Analysis on the Influencing Factors for Hormone Medication Compliance in Children with Chronic Kidney Disease_West China Medical Journal

Authors：

 YuLi ¹ , TangYuxia ¹ , YuMiao ¹ , ZhouQilian ¹ , WangTing ²

1. Department of Pediatrics, the First Affiliated Hospital; Anhui Medical University, Hefei, Anhui 230032, P. R. China;
2. Nursing College; Anhui Medical University, Hefei, Anhui 230032, P. R. China;

Corresponding?author：

Keywords：

Child; Chronic kidney disease; Hormone; Medication compliance; Influencing factors

DOI：

10.7507/1002-0179.201600202

Video：

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Objective To explore the hormone medication compliance in children with chronic kidney disease (CKD) and analyze its influencing factors. Methods Between May and December 2013, 96 children were investigated by questionnaires about medication compliance when they were out of the hospital. Then we analyzed the influencing factors for medication compliance. All the data were analyzed by SPSS 19.0 software. Results Of these 96 children, medication nonadherence accounted for 52% (50). The main guardian, educational level of the father, educational level of the mother, residence, duration of illness, time of hospitalization, and understanding of the treatment plan played significant roles in causing different medication compliance among these children (P＜0.05). Logistic regression analysis showed that duration of illness [OR=2.204, 95%CI (1.253, 3.875), P=0.006], residence [OR=2.615, 95%CI (1.0 23, 6.687), P=0.045] and the mother’s educational level [OR=0.147, 95%CI (0.028, 0.788), P=0.025] were the independent factors for medication compliance. Conclusions According to the survey, hormone medication compliance in children with chronic kidney disease is not satisfying. We should strengthen the health education in children and their parents, and adopt specific interventions to enhance the medication compliance so as to effectively control the disease and delay the progression.

Citation： YuLi, TangYuxia, YuMiao, ZhouQilian, WangTing. Analysis on the Influencing Factors for Hormone Medication Compliance in Children with Chronic Kidney Disease. West China Medical Journal, 2016, 31(4): 743-746. doi: 10.7507/1002-0179.201600202 Copy

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1. ?秦雯, 陳楠. 慢性腎臟病的全球流行狀況[J]. 國外醫學: 內科學分冊, 2006, 33(2): 81-84.
2. 陳慧, 林瑜. 兒童慢性腎臟病向成人過渡的探索[J]. 中國實用兒科雜志, 2012, 27(6): 418-421.
3. 姚勇. 慢性腎臟病病因與流行病學[J]. 中國實用兒科雜志, 2011, 26(6): 404-406.
4. 中華醫學會兒科分會腎臟病學組. 91所醫院1990-2002年小兒慢性腎衰竭1268例調查報告[J]. 中華兒科雜志, 2004, 42(10): 724-730.
5. Kongkaew C, Noyce PR, Ashcroft DM. Hospital admissions associated with adverse drug reactions: a systematic review of prospective observational studies[J]. Ann Pharmacother, 2008, 42(7): 1017-1025.
6. Schiff GD, Fung S, Speroff T, et al. Decompensated heart failure: symptoms, patterns of onset, and contributing factors[J]. Am J Chin Med, 2003, 114(8): 625-630.
7. Chatoth DK, Golper TA, Gokal R. Morbidity and mortality in redefining adequacy of peritoneal dialysis: a step beyond the National Kidney Foundation Dialysis Outcomes Quality Initiative[J]. Am J Kidney Dis, 1999, 33(4): 617-632.
8. Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence[J]. Med Care, 1986, 24(1): 67-74.
9. 李曉東, 任麗. 關注患者藥物治療的依從性[J]. 中華高血壓雜志, 2007, 15(10): 795-797.
10. 許衛華, 王奇, 梁偉雄. 慢性疾病患者治療依從性的測量[J]. 中國行為醫學科學, 2007, 16(8): 763-764.
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12. 于洪智. 影響高血壓患者服藥依從性相關因素的臨床研究[J]. 當代醫學, 2010, 16(18): 147-148.
13. 鄒麗敏, 施素華. 家庭護理干預對出院腎病綜合征患兒的影響[J]. 護理實踐與研究, 2011, 8(4): 17-18.
14. 曹雪宏, 吳碎春, 金茹, 等. 腎病綜合征復發患兒家長疾病相關知識認知狀況及影響因素分析[J]. 護理學報, 2010, 17(1): 13-15.
15. 徐虹. 兒童慢性腎臟病管理[J]. 中國實用兒科雜志, 2011, 26(6): 409-411.
16. 尹曉麗, 王麗, 韓夢雨, 等. 個性化護理模式對不同分級IgA腎病患者情緒及生活質量的影響[J]. 臨床護理雜志, 2013, 12(6): 16-19.
17. 梁曉麗, 滕艷, 王燕. 循證護理干預對行高壓氧治療的新生兒家屬焦慮狀態的研究[J]. 臨床護理雜志, 2014, 13(5): 17-19.

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West China Medical Journal

Analysis on the Influencing Factors for Hormone Medication Compliance in Children with Chronic Kidney Disease

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