P166 Concerning parents’ compliance to treatment of psoriasis in children

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One of the most important social factors directly influencing children’s psoriasis treatment rates is known to be their parents’ readiness to follow recommendations of a physician.

To study parents’ attitude to child’s treatment.

review of medical, social and psychological documentation, surveying of parents and children, attendance, methods to reveal attitude to child’s illness (V.Ye. Kagan, I.P. Zhuravleva) of 19 children with severe psoriasis (average age is 11, 5 years).

Three options of parents’ attitude to child’s illness have been revealed:

I-st option (5 cases) – high treatment compliance: the adults consistently and accurately comply with the doctor’s advice, explain the importance of treatment to the child and focus his/her attention on positive results, teach the child to complete medical regimen, which results in reduction of disease recurrence and increase of remission duration.

II-nd option (11 cases) – average treatment compliance: the parents comply with the doctor’s advice at disease recurrence, but ignore it at amelioration of signs. The parents don’t teach the child to comply to medical regimen and health saving behaviour, which results in increase of disease recurrence and decrease of remission duration.

III-d option (3 cases) – poor treatment compliance: the parents violate or adjust the treatment plan, fail to make it a habit for the child to comply with the doctor’s recommendations, be mindful and responsible about the recovery of his/her health, which becomes one of social reasons for deterioration of physical health and causes the risk for the child to become an invalid.

When choosing the therapeutic approach, determining the individualised plan of patient management and scheduling the patients’ visits it is very important to address the parents’ attitude to treatment and their readiness to comply with the doctor’s recommendations.

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