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KMID : 1130320080510060584
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Korean Journal of Pediatrics
2008 Volume.51 No. 6 p.584 ~ p.596
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Therapeutic compliance and its related factors in pediatrics patients
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Park Ki-Soo
Kam Sin
Kim Heung-Sik
Lee Jung-Kwon
Hwang Jin-Bok
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Abstract
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Purpose: This study was conducted to investigate treatment compliance and related factors in pediatric patients.
Methods: Three hundred and fifty-five patients diagnosed with various acute diseases at a teaching hospital or clinic in October 2003 were enrolled. Data were analyzed using the Health Belief Model, which includes items on self-efficacy and family assistance.
Results: The study found that 62.9% of pediatric patients adhered faithfully to agreed-upon hospital revisits, 41.6% complied with dose timings instructions, 65.8% precisely took medication, and 27.2% complied with all of these requirements. According to Χ2 test analysis, the factors found to be related to therapeutic compliance (the taking of medicines requested) were; susceptibility, severity, benefit, barriers, mother’s self-efficacy, and family assistance (P<.05). Multiple logistic analysis and path analysis showed that susceptibility, severity, barriers, and mother’s self-efficacy were related to therapeutic compliance (P<.05). Moreover, mother’s self-efficacy was identified as the most important factor.
Conclusion: To improve therapeutic compliance among pediatric patients, parental education is necessary, and a health care professional must take a thorough history of how the medication was taken before it is assumed that treatment failure is attributable to the medication prescribed. Furthermore, the type of device recommended for dosing should be determined by clinicians. In addition, it is important that pediatric medications be discussed in relation to their palatability and internal acceptability.
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KEYWORD
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Compliance, Pediatric, Health Belief Model, Efficacy
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