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Psicologia, Saúde & Doenças

Print version ISSN 1645-0086

Psic., Saúde & Doenças vol.6 no.2 Lisboa Nov. 2005

 

Adesão em Pediatria - do Modelo Biomédico ao Modelo Transaccional:

Contribuições para a Intervenção dos Profissionais de Saúde

Margarida Custódio dos Santos

Departamento de Ciências Sociais e Humanas, Escola Superior de Tecnologia da Saúde, Lisboa

 

RESUMO: Actualmente um número muito elevado de crianças e adolescentes sofre de doença crónica. Deste modo a sua qualidade de vida e a diminuição da morbilidade passa necessariamente pela adequada adesão às prescrições e recomendações médicas do tratamento. Consensualmente considerada como uma das áreas electivas de intervenção da psicologia da saúde e da psicologia pediátrica a adesão constitui, sem dúvida, um dos problemas que as equipas de saúde mais frequentemente enfrentam. Neste artigo a autora reflecte sobre as várias perspectivas e modelos de adesão e pretende contribuir para o reforço de uma abordagem flexível e dinâmica por parte dos técnicos de saúde, baseada em intervenções que tenham como objectivo a adesão autónoma e responsável dos doentes ou da família.

Palavras chave: Adesão, Doença crónica, Psicologia pediátrica, Técnicos de saúde.

 

 

Paediatric Adherence - from the Model Biopsychosocial to the Model Transactional

ABSTRACT: A large number of children and adolescents are affected by chronic physical illnesses. The management of such conditions and the reduction of morbidity require children and families to adhere to demanding treatment regimens. Adherence to pediatric regimes is nowadays considered one of the most important issues in Pediatric Psychology, and one of the most frequent and challenging problems that heath professional must face in their effort to care for and to help children with health problems. In this article the author reflects on the most important perspectives and adherence models and pretends to contribute to the development of an amore flexible and integrative health professional's attitude that can promote patients and parent's more responsible and autonomous adherence to medical prescriptions and recommendations.

Key words: Adherence, Children illness, Chronic illness, Health professionals, Pediatric psychology.

 

Texto completo disponível apenas em PDF.

Full text only available in PDF format.

 

REFERÊNCIAS

Barros, L. (2002). Psicologia pediátrica - Perspectiva desenvolvimentista (2ª Ed.), Lisboa: Climepsi Eds.         [ Links ]

Baum, D., & Cree, T. (1986). Medication compliance in children with asthma. Journal of Asthma, 23, 49-59.

Bloch, C.A., Clemons, P., & Sperling, M.A. (1987). Puberty decreases insulin sensitivity. Journal of Pediatrics, 110, 481-487.

Browell, K.D., & Cohen, L.R. (1995). Adherence to dietary regimens: ANOVA view of research. Behavioral Medicine, 20(4),149-155

Carney, R.M., Schechter, K., & Davis, T. (1983). Improving adherence to blood glucose testing in insulin dependent diabetic children. Behavior Therapy, 14, 247-254.

Davis, H. (1993). Counseling parents of children with chronic illness or disability. Leicester: B.P.S. Books.

Davis, H., & Fallwofield, L. (1991). Counseling and communication in heath care. Chichester: Willey

Deaton, A., & Olbrish, M. (1987). Adaptative noncompliance: Parents as experts and decision makers in the treatment of pediatric asthma patients. Advances in Developmental Behavioral Pediatrics, 8, 205-234.

Dolgin, M.J., Katz, E.R., Doctors, S.R., & Siegel, S.E. (1986). Caregiver's perceptions of medical compliance in adolescents with cancer. Journal of Adolescents Health Care, 7, 22-27.

Drotar, D. (1991). Coming on age: Critical challenges to the future development of pediatric psychology. Journal of Pediatric Psychology, 16, 1-11.

Drotar, D. (1999). Psychological interventions for children with chronic physical illness and their families. Toward integration of research and practice. Em S.W. Russ & T.H. Ollendick (Eds.), Handbook of psychotherapies with children and their families (pp. 447-461). New York: Kluewer Academic/Plenum Publishers.

Drotar, D. (2000). Adherence to medical treatment in pediatric conditions: Critical issues and answered questions. In Dennis Drotar (Ed.), Promoting adherence to medical treatment in childhood chronic illness: Concepts, methods, and interventions (pp. 383-407). Mahwah, NJ: Lawrence Erlbaum Associates.

Edwards, M., & Davis, H. (1997). Counseling children with chronic medical conditions. Leicester, UK: B.P.S. Books.

Eney, R.D., & Goldstein, E.O. (1976). Compliance of chronic asthmatics with oral administration of theophylline as measure by serum and salivary levels. Pediatrics, 57, 513-517.

Epstein, D.D., & Cluss, P.A. (1982). A behavioral medicine perspective on adherence to long-term medical regimens. Journal of Consulting and Clinical Psychology, 50, 950-971.

Farberow, N. (Ed.). (1980). The many faces of suicide. New York: McGraw-Hill.

Hayford, J., & Ross, C.K. (1988). Medical compliance in juvenile rheumatoid arthritis. Arthritis Care and Research, 1, 190-197.

Haynes, R.B. (1979). Introduction. In R.B. Haynes, D.W. Taylor, & D.L. Sackett (Eds.), Compliance in health care (pp. 1-10). Baltimore: Johns Hopkins University Press.

Johnson, S.B. (1994). Heath behaviors and health status: Concepts, methods and applications. Journal of Pediatric Psychology, 19, 129-141.

Johnson, S.B., Silverstein, J., Rosenbloom, A., Carter, R., & Cunningham, W. (1986). Assessing daily management of childhood diabetes. Health Psychology, 5, 545-564.

Jonhson, S.B., Kelly, M., Henretta, J., Cunningham, W., Tomer, A., & Silverstein, J. (1992). A longitudinal analysis of adherence and health status in childhood diabetes. Journal of Pediatric Psychology, 17(5), 537-553.

LaGreca, A.M. (1990). Issues in adherence with pediatric regimens. Journal of Pediatric Psychology, 15(4), 423-436.

LaGreca, A.M., & Skyler, J.S. (1995). Psychological management of diabetes. In C.J.H. Kelnar (Ed.), Childhood Diabetes (pp. 295-310). London: Chapman & Hall.

Litt, I., & Cuskey, W. (1980). Compliance with medical regimens during adolescence. Pediatric Clinics of North America, 27, 1-15.

Manne, S., Jacobsen, P., Gorfinkle, K., Gerstein, F., & Redd, W. (1993). Treatment adherence difficulties among children with cancer: The role of parenting style. Journal of Pediatric Psychology, 18(1), 47-62.

Mesibov, G.B., & Johnson M. (1982). Intervention techniques in pediatric psychology. In J.M. Tuma (Ed.), Handbook for the practice of pediatric psychology (pp. 203-217). Wiley-Interscience Publication. Wiley and Sons, Inc.

Newacheck, P.W., & Halfon, N. (1998). Prevalence and impact of disabling and chronic conditions in childhood. American Journal of Public Health, 88, 610-617.

Peterson, L., & Shigetomi, C. (1981). The use of coping techniques to minimize anxiety in hospitalized children. Behavior Therapy, 12, 1-14.

Phipps, S., & DeCuir-Whalley, S. (1990). Adherence issues in pediatric bone marrow transplantation. Journal of Pediatric Psychology, 15, 459-475.

Richardson, J., Shelton, D.R., Krailo, M., & Levine, A.M. (1990). The effect of compliance with treatment on survival among patients with hematologic malignancies. Journal of Clinical Oncology, 8, 356-364.

Stone, G. (1979). Patient compliance and the role of the expert. Journal of Social Issues, 35, 34-59.

Turk, D., & Meichenbaum, D. (1991). Adherence to self-care regimens. The patient's perspective. In J.J. Sweet, R.H. Rozensky, & S.M. Tovian (Eds.), Handbook of clinical psychology in medical settings (pp. 249-266). New York: Plenum.

Werle, M.A., Murphy, T.B., & Budd, K.S. (1993). Treating chronic food refusal in young children: Home-based parent training. Journal of Applied Behavioral Analyses, 26, 421-433.