{"id":1933,"date":"2017-04-02T17:44:24","date_gmt":"2017-04-02T16:44:24","guid":{"rendered":"http:\/\/slanedeti.sk\/cms\/?p=1933"},"modified":"2017-09-03T12:56:00","modified_gmt":"2017-09-03T11:56:00","slug":"dovody-adherencie-nonadherencie","status":"publish","type":"post","link":"https:\/\/slanedeti.sk\/cms\/dovody-adherencie-nonadherencie\/1933","title":{"rendered":"D\u00f4vody adherencie a non-adherencie"},"content":{"rendered":"<h4><strong>D\u00f4vody, prediktory a\u00a0benefity adherencie<\/strong><\/h4>\n<p>Za \u00fa\u010delom zv\u00fd\u0161enia adherencie je potrebn\u00e9, aby boli identifikovan\u00e9 faktory, ktor\u00e9 predikuj\u00fa adherenciu k\u00a0lie\u010dbe. T\u00e1 m\u00f4\u017ee by\u0165 toti\u017e d\u00f4le\u017eit\u00fdm prognostick\u00fdm indik\u00e1torom pravdepodobnosti zhor\u0161enia p\u013e\u00facnych funkci\u00ed. Pod\u013ea niektor\u00fdch v\u00fdskumov je vy\u0161\u0161ia adherencia spojen\u00e1 so zlep\u0161en\u00fdmi p\u013e\u00facnymi funkciami a\u00a0vy\u0161\u0161\u00edm vekom do\u017eitia sa. Preto je odpor\u00fa\u010dan\u00e9 pravideln\u00e9 hodnotenie pacientovej adherencie, ktor\u00e9 by presnej\u0161ie predikovalo mo\u017enos\u0165 zhor\u0161enia jeho zdravotn\u00e9ho stavu a\u00a0tak umo\u017enilo zavedenie agres\u00edvnej\u0161ej intervencie. Z\u00e1rove\u0148 je v\u0161ak potrebn\u00e9 prizna\u0165, \u017ee ani \u00fapln\u00e1 adherencia nedok\u00e1\u017ee zaru\u010di\u0165 dobr\u00fd zdravotn\u00fd stav \u010di vy\u0161\u0161\u00ed vek do\u017eitia sa. \u010eal\u0161\u00ed autori uv\u00e1dzaj\u00fa ako faktory, ktor\u00e9 s\u00fa spojen\u00e9 s\u00a0vysokou adherenciou tieto &#8211; pomoc a\u00a0opora pri vykon\u00e1van\u00ed lie\u010dby, okam\u017eit\u00e1 \u00fa\u013eava od sympt\u00f3mov, povzbudiv\u00e9 sebariadenie, osobn\u00e1 kontrola nad ochoren\u00edm, individu\u00e1lne vyu\u010dovanie \u0161pecifick\u00fdch techn\u00edk, obavy spojen\u00e9 s\u00a0ochoren\u00edm a optimistick\u00e9 zvl\u00e1danie. Faktormi spojen\u00fdmi s\u00a0n\u00edzkou adherenciou s\u00fa nepoci\u0165ovan\u00e9 benefity, osamelos\u0165 a\u00a0izol\u00e1cia, komplexnos\u0165 lie\u010dby, strach z\u00a0ne\u017eiaducich \u00fa\u010dinkov lie\u010dby a\u00a0pesimistick\u00e9 sp\u00f4soby zvl\u00e1dania. Adherencia k\u00a0lie\u010dbe tie\u017e z\u00e1vis\u00ed od vn\u00edmanej nepr\u00edjemnosti konkr\u00e9tnej zlo\u017eky lie\u010dby a\u00a0pod\u013ea stup\u0148a jej zasahovania do denn\u00fdch \u010dinnost\u00ed.<\/p>\n<p>Pacienti m\u00f4\u017eu vyu\u017e\u00edva\u0165 sympt\u00f3my ako ukazovate\u013e, pod\u013ea ktor\u00e9ho sa riadia pri dodr\u017eiavan\u00ed lie\u010dby, a preto sa zameriavaj\u00fa sk\u00f4r na kr\u00e1tkodob\u00e9 ne\u017e na dlhodob\u00e9 benefity lie\u010dby. Adherencia k\u00a0lie\u010dbe poskytuj\u00facej okam\u017eit\u00fd \u00fa\u010dinok je vy\u0161\u0161ia ako k\u00a0lie\u010dbe s\u00a0dlhodob\u00fdm benefitom. Zd\u00e1 sa, \u017ee spr\u00e1vanie pacientov sa tie\u017e odli\u0161uje v\u00a0\u010dase, ke\u010f sa c\u00edtia dobre a\u00a0ke\u010f sa c\u00edtia hor\u0161ie, pri\u010dom vy\u0161\u0161ia adherencia k\u00a0lie\u010dbe je pr\u00edtomn\u00e1 v\u00a0dobe, ke\u010f sa pacient c\u00edti zle \u00a0alebo tie\u017e v\u00a0\u010dase, kedy hroz\u00ed riziko spojen\u00e9 s\u00a0non-adherenciou. Naopak, adherencia sa zvy\u0161uje v\u00a0\u010dase, kedy poskytuje priame, pacientom rozoznate\u013en\u00e9 benefity. Pacienti poci\u0165uj\u00faci zlep\u0161enie po lie\u010dbe dodr\u017eiavaj\u00fa lie\u010dbu vo vy\u0161\u0161ej miere ako pacienti nepoci\u0165uj\u00faci zlep\u0161enie.<\/p>\n<p>V\u00a0s\u00favislosti s\u00a0adherenciou boli sk\u00faman\u00e9 aj zvl\u00e1dacie strat\u00e9gie. Zisten\u00e9 boli \u00a0rozdielne\u00a0zvl\u00e1dacie strat\u00e9gie u\u00a0pacientov v\u00a0z\u00e1vislosti od miery adherencie. Pas\u00edvne a\u00a0vyh\u00fdbacie zvl\u00e1dacie strat\u00e9gie boli spojen\u00e9 s ni\u017e\u0161ou adherenciu, pri\u010dom s\u00a0vy\u0161\u0161ou adherenciou s\u00faviseli priame strat\u00e9gi\u00ed zvl\u00e1dania. Okrem zvl\u00e1dac\u00edch strat\u00e9gi\u00ed bola adherencia sk\u00faman\u00e1 aj s\u00favislosti s\u00a0vekom, ktor\u00fd bol zisten\u00fd ako prediktor adherencie k\u00a0p\u013e\u00facnej fyzioterapii. Mlad\u0161\u00ed pacienti ud\u00e1vali vy\u0161\u0161iu vn\u00edman\u00fa adherenciu k\u00a0antibiotickej lie\u010dbe a\u00a0lie\u010dbe enz\u00fdmami, ktor\u00e1 bola spojen\u00e1 s\u00a0vy\u0161\u0161ou \u00farov\u0148ou optimizmu a\u00a0znalos\u0165ami ochorenia. U\u00a0star\u0161\u00edch pacientov bola ni\u017e\u0161ia pravdepodobnos\u0165 dodr\u017eiavania fyzioterapie a\u00a0tie\u017e antibiotickej lie\u010dby, zn\u00ed\u017een\u00e1 adherencia sa v\u0161ak net\u00fdkala lie\u010dby enz\u00fdmov\u00fdmi doplnkami. Niektor\u00e9 v\u00fdskumy uv\u00e1dzaj\u00fa mlad\u0161\u00edch pacientov s\u00a0CF ako skupinu, u\u00a0ktorej je spomedzi pacientov s\u00a0chronick\u00fdmi ochoreniami najvy\u0161\u0161ia adherencia k\u00a0lie\u010dbe. D\u00f4vodom m\u00f4\u017ee by\u0165 skuto\u010dnos\u0165, \u017ee t\u00edto pacienti s\u00fa len zriedka asymptomatick\u00ed a\u00a0negat\u00edvne d\u00f4sledky non-adherencie sa objavuj\u00fa \u010dasto okam\u017eite.<\/p>\n<p>Pod\u013ea niektor\u00fdch je adherencia ni\u017e\u0161ia u\u00a0pacientov s\u00a0hor\u0161\u00edm stavom, nako\u013eko im ch\u00fdba pozit\u00edvne spevnenie a nepozoruj\u00fa tak pr\u00ednosy lie\u010dby. Za podstatn\u00e9 faktory ovplyv\u0148uj\u00face adherenciu je pova\u017eovan\u00e1 symptomatickos\u0165 ochorenia, strach z\u00a0ved\u013eaj\u0161\u00edch \u00fa\u010dinkov, komplexnos\u0165 a\u00a0trvanie lie\u010dby. Pre pacientov je tie\u017e ve\u013emi d\u00f4le\u017eit\u00e9 poci\u0165ovanie soci\u00e1lnej podpory. Siln\u00e1 rodinn\u00e1 koh\u00e9zia a\u00a0rodinn\u00e1 podpora je spojen\u00e1 s\u00a0vy\u0161\u0161ou adherenciou.<\/p>\n<p>Pacientova adherencia nemus\u00ed by\u0165 ovplyvnen\u00e1 jeho vn\u00edman\u00edm minulej, s\u00fa\u010dasnej \u010di bud\u00facej z\u00e1va\u017enosti zdravotn\u00e9ho stavu alebo vn\u00edmanou n\u00e1chylnos\u0165ou na infekcie. Na adherenciu vpl\u00fdvaj\u00fa najm\u00e4 pacientove obavy t\u00fdkaj\u00face sa\u00a0ochorenia. \u010c\u00edm je u\u00a0pacienta vy\u0161\u0161ia \u00farove\u0148 ob\u00e1v oh\u013eadne ochorenia, t\u00fdm je v\u00e4\u010d\u0161ia pravdepodobnos\u0165, \u017ee bude lie\u010dbu dodr\u017eiava\u0165. Obavy a\u00a0percepcia vlastnej kontroly nad ochoren\u00edm teda u\u013eah\u010duj\u00fa adherenciu k\u00a0lie\u010dbe. Na t\u00fdchto zisteniach sa zhoduj\u00fa viacer\u00e9 v\u00fdsledky v\u00fdskumov, pod\u013ea ktor\u00fdch s\u00fa d\u00f4le\u017eit\u00fdmi determinantmi adherencie k\u00a0lie\u010dbe pacientove presved\u010denia o\u00a0lie\u010dbe a\u00a0vn\u00edmanie efekt\u00edvnosti lie\u010dby. Pr\u00e1ve tieto zistenia m\u00f4\u017eu by\u0165 u\u017eito\u010dn\u00e9 pre zdravotn\u00fd t\u00edm, ktor\u00fd sa m\u00f4\u017ee zamera\u0165 na zis\u0165ovanie a\u00a0pr\u00edpadn\u00fa modifik\u00e1ciu pacientov\u00fdch presved\u010den\u00ed, vn\u00edmanie lie\u010dby a\u00a0jeho obavy z\u00a0ochorenia, za \u00fa\u010delom zv\u00fd\u0161enia adherencie a\u00a0v\u00a0kone\u010dnom d\u00f4sledku mo\u017en\u00e9ho zlep\u0161enia celkov\u00e9ho zdravotn\u00e9ho stavu.<\/p>\n<h4><\/h4>\n<h4><strong>D\u00f4vody, prediktory a\u00a0n\u00e1sledky non-adherencie<\/strong><\/h4>\n<p>Pre zv\u00fd\u0161enie adherencie je potrebn\u00e1 nielen identifik\u00e1cia faktorov predikuj\u00facich adherenciu k\u00a0lie\u010dbe ale podstatn\u00e9 s\u00fa aj d\u00f4vody k\u00a0non-adherencii. Mnoho v\u00fdskumov sa\u00a0zameralo na identifik\u00e1ciu faktorov predikuj\u00facich non-adherenciu u\u00a0pacientov s\u00a0CF. M\u00f4\u017eeme rozl\u00ed\u0161i\u0165\u00a0\u0161tyri skupiny d\u00f4vodov k\u00a0n\u00edzkej adherencii a to zdravotn\u00e9, soci\u00e1lne, emocion\u00e1lne d\u00f4vody a \u010dasov\u00e9 probl\u00e9my. K\u00a0zdravotn\u00fdm d\u00f4vodom patr\u00ed n\u00e1zor pacienta, \u017ee sa c\u00edti zdrav\u00fd, nie je na tom tak zle ako ostatn\u00ed pacienti, nepoci\u0165uje benefity lie\u010dby \u010di preferuje alternat\u00edvne sp\u00f4soby lie\u010dby. Soci\u00e1lnymi d\u00f4vodmi s\u00fa pocity zahanbenia pred priate\u013emi \u010di v\u00a0spolo\u010dnosti alebo zasahovanie lie\u010dby do soci\u00e1lneho \u017eivota. K\u00a0emocion\u00e1lnym d\u00f4vodom patr\u00ed odpor pacienta k\u00a0lie\u010dbe \u010di pocit odli\u0161nosti od ostatn\u00fdch. \u010cast\u00fdm probl\u00e9mom je tie\u017e nedostatok \u010dasu na lie\u010dbu a\u00a0zanepr\u00e1zdnenos\u0165 pacienta.<\/p>\n<p>Non-adherencia je v\u00fdznamn\u00fdm probl\u00e9mom najm\u00e4 v adolescencii, kedy zodpovednos\u0165 za lie\u010dbu prech\u00e1dza z\u00a0rodi\u010dov na pacienta. Zisten\u00e9 bolo tie\u017e spojenie non-adherencie s\u00a0dospelos\u0165ou. \u010co sa t\u00fdka genderov\u00fdch rozdielov, zisten\u00e1 non-adherencia bola u\u00a0\u017eien asi o\u00a035% vy\u0161\u0161ia ako u\u00a0mu\u017eov. Pri uva\u017eovan\u00ed nad non-adherenciou by sme sa mali zamera\u0165 na jednotliv\u00e9 s\u00fa\u010dasti lie\u010dby, nie len na celkov\u00fa non-adherenciu. Non-adherencia fyzioterapie sa sp\u00e1ja so sp\u00f4sobom, ako pacient posudzuje svoju potrebu lie\u010dby vzh\u013eadom na obavy z\u00a0potenci\u00e1lnych nepriazniv\u00fdch \u00fa\u010dinkov. Pacienti maj\u00fa \u010dasto siln\u00e9 pochybnosti o\u00a0nevyhnutnosti u\u017e\u00edvania antibiot\u00edk, \u010do m\u00f4\u017ee n\u00e1sledne zni\u017eova\u0165 adherenciu k\u00a0ich u\u017e\u00edvaniu. D\u00f4vodom k\u00a0non-adherencii m\u00f4\u017ee by\u0165 tie\u017e pacientova tendencia podce\u0148ova\u0165 z\u00e1va\u017enos\u0165 svojho stavu a\u00a0prece\u0148ova\u0165 starostlivos\u0165 o seba.<\/p>\n<p>Systematick\u00fd pr\u00edstup k\u00a0v\u00fdskumu d\u00f4vodov non-adherencie, uv\u00e1dza tri hlavn\u00e9 \u00a0d\u00f4vody. Prv\u00fdm z\u00a0nich s\u00fa neadekv\u00e1tne znalosti, ktor\u00e9 s\u00favisia s nedostatkom pochopenia inform\u00e1ci\u00ed alebo ich nespr\u00e1vnym porozumen\u00edm. Druh\u00fdm je psychosoci\u00e1lny odpor, ktor\u00fd zah\u0155\u0148a situ\u00e1cie s prevahou psychosoci\u00e1lnych faktorov ako s\u00fa probl\u00e9my so sebakontrolou, tlak vrstovn\u00edkov a\u00a0okolia, zlo\u017eit\u00e9 dom\u00e1ce okolnosti, popieranie \u010di depresia. Posledn\u00fdm d\u00f4vodom je vzdelan\u00e1 non-adherencia, ktor\u00e1 znamen\u00e1 konflikty a\u00a0zlo\u017eit\u00fd v\u00fdber pri plnom porozumen\u00ed lie\u010dby a\u00a0jej nevyhnutnosti, no napriek tomu je v\u00fdsledkom rozhodnutie lie\u010dbu nedodr\u017eiava\u0165.<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1935 size-full\" src=\"https:\/\/slanedeti.sk\/cms\/wp-content\/uploads\/2017\/04\/adherencia_dp4.jpg\" alt=\"adherencia_dp4\" width=\"800\" height=\"535\" srcset=\"https:\/\/slanedeti.sk\/cms\/wp-content\/uploads\/2017\/04\/adherencia_dp4.jpg 800w, https:\/\/slanedeti.sk\/cms\/wp-content\/uploads\/2017\/04\/adherencia_dp4-300x201.jpg 300w, https:\/\/slanedeti.sk\/cms\/wp-content\/uploads\/2017\/04\/adherencia_dp4-768x514.jpg 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>In\u00fdm sp\u00f4sobom je kategoriz\u00e1cia pacientov uprednost\u0148uj\u00faca behavior\u00e1lny pred kognit\u00edvnym aspektom. Z\u00a0behavior\u00e1lneho poh\u013eadu m\u00f4\u017eu by\u0165 pacienti rozdelen\u00ed na skupinu odmietaj\u00facu, prokrastinuj\u00facu a popieraj\u00facu. Odmietaj\u00faci pacienti nevynakladaj\u00fa \u017eiadnu snahu na to, aby svoju non-adherenciu zakryli. Verejne zast\u00e1vaj\u00fa n\u00e1zor, \u017ee lie\u010dba je pre nich hor\u0161ia ako sympt\u00f3my, \u017ee lie\u010dbu nepotrebuj\u00fa a\u00a0nechc\u00fa by\u0165 kontrolovan\u00ed in\u00fdmi. U prokrastinuj\u00facich pacientov je ni\u017e\u0161ia otvorenos\u0165 k\u00a0priznaniu non-adherencie, ktor\u00fa pripustia len pr\u00edle\u017eitostne. S\u00a0vy\u0161\u0161ou pravdepodobnos\u0165ou bud\u00fa vyhlasova\u0165, \u017ee lie\u010dbu za\u010dn\u00fa v\u00a0bud\u00facnosti dodr\u017eiava\u0165, \u010do je v\u0161ak bez dodato\u010dnej pomoci zriedkav\u00e9. Naopak popieraj\u00faci pacienti non-adherenciu nepriznaj\u00fa a\u00a0bud\u00fa tvrdi\u0165, \u017ee lie\u010dbu dodr\u017eiavaj\u00fa.<\/p>\n<p>Mo\u017en\u00e9 negat\u00edvne dopady non-adherencie m\u00f4\u017eu znepokojova\u0165 nielen pacientov ale aj ich bl\u00edzkych, t\u00edm odborn\u00edkov poskytuj\u00facich zdravotn\u00fa starostlivos\u0165 a\u00a0tie\u017e farmaceutick\u00e9 spolo\u010dnosti. Non-adherencia m\u00f4\u017ee sp\u00f4sobi\u0165 skreslen\u00e9 predstavy o\u00a0efektivite lie\u010dby a\u00a0plytvanie zdrojov a\u00a0lie\u010div. N\u00e1sledkami non-adherencie m\u00f4\u017eu by\u0165 zr\u00fdchlen\u00e1 progresia ochorenia, v\u00e4\u010d\u0161ie mno\u017estvo p\u013e\u00facnych exacerb\u00e1ci\u00ed, zv\u00fd\u0161en\u00e1 frekvenciu zdravotn\u00fdch kontrol a\u00a0tie\u017e pacientov\u00fdch pobytov v\u00a0nemocnici. Na druhej strane bolo zisten\u00e9, \u017ee pacienti ud\u00e1vaj\u00faci vysok\u00fa adherenciu k\u00a0lie\u010dbe poci\u0165ovali zn\u00ed\u017een\u00fa man\u017eelsk\u00fa spokojnos\u0165 a\u00a0menej \u010dast\u00e9 soci\u00e1lne kontakty matky pacienta s\u00a0CF. D\u00f4le\u017eit\u00e9 je preto zamyslie\u0165 sa nad dosahovan\u00edm rovnov\u00e1hy medzi dostato\u010dnou adherenciou a\u00a0psychologickou adjust\u00e1ciou pacienta.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>D\u00f4vody, prediktory a benefity adherencie Za \u00fa\u010delom zv\u00fd\u0161enia adherencie je potrebn\u00e9, aby boli identifikovan\u00e9 faktory, ktor\u00e9 predikuj\u00fa adherenciu k lie\u010dbe. T\u00e1 m\u00f4\u017ee by\u0165 prognostick\u00fdm indik\u00e1torom&#8230;<\/p>\n","protected":false},"author":10,"featured_media":1934,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"kt_blocks_editor_width":"","footnotes":""},"categories":[250],"tags":[],"class_list":["post-1933","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zivot-s-cystickou-fibrozou"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>D\u00f4vody adherencie a non-adherencie - Slan\u00e9 deti<\/title>\n<meta name=\"description\" content=\"Adherencia m\u00f4\u017ee by\u0165 d\u00f4le\u017eit\u00fdm prognostick\u00fdm indik\u00e1torom pravdepodobnosti zhor\u0161enia p\u013e\u00facnych funkci\u00ed.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/slanedeti.sk\/cms\/dovody-adherencie-nonadherencie\/1933\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"D\u00f4vody adherencie a non-adherencie - 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