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Factors affecting patient compliance with compressive brace therapy for pectus carinatum

Authors
 Du Young Kang  ;  Junho Jung  ;  Sangho Chung  ;  Jinkyung Cho  ;  Sungsoo Lee 
Citation
 INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, Vol.19(6) : 900-903, 2014 
Journal Title
 INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY 
ISSN
 1569-9293 
Issue Date
2014
MeSH
Adolescent ; Braces*/adverse effects ; Child ; Child, Preschool ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Patient Compliance* ; Patients/psychology* ; Pectus Carinatum/diagnosis ; Pectus Carinatum/psychology ; Pectus Carinatum/therapy* ; Risk Factors ; Surveys and Questionnaires ; Time Factors ; Treatment Outcome ; Young Adult
Keywords
Brace therapy ; Compliance ; Pectus carinatum
Abstract
OBJECTIVES: The aim of this study was to identify factors affecting patient compliance with brace therapy for pectus carinatum. METHODS: Eighty-six pectus carinatum patients who started brace therapy from August 2008 to November 2011 were included in this study. Patients were divided into two groups: patients who wore the brace for ≥6 months (compliance group) or patients who wore the brace for <6 months (non-compliance group). Factors affecting patient compliance were assessed at the last day of follow-up with a multiple-choice questionnaire. The questionnaire comprised seven items: pain at compression site, skin problems on compression area, confidence in brace treatment, shame, discomfort, initial result of bracing treatment and total number of factors affecting patient compliance. RESULTS: Eighty-six patients completed the survey, including seven (8.1%) female patients and 79 (91.9%) male patients, with a mean age of 12.0 years at the time of treatment (range, 3-20 years). The initial result of the compression period (P <0.001) and total number of factors affecting patient compliance (P <0.05) were significant predictors of patient compliance. CONCLUSIONS: An initial successful result of the compression period may increase patient compliance during treatment for pectus carinatum. Additional efforts to decrease pain, skin problems, shame and discomfort, and to give confidence may be beneficial in increasing compliance with bracing treatment.
Files in This Item:
T201405811.pdf Download
DOI
10.1093/icvts/ivu280
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Sung Soo(이성수) ORCID logo https://orcid.org/0000-0001-8998-9510
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/138920
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