Waeber B, Burnier M, Brunner H R
Division of Clinical Pathophysiology and Medical Teaching, University Hospital, Lausanne, Switzerland.
J Cardiovasc Pharmacol. 2000;35 Suppl 3:S23-6. doi: 10.1097/00005344-200035063-00006.
Low adherence of hypertensive patients to prescribed antihypertensive medications is a major cause of unsatisfactory blood pressure control. Several factors might have a negative influence on long-term adherence with treatment, for example a poor patient-doctor relationship and the presence of drug-induced side-effects. Various strategies are recommended in order to improve patient compliance, including educational programmes, self-measurement of blood pressure and monitoring of compliance. All methods may be helpful to encourage the patient to take the prescribed medication(s) regularly. It is also important to find a drug regimen which is at the same time simple, efficacious and well tolerated. Finally it should be pointed out that the motivation of the patient to follow the treatment requires the doctor to be equally motivated.
高血压患者对规定的抗高血压药物依从性低是血压控制不理想的主要原因。几个因素可能对治疗的长期依从性有负面影响，例如医患关系欠佳和药物引起的副作用。为提高患者的依从性推荐了各种策略，包括教育课程、血压自我测量和依从性监测。所有方法可能有助于鼓励患者定期服用规定的药物。找到一种同时简单、有效且耐受性良好的药物治疗方案也很重要。最后应该指出，患者遵循治疗的动力需要医生同样有动力。
