children; Tic disorder; Medication compliance; Protective motivation theory; Structural equation model;
        閱讀數: 23 次
        本月下載數: 3 次

        * 注:未經本站明確許可,任何網站不得非法盜鏈資源下載連接及抄襲本站原創內容資源!在此感謝您的支持與合作!

        ?