注意缺陷多动障碍儿童用药依从性的影响因素研究  

Study on factors affecting medication compliance in children with attention deficit hyperactivity disorder

作　　者：王瑜[1] 张凤玲[1] 陈佳英[1] 

机构地区：[1]上海交通大学附属儿童医院上海市儿童医院,上海200040

出　　处：《中国儿童保健杂志》2011年第10期946-948,共3页Chinese Journal of Child Health Care

摘　　要：【目的】研究注意缺陷多动障碍(attention-deficit/hyperactivity disorder,ADHD)儿童用药依从性的影响因素,以采取相应措施,进一步提高治疗依从性,改善ADHD儿童预后。【方法】2009年9月-2010年2月期间于上海市儿童医院儿保所门诊就诊的儿童,根据美国精神障碍诊断和统计手册第4版(DSM-IV)初次诊断为ADHD、排除共病、就诊前未接受治疗,就诊后使用中枢兴奋剂治疗者,首次用药6个月后由家长填写自行编制的ADHD儿童用药依从性家长问卷,共随访642例,其中男514例,女128例。用2χ检验以初步筛选影响用药依从性的因素,进一步用Logistic回归分析影响用药依从性的主要因素。【结果】用药依从性好者占39.8%,影响用药依从性的主要因素依次为是否参加父母培训(OR=0.076,P<0.01)、担心药物副反应(OR=0.126,P<0.01)、人均月收入(OR=0.149,P<0.05)、服药次数(OR=0.201,P<0.05)、医疗费用支付方式(OR=0.262,P<0.05)和疾病分型(OR=4.000,P<0.05)。【结论】提高父母对ADHD认知水平,探讨ADHD社区服务的模式,有助于提高ADHD药物治疗的依从性。【Objective】 To investigate the factors affecting medication compliance in children with attention deficit/hyperactivity disorder（ADHD）. 【Method】 From September 2009 to February 2010,a total of 642 children with ADHD were selected,and factors affecting medication compliance were assessed with a self-administered questionnaire.【Results】 Good compliance in medication compliance was 39.8%.The factors affecting medication complience were significant following as： parent training（OR=0.076,P〈0.01）,concerning about drug side effect（OR=0.126,P〈0.01）,family incomings（OR=0.149,P〈0.05）,frequency of dosing（OR=0.201,P〈0.05）,ways of paying medieal treatment（OR=0.262,P〈0.05） and the type of the diseases（OR=4.000,P〈0.05）. 【Conclusion】 The results indicate both the training to improve parents＇ knowledge about ADHD and the investigation on the model of community service about ADHD will elevate the rate of children received medication.

关 键 词：注意缺陷多动障碍 药物治疗 依从性 

分 类 号：R749.94[医药卫生—神经病学与精神病学]