ADHERENCE ISSUES IN PEDIATRIC BONE-MARROW TRANSPLANTATION

被引:56
作者
PHIPPS, S [1 ]
DECUIRWHALLEY, S [1 ]
机构
[1] CHILDRENS HOSP,LOS ANGELES,CA 90027
关键词
Adherence; Bone marrow transplant; Childhood leukemia; Chronic illness; Compliance; Oral medication;
D O I
10.1093/jpepsy/15.4.459
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
The procedure of bone marrow transplantation entails a prolonged, aversive regimen in which adherence problems often develop, particularly with administration of oral antibiotic medications. A retrospective chart review revealed that 52% of pediatric patients evidenced significant adherence problems during the procedure. The highest rates of noncompliance were found in preschool and school-age children, with a surprisingly lower frequency in adolescents. Case summaries are presented to illustrate significant clincial issues and intervention strategies. These are discussed in terms of both their practical and theroretical significance regarding the determinants of adherence behavior. © 1990 Plenum Publishing Corporation.
引用
收藏
页码:459 / 475
页数:17
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