Abstract：
OBJECTIVE: To determine risk factors of medical adherence and describe strategies to increase adherence in patients with chronic rhinologic disease.
METHODS: PubMED, SCOPUS, CINAHL, and Cochrane.
METHODS: Systematic review of 4 databases (PubMED, SCOPUS, CINAHL, Cochrane) from inception of databases to September 1, 2022 to identify studies that evaluated factors related to and affected by medical adherence in patients with chronic rhinologic disease.
RESULTS: Of 1491 studies screened, 25 studies met inclusion criteria. Of these, 7 studies described how sensory attributes of intranasal sprays affect adherence, including odor, taste, aftertaste, and side effects. Five studies described record keeping diaries/notification systems to improve adherence, with demonstration of web-based platforms to send reminders as well as keep record of medication usage to improve adherence. Eight studies described patient-specific risk factors to nonadherence, with demonstration of increased age and conscientious personalities correlating with medical adherence. Five studies looked at pediatric patients specifically, with adherence rates in children parallelling that of adults. Additionally, nonadherence in children may have greater implications for school performance.
CONCLUSIONS: Overall, adherence to topical medical therapy in patients with chronic rhinologic disease is affected by patient-related and medication-specific factors which should be considered when counseling patients. Web-based diary or notification systems may help increase adherence. Additionally, children are equally adherent to topical medical therapy as adults and nonadherence may have negative implications for school performance.
METHODS: PubMED, SCOPUS, CINAHL, and Cochrane.
METHODS: Systematic review of 4 databases (PubMED, SCOPUS, CINAHL, Cochrane) from inception of databases to September 1, 2022 to identify studies that evaluated factors related to and affected by medical adherence in patients with chronic rhinologic disease.
RESULTS: Of 1491 studies screened, 25 studies met inclusion criteria. Of these, 7 studies described how sensory attributes of intranasal sprays affect adherence, including odor, taste, aftertaste, and side effects. Five studies described record keeping diaries/notification systems to improve adherence, with demonstration of web-based platforms to send reminders as well as keep record of medication usage to improve adherence. Eight studies described patient-specific risk factors to nonadherence, with demonstration of increased age and conscientious personalities correlating with medical adherence. Five studies looked at pediatric patients specifically, with adherence rates in children parallelling that of adults. Additionally, nonadherence in children may have greater implications for school performance.
CONCLUSIONS: Overall, adherence to topical medical therapy in patients with chronic rhinologic disease is affected by patient-related and medication-specific factors which should be considered when counseling patients. Web-based diary or notification systems may help increase adherence. Additionally, children are equally adherent to topical medical therapy as adults and nonadherence may have negative implications for school performance.
摘要：
目的：确定影响慢性鼻疾病患者依从性的危险因素，并描述提高依从性的策略。
方法：发布，Scopus,CINAHL,还有Cochrane.
方法：对4个数据库的系统评价(PubMED，Scopus,CINAHL,Cochrane）从数据库开始到2022年9月1日，以确定评估与慢性鼻病患者的医疗依从性相关并受其影响的因素的研究。
结果：在筛选的1491项研究中，25项研究符合纳入标准。其中,7项研究描述了鼻内喷雾剂的感官属性如何影响依从性，包括气味,味道,回味,和副作用。五项研究描述了记录保存日记/通知系统，以提高依从性，演示基于网络的平台，以发送提醒以及保留药物使用记录，以提高依从性。八项研究描述了患者特定的不依从性风险因素，显示出年龄的增长和与医疗依从性相关的尽责人格。五项研究专门针对儿科患者，儿童的依从率与成人相当。此外,儿童的不依从可能对学校表现有更大的影响。
结论：总体而言，慢性鼻疾病患者对局部药物治疗的依从性受患者相关因素和药物特异性因素的影响,在咨询患者时应考虑这些因素.基于Web的日记或通知系统可能有助于提高依从性。此外,儿童与成人一样坚持局部药物治疗,不坚持可能对学校表现产生负面影响.
方法：发布，Scopus,CINAHL,还有Cochrane.
方法：对4个数据库的系统评价(PubMED，Scopus,CINAHL,Cochrane）从数据库开始到2022年9月1日，以确定评估与慢性鼻病患者的医疗依从性相关并受其影响的因素的研究。
结果：在筛选的1491项研究中，25项研究符合纳入标准。其中,7项研究描述了鼻内喷雾剂的感官属性如何影响依从性，包括气味,味道,回味,和副作用。五项研究描述了记录保存日记/通知系统，以提高依从性，演示基于网络的平台，以发送提醒以及保留药物使用记录，以提高依从性。八项研究描述了患者特定的不依从性风险因素，显示出年龄的增长和与医疗依从性相关的尽责人格。五项研究专门针对儿科患者，儿童的依从率与成人相当。此外,儿童的不依从可能对学校表现有更大的影响。
结论：总体而言，慢性鼻疾病患者对局部药物治疗的依从性受患者相关因素和药物特异性因素的影响,在咨询患者时应考虑这些因素.基于Web的日记或通知系统可能有助于提高依从性。此外,儿童与成人一样坚持局部药物治疗,不坚持可能对学校表现产生负面影响.
