Taubman A, Swanson L, Alpers G, Enfanto R, Moss L, Johnson K
Contemp Pharm Pract. 1982 Winter;5(1):10-3.
Prescriber, pharmacist, and patient interpretations of commonly used prescription directions were assessed. Results indicated that: 1) Attempts to make directions more time-specific without indicating actual hours for ingestion of the medication tends to lead to patient confusion and potential compliance problems; 2) Some prescribers do not understand the potential interpretation of their own directions; 3) Patients tend to base drug ingestion time on their lifestyles, and unless directions are actually time-specific (e.g., one at 8 a.m., 1 p.m., and 7.p.m.), compliance problems will probably continue; and 4) The prescribed and the pharmacist cannot assume understanding on the part of the patient for nonspecific directions. They must not only reinforce directions, but must also determine the patient's level of understanding, so that actual compliance with the directions intended has a chance for success.
对处方医生、药剂师和患者对常用处方说明的理解进行了评估。结果表明：1）试图使说明更具时间针对性但未指明服药的实际时间，往往会导致患者困惑和潜在的依从性问题；2）一些处方医生不理解他们自己所开说明可能存在的解读；3）患者倾向于根据自己的生活方式来确定服药时间，除非说明实际具有时间针对性（例如，上午8点、下午1点和晚上7点各服一片），否则依从性问题可能会持续存在；4）处方医生和药剂师不能假定患者能理解不具体的说明。他们不仅必须强化说明，还必须确定患者的理解程度，以便按预期说明实际达到依从性有成功的机会。
