TY - JOUR AU - Athipongarporn, Athichada AU - Limsuwan, Nida PY - 2018/03/29 Y2 - 2024/03/29 TI - สาเหตุของการขาดการติดตามการรักษาอย่างต่อเนื่องในผู้ป่วยโรคสมาธิสั้นวัยเด็กและวัยรุ่น JF - Journal of the Psychiatric Association of Thailand JA - J Psychiatr Assoc Thailand VL - 63 IS - 1 SE - Original Articles DO - UR - https://he01.tci-thaijo.org/index.php/JPAT/article/view/117159 SP - 33-46 AB - <p>Objective : To examine the reasons of poor treatment adherence in child and adolescents<br>with attention-deficit/hyperactivity disorder (ADHD) who received psychiatric treatment<br>at Ramathibodi Hospital.<br>Method : This was a descriptive cross-sectional study in parents of ADHD patients<br>under the age of 18 years who received treatment at psychiatric outpatient department,<br>Ramathibodi Hospital. The data was collected from electronic medical record and<br>semi-structured telephone interviewing with parents.<br>Result : There were 35 patients who could be contacted from 62 non-followed-up patients<br>(77.1% male) with mean age of 10.7 ± 3.4 years. The median of treatment duration<br>was 6 months. Parents were decision-makers in the case of 74.3% of the subjects and<br>most subjects who terminated their treatment did not seek other treatments. The main<br>reasons of poor treatment adherence were poor medication compliance, inconvenience<br>to attend follow-up appointments, and no symptom. Focusing on the subjects who lost<br>follow-up in the first 6 months period, the main reasons of poor adherence were side<br>effects of medications, difficulties in transportation to hospital, poor communication<br>with psychiatrists and inconvenience to attend follow-up appointments. Regarding<br>the subjects who lost follow-up after first 6 months period, the main reasons were poor<br>medication compliance, clinical improvement and inconvenience to attend follow-up<br>appointments. In general, the level of service satisfaction was good in most aspects.<br>Conclusion : The reasons of poor treatment adherence when divided by time of treatment<br>are different. The results of this study help to identify the reasons and to prevent patients<br>from further follow-up.</p> ER -