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Gepubliceerd in: Tijdschrift voor Kindergeneeskunde 4/2008

01-08-2008

Zelfmanagement en therapietrouw: ménage à deux van dokter en patiënt

Auteur: V. T. Colland

Gepubliceerd in: Tijdschrift voor Kindergeneeskunde | Uitgave 4/2008

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Samenvatting

In dit artikel worden zelfmanagement en therapietrouw beschreven: twee belangrijke determinanten voor het adequaat omgaan met een chronische aandoening, waarbij zowel de arts als de patiënt een actieve rol speelt. Een zelfmanagementprogramma is een begeleidingsprogramma als aanvulling op de medische behandeling, dat tot doel heeft om het kind (c.q. de ouders) op zodanige wijze te activeren dat hij of zij zelf optimaal in de behandeling participeert. De mate van therapietrouw is eveneens bepalend voor het onder controle houden van een chronische aandoening. Bij therapieontrouw wordt de medische behandeling ondermijnd en kunnen zowel patiënt als behandelaar ontmoedigd raken. Determinanten van therapieontrouw en praktische aanwijzingen ter bevordering van de therapietrouw worden beschreven. De nadruk ligt hierbij op de wisselwerking tussen behandelaar en patiënt. Ook bij de behandelaar zou men van therapieontrouw kunnen spreken, namelijk indien hij onvoldoende aandacht besteedt aan de beweegredenen van therapieontrouw bij de patiënt. Ten slotte worden enkele voorbeelden van psychologische interventieprogramma’s beschreven die tot doel hebben om acceptatie, zelfmanagement of therapietrouw te bevorderen of de impact van de ziekte op de sociaal-emotionele ontwikkeling te verkleinen.

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Metagegevens
Titel
Zelfmanagement en therapietrouw: ménage à deux van dokter en patiënt
Auteur
V. T. Colland
Publicatiedatum
01-08-2008
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Kindergeneeskunde / Uitgave 4/2008
Print ISSN: 0376-7442
Elektronisch ISSN: 1875-6840
DOI
https://doi.org/10.1007/BF03078204