ppharm

Педиатрическая фармакология

Pediatric pharmacology

1727-57762500-3089

Издательство «ПедиатрЪ»

10.15690/pf.v12i2.1282

ppharm-8

Research Article

ЛЕКЦИЯ

LECTURE

ПРИВЕРЖЕННОСТЬ: РОЛЬ В ДОСТИЖЕНИИ КОНТРОЛЯ НАД БРОНХИАЛЬНОЙ АСТМОЙ У ДЕТЕЙ

Adherence: Its Role in Achieving Control Over Bronchial Asthma in Children

Новик

Г. А.

Novik

G. A.

vishneva@nczd.ru

Вишнёва

Е. А.

Vishneva

E. A.

vishneva@nczd.ru

Намазова-Баранова

Л. С.

Namazova-Baranova

L. S.

namazova@nczd.ru

Санкт-Петербургская государственная педиатрическая медицинская академия, Санкт-Петербург, Российская ФедерацияРоссияSt. Petersburg State Paediatric Medical Academy, Saint-Petersburg, RussiaRussian Federation

Научный центр здоровья детей, Москва, Российская ФедерацияРоссияScientific Center of Children’s Health, RussiaRussian Federation

Научный центр здоровья детей, Москва, Российская Федерация Первый Московский государственный медицинский университет им. И.М. Сеченова, Российская Федерация Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва, Российская ФедерацияРоссияScientific Center of Children’s Health, Russia Sechenov First Moscow Medical University, Russia, Moscow Pirogov Russian National Medical Scientific Research Institute, Russia, MoscowRussian Federation

2015

19042015

122

Педиатрическая фармакология

190196

2015

Новик Г.А., Вишнёва Е.А., Намазова-Баранова Л.С.

Novik G.A., Vishneva E.A., Namazova-Baranova L.S.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.pedpharma.ru/jour/article/view/8

Статья посвящена проблеме достижения контроля над бронхиальной астмой у пациентов детского возраста. Целью терапии любого аллергического заболевания является достижение контроля над симптомами и максимальное снижение риска в будущем (как развития обострений, так и нежелательных эффектов терапии). Авторами представлен алгоритм определения степени контроля над бронхиальной астмой. Рассматриваются принципы комплексного подхода к лечению. Отмечено, что, несмотря на значимое продвижение в понимании различных аспектов детской астмы и прилагаемые усилия по созданию руководств по ее лечению, большое количество пациентов по-прежнему не могут контролировать течение болезни. Основной причиной зачастую становится неприверженность пациентов и их родителей к рекомендациям. В статье подробно рассматриваются основные причины несоблюдения родителями и пациентами назначений специалиста. Авторы не только обсуждают способы повышения эффективности взаимодействия врача и пациента, но и предлагают современные инновационные решения, которые должны помочь в повышении приверженности назначенной терапии и улучшении контроля над детской астмой.

This article is concerned with the problem of obtaining control over bronchial asthma in children. The goal of treating any allergic disease is to gain control over the symptoms and a maximum decrease in future risks (both aggravations and negative therapy side effects). The authors present an algorithm of determining the level of control over bronchial asthma. A complex approach towards treatment is shown. It has been noted that, despite a significant movement towards the understanding different aspects of child asthma and the current efforts in creating guides concerning its treatment, a great number of patients are still incapable of controlling the illness. One of the main reasons is the lack of adherence demonstrated by the patients and their parents towards medical recommendations. This article deals with the main reasons why the patients do not follow the recommendations of doctors. The authors no only discuss the ways of increasing the patient-doctor collaboration, but also offer modern and innovative solutions which should help to increase the adherence to the designated therapy and thus the control over child asthma.

аллергические болезнибронхиальная астмадетитерапевтическая стратегияконтрольприверженностьотсутствие приверженностисамоконтрольмониторингмультидисциплинарный подход

allergic diseasesbronchial asthmachildrentherapeutic strategycontroladherencelack of adherenceself-controlmonitoringmulti-disciplinary approach

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The authors declare that there are no conflicts of interest present.