注意缺陷多动障碍患者疾病特征对依从性的影响

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

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。

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. Methods Totally 72 ADHD patients aged 6~12 who visited psychology clinic of Wu Zhongpei Memorial Hospital from July2016 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 determination0.15）. Conclusion The disease attributes affect ADHD patients＇treatment compliance.