Objective: To systematically evaluate the current status of self-management evaluation tools for medication in children and adolescents with chronic diseases

so as to provide evidence-based medical evidence to ensure effective treatment outcomes for children and adolescents with chronic diseases. Methods: PubMed

EMBase

the Cochrane Library

CBM

CNKI

VIP

Wanfang and other domestic and foreign databases were systematically retrieved

and the retrieval time was from the establishment of the database to Mar. 2023. Literature pertaining to self-management evaluation tools for medication in children with chronic diseases was enrolled and the results were analyzed by descriptive methods. Results: A total of sixteen articles were enrolled according to disease types. The distribution of articles included 43. 75% (7/ 16) on diabetes self-management scales

18. 75% (3/ 16) on children’s asthma self-management scales

12. 50% (2/ 16) on adolescents’ general self-management scales

6. 25% (1/ 16) on children’s insulin treatment self-management scales

and 6. 25% (1/ 16) on children’s epilepsy medication self-management scales. Of the included scales

25. 00% (4/ 16) had a theoretical basis and were available in Chinese. The included scales spanned from 1 to 8 (3. 69±1. 74) domains and included from 14 to 52 (27. 81±10. 24) items. However

medication management items were found to be lacking

primarily concerning medication compliance

adjustment of medication dosage

adverse drug reactions

convenience of medication

and sense of medication responsibility. Conclusion: Currently

there is a lack of independently developed self-management evaluation tools for medication in children and adolescents with chronic diseases in China. The current evaluation tools have a single perspective and lack the integration of individual

family

healthcare system and society at different levels. It is recommended to develop and validate self-management evaluation tools tailored to children and adolescents with chronic diseases in China

so as to provide valuable insights for the clinical implementation of self-management regimen.