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OPAC HELP

Titolo:
Barriers to compliance with prophylaxis therapy in haemophilia
Autore:
Hacker, MR; Geraghty, S; Manco-Johnson, M;
Indirizzi:
Univ Colorado, Hlth Sci Ctr, Mt States Reg Hemophilia & Thrombosis Ctr, Aurora, CO 80045 USA Univ Colorado Aurora CO USA 80045 & Thrombosis Ctr, Aurora, CO 80045 USA
Titolo Testata:
HAEMOPHILIA
fascicolo: 4, volume: 7, anno: 2001,
pagine: 392 - 396
SICI:
1351-8216(200107)7:4<392:BTCWPT>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
ADHERENCE; REGIMENS;
Keywords:
children; compliance; haemophilia; prophylaxis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
8
Recensione:
Indirizzi per estratti:
Indirizzo: Hacker, MR Univ Colorado, Hlth Sci Ctr, Mt States Reg Hemophilia & Thrombosis Ctr, POB 6507,Mail Stop F416, Aurora, CO 80045 USA Univ Colorado POB 6507,Mail Stop F416 Aurora CO USA 80045 5 USA
Citazione:
M.R. Hacker et al., "Barriers to compliance with prophylaxis therapy in haemophilia", HAEMOPHILIA, 7(4), 2001, pp. 392-396

Abstract

Prophylaxis, or the practice of routine replacement infusions of clotting factor concentrate in persons with severe haemophilia, is a demanding medical regimen. Prophylactic infusions require direct venepuncture or sterile entry into a central venous access device on a regular basis. A telephone survey was conducted to elicit information regarding the barriers to compliance with prophylaxis. The Mountain States Regional Haemophilia and Thrombosis Center has recommended prophylaxis to 52 male patients with haemophilia Aor B. The haemophilia nurse attempted to contact all of these patients or their parents, and contact was made with 38 (73.1%) of them. Respondents were asked about the following issues: their decision to initiate prophylaxis; their self-rated compliance; the challenges, barriers, and facilitators of prophylaxis; and their perceived value of the therapy. Four patients (10.5%) elected not to begin prophylaxis. Of the 34 persons who began prophylaxis, 20 respondents (58.8%) rated their compliance as excellent. Nearly one-third of the families with excellent compliance (giving 75-100% of prescribed infusions) stated that the time-consuming nature of prophylaxis was the most significant challenge of the regimen. In addition, 58.3% of the families that gave less than the prescribed number of infusions reported that thetime commitment was the primary reason for missing infusions. Knowledge ofthe benefits of prophylaxis was the primary facilitator of compliance for 44.1% of families. Ninety-seven percent of respondents rated prophylaxis asvery valuable. These data show that despite the known benefits of prophylaxis, it is a demanding medical regimen, and compliance is imperfect. In addition, this study underscores the importance of providing continuing support and education for patients and families who are implementing prophylaxis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 04:49:06