中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (10): 1112-1114.DOI: 10.11852/zgetbjzz2018-26-10-18

• 临床研究与分析 • 上一篇    下一篇

注意缺陷多动障碍患者疾病特征对依从性的影响

郑庆梅, 赵小明, 谭慧娟, 李耀东, 宋志文, 邓良华, 蔡远帆, 刘石梅   

  1. 佛山市顺德区伍仲珮纪念医院,广东 佛山 528300
  • 收稿日期:2018-03-31 发布日期:2018-10-10 出版日期:2018-10-10
  • 作者简介:郑庆梅(1972-),女,河南人,副主任医师,硕士学位,主要研究方向为儿童精神疾病的评估、诊断和治疗。
  • 基金资助:
    佛山市科技局科研立项(2016AB0031937)

Effect of disease characteristics on compliance of patients with attention deficient hyperactive disorder

ZHENG Qing-mei, ZHAO Xiao-ming, TAN Hui-juan, LI Yao-dong, SONG Zhi-wen, DENG Liang-hua, CAI Yuan-fan, LIU Shi-mei   

  1. Wu Zhongpei Memorial Hospital of Shunde District,Foshan,Guangdong 528300,China
  • Received:2018-03-31 Online:2018-10-10 Published:2018-10-10

摘要: 目的 研究疾病特征等因素对注意缺陷多动障碍(ADHD)患者依从性的影响,为提高患者治疗依从性提供思路。方法 选择2016年7月—2017年6月期间就诊于佛山市顺德区伍仲珮纪念医院心理门诊的6~12岁ADHD患者共72例,该72例患者均在治疗前进行中国修订版韦氏智力测验(C-WISC)、数字划销测验(NCT)、父母儿童行为问卷(PSQ)的测量,了解其认知特点和疾病特征。结果 1)ADHD患儿的言语智商(VIQ):VIQ可显著正向预测ADHD患者依从性水平 (F=8.36,P<0.001,决定系数为0.14);言语智商(VIQ)和总智商(FIQ)共同正向预测ADHD儿童患者复诊次数(F=10.17,P<0.01,决定系数为0.22);2)PSQ的多动冲动分量表可显著负向预测ADHD患者依从性水平(F=9.24,P<0.001,决定系数为0.15)。结论 ADHD患者的疾病特征对服药依从性有影响。

关键词: 注意缺陷多动障碍, 疾病特征, 依从性

Abstract: Objective To explore the effects of disease characteristics on the compliance of patients with attention deficient and hyperactive disorder (ADHD),so as to provide an approach to improving patients′ treatment compliance . Method Totally 72 ADHD patients aged 6~12 who visited psychology clinic of Wu Zhongpei Memorial Hospital from July 2016 to June 2017 were selected.Before treatment,all patients were measured for Wechsler Intelligence Scale for Children (C-WISC),number cancellation test (NCT),and Parent Symptom Questionnaire (PSQ),so as to approach their cognitive characteristics and disease attributes. Results 1) Verbal intelligence quotient (VIQ) was shown to be a significant positive predictor of the treatment compliance of ADHD patients (F=8.36,P<0.001,coefficient of determination 0.14).Both VIQ and full intelligence quotient (FIQ) were shown to be positive predictors of clinic visit times of ADHD patients (F=10.17,P<0.01,coefficient of determination 0.22).2) The hyperactivity-impulsiveness subscale score of PSQ was shown to be a significant negative predictor of the compliance of ADHD patients (F=9.24,P<0.001,coefficient of determination 0.15). Conclusions The disease attributes affect ADHD patients′ treatment compliance.

Key words: attention deficient and hyperactive disorder, disease attributes, compliance

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