注意缺陷多动障碍儿童就医行为及药物治疗影响因素

发布时间：2018-07-06 13:37

本文选题：注意缺陷多动障碍 + 就医行为　；参考：《中国儿童保健杂志》2014年03期

【摘要】：目的对门诊注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童就医行为及药物治疗影响因素进行研究,以提高治疗依从性,改善预后。方法 2008年5月-2011年5月在本院心理卫生科首诊确诊并使用药物治疗的699例ADHD患儿采用自制量表进行一般社会学资料收集并进行心理测验。2012年7月采用回顾性访谈的方法对使用药物治疗的患儿家长进行电话随访及现场问卷调查。结果共有病例699例,有效随访490例。453例(92.45%)选用哌甲酯治疗。依从性好者185例(37.75%),用药6个月以上178例。ADHD患儿就诊年龄与母亲受教育程度(r=-0.140,P0.01)、总智商(r=-0.089,P0.05)及ADHD亚型(r=-0.092,P0.05)负相关。停药原因前三位为:担心药物副作用,儿童行为问题无明显改善,不规律使用药物。家长接受心理教育(Waldχ2=6.148,P0.05)及家长对药物治疗的看法(Waldχ2=3.785,P0.05)对依从性有影响。结论混合型ADHD总智商偏低,药物治疗依从性差,家长对ADHD及药物治疗的认知程度低,未接受心理教育是ADHD治疗结果的影响因素,提升家长对药物治疗的正确认知,可能有助于提高治疗依从性。
[Abstract]:Objective to study the medical behavior of children with attention deficit hyperactivity disorder (attention deficit hyperactivity) and the influencing factors of drug therapy in order to improve treatment compliance and prognosis. Methods from May 2008 to May 2011, 699 children with ADHD who were first diagnosed and treated with drugs in mental health department of our hospital used self-made scale for general sociological data collection and psychological test. A retrospective interview was conducted in July 2012. Methods telephone follow-up and field questionnaire survey were carried out to the parents of children who were treated with drugs. Results of 699 cases, 490 cases (92.45%) were followed-up with methylphenidate. 185 cases (37.75%) had good compliance, 178 cases (> 6 months) with ADHD had negative correlation with their mothers' education level (r = 0.140), total IQ (r = 0.089 P 0.05) and ADHD subtype (r = 0.092 P 0.05). The first three reasons for withdrawal were: children's behavioral problems did not improve significantly and drug use was irregular. Parents' psychological education (Wald 蠂 ~ (2) 6.148) and parents' views on drug therapy (Wald 蠂 ~ (2) 3.785 (P 0.05) had an effect on compliance. Conclusion the general intelligence quotient of mixed type ADHD is low, the compliance of drug therapy is poor, the cognition degree of ADHD and drug therapy is low, and the psychological education is the influencing factor of ADHD treatment result. It may help to improve therapeutic compliance.
【作者单位】：福建省福州儿童医院心理卫生科;福建医科大学教学医院;
【分类号】：R749.94

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