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, 陈楠. 慢性肾脏病的全球流行状况[J]. 国外医学: 内科学分册, 2006, 33(2): 81-84.
2. 陈慧, 林瑜. 儿童慢性肾脏病向成人过渡的探索[J]. 中国实用儿科杂志, 2012, 27(6): 418-421.
3. 姚勇. 慢性肾脏病病因与流行病学[J]. 中国实用儿科杂志, 2011, 26(6): 404-406.
4. 中华医学会儿科分会肾脏病学组. 91所医院1990-2002年小儿慢性肾衰竭1268例调查报告[J]. 中华儿科杂志, 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. 李晓东, 任丽. 关注患者药物治疗的依从性[J]. 中华高血压杂志, 2007, 15(10): 795-797.
10. 许卫华, 王奇, 梁伟雄. 慢性疾病患者治疗依从性的测量[J]. 中国行为医学科学, 2007, 16(8): 763-764.
11. 郭志坤. 泌尿系统病学词典[M]. 郑州: 河南科学技术出版社, 2007: 118-119.
12. 于洪智. 影响高血压患者服药依从性相关因素的临床研究[J]. 当代医学, 2010, 16(18): 147-148.
13. 邹丽敏, 施素华. 家庭护理干预对出院肾病综合征患儿的影响[J]. 护理实践与研究, 2011, 8(4): 17-18.
14. 曹雪宏, 吴碎春, 金茹, 等. 肾病综合征复发患儿家长疾病相关知识认知状况及影响因素分析[J]. 护理学报, 2010, 17(1): 13-15.
15. 徐虹. 儿童慢性肾脏病管理[J]. 中国实用儿科杂志, 2011, 26(6): 409-411.
16. 尹晓丽, 王丽, 韩梦雨, 等. 个性化护理模式对不同分级IgA肾病患者情绪及生活质量的影响[J]. 临床护理杂志, 2013, 12(6): 16-19.
17. 梁晓丽, 滕艳, 王燕. 循证护理干预对行高压氧治疗的新生儿家属焦虑状态的研究[J]. 临床护理杂志, 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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