哮喘联盟

   摘要
   目的：本研究旨在学龄前哮喘儿童样本中评估育儿压力以及护理者消极健康信念与药物治疗依从性的相关性。
   方法：受试者包括43例护理者及其年龄在2-5岁给予指定的预防或控制药物治疗的哮喘儿童。评估父母报告的育儿压力与父母特征和难以相处的儿童行为，健康相关信念，以及吸入皮质激素(ICS)依从性的相关性。回顾药物补充记录以客观的评价药物治疗的依从性。采用配对样本t检验和Pearson相关系数进行统计分析。
   结果：父母报告与客观评价的ICS依从性具有显著差异，父母报告的药物治疗依从性比率更高。此外，护理者消极健康信念（而非育儿压力）的增强与ICS依从性的客观评价结果呈显著的负相关性(p < .01)。
   结论：由于育儿压力的调查结果与其他学龄前哮喘儿童相关文献结果不一致，因此本结果表明学龄前儿童是一个独特的发育性团体。支持健康信念的回顾结果也强调了这些较小幼儿护理者的优势和关注所在。总之，本研究结果强调了护理者的健康相关信念在促进哮喘幼儿ICS使用依从性中的重要性。
 

（林江涛 审校）
J Asthma. 2014 Jan 6. [Epub ahead of print]


 

Association of Caregiver Health Beliefs and Parenting Stress with Medication Adherence in Preschoolers with Asthma.
 

Armstrong ML, Duncan CL, Stokes JO, Pereira D.
 

ABSTRACT
OBJECTIVE: This study examined the associations of parenting stress and caregiver negative health beliefs with medication adherence in a sample of preschool-aged children with asthma.
METHODS: Participants included 43 caregivers and their child with asthma, aged 2 to 5 years, who were prescribed a preventative or controller medication. Assessment included parent report of parenting stress associated with parental characteristics and difficult child behavior, health-related beliefs, and adherence to inhaled corticosteroids (ICS). Pharmacy refill records were reviewed to measure medication adherence objectively. Statistical analyses included paired samples t-test and Pearson's correlation coefficients.
RESULTS: Parent-report and objective measures of adherence to ICS were significantly different, with parents reporting significantly higher rates of medication adherence. Also, increased caregiver negative health beliefs, but not parenting stress, were significantly and negatively associated with an objective measure of ICS adherence (p < .01).
CONCLUSIONS: Because the findings for parenting stress are not consistent with that of the literature on school-aged children with asthma, our results may suggest that preschool children are a unique developmental group. A review of endorsed health beliefs also highlights strengths and concerns for caregivers of these very young children. Overall, our study findings underscore the importance of caregivers' health related beliefs in promoting adherence to ICS in young children with asthma.
 

J Asthma. 2014 Jan 6. [Epub ahead of print]