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Therapeutic compliance and its related factors in pediatrics patients

Korean Journal of Pediatrics 2008;51(6):584-596.
Published online June 15, 2008.
Therapeutic compliance and its related factors in pediatrics patients
Ki Soo Park1, Sin Kam2, Heung Sik Kim3, Jeong Kwon Lee4, Jin-Bok Hwang3
1Department of Preventive Medicine, School of Medicine, and Institute of Health Sciences, Gyeongsang National University, JinJu, Korea
2Department of Preventive Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
3Department of Pediatrics, Keimyung University School of Medicine, Daegu, Korea
4Han-Young Pediatric Hospital, Daegu, Korea
소아 환자의 치료 순응도 및 이에 영향을 미치는 요인
박기수1, 감신2, 김흥식3, 이정권4, 황진복3
1경상대학교 의과대학 예방의학교실 및 건강과학연구원
2경북대학교 의과대학 예방의학교실
3계명대학교 의과대학 소아과학교실
Jin-Bok Hwang, Email: pedgi@korea.com
: This study was conducted to investigate treatment compliance and related factors in pediatric patients.
: 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.
: 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.
: 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.
Key Words: Compliance, Pediatric, Health Belief Model, Efficacy

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