Clinical and psychosocial factors affecting treatment adherence in children with rheumatic heart disease

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dc.contributor.authorAlkan F.
dc.contributor.authorYigit E.
dc.contributor.authorSapmaz S.Y.
dc.contributor.authorCoskun S.
dc.date.accessioned2024-07-22T08:03:55Z
dc.date.available2024-07-22T08:03:55Z
dc.date.issued2022
dc.description.abstractINTRODUCTION: The present study aimed to investigate the outcomes of psychiatric symptoms and family functions on treatment adherence in children, in addition to sociodemographic characteristics and clinical factors related to the disease. MATERIAL AND METHOD: The research sample consisted of 43 children who were followed up with rheumatic heart disease diagnosis during the study. Clinical features were obtained from the patient files. The family assessment device evaluating family functioning and the strengths and difficulties questionnaire scale to screen emotional and behavioural problems in children were used. RESULTS: Considering the regularity of treatment in our patients, there were 31 (72%) patients adherent to secondary prophylaxis regularly, 7 (6.9%) patients were partially adherent, and 5 (11.6%) patients non-adherent. Patients were divided into treatment adherent (Group 1) and non-adherent (Group 2). There was no statistically significant impact on treatment adherence whether the patients receive enough information, lifestyle, fear of developing adverse effects, fear of addiction, lack of health insurance, difficulties in reaching the drug or hospital. However, the fear of syringes on treatment adherence had an effect statistically significantly (p = 0.047). Forgetting to get a prescription and/or take the drug when the time comes was statistically higher in the non-adherent group (p = 0.009). There was no statistically significant effect of psychosocial factors on treatment adherence between groups. DISCUSSION: Providing an effective active recall system, involving primary care workers, providing training on the disease and its management, and a comprehensive pain management programme can improve the process, especially for cases where secondary prophylaxis is missed.
dc.identifier.DOI-ID10.1017/S1047951122002189
dc.identifier.issn14671107
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/12481
dc.language.isoEnglish
dc.publisherNLM (Medline)
dc.subjectChild
dc.subjectHospitals
dc.subjectHumans
dc.subjectMedication Adherence
dc.subjectRheumatic Heart Disease
dc.subjectSecondary Prevention
dc.subjectTreatment Adherence and Compliance
dc.subjectchild
dc.subjecthospital
dc.subjecthuman
dc.subjectmedication compliance
dc.subjectpatient compliance
dc.subjectrheumatic heart disease
dc.subjectsecondary prevention
dc.titleClinical and psychosocial factors affecting treatment adherence in children with rheumatic heart disease
dc.typeArticle

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