Rapi Judit
Bugát Pál Kórház, II. Belgyógyászati Osztály, Gyöngyös.
Orv Hetil. 2002 Aug 25;143(34):1979-83.
In the treatment of chronic disease like hypertension it is very important to achieve good patient compliance. One third of the patients however takes his medicament irregularly. The failure of the treatment is usually caused by the patient, who is not aware of his illness, he feels healthy that's why he does not go to see the doctor or he stops taking the medicine. The cause of bad compliance can also be the doctor who does not spend enough time and energy on his patients. Rarely the therapy is broken off because of the side effects of the medication. In the last year 100 patients with hypertension were asked with help of a questionnaire about their drug-taking habits and their knowledge about hypertension. From the answers we found out that one third of the patients takes his drugs irregularly. Less than half of the patients reaches the normotension. Most of the patients who have been treated for many years do not know the goal blood pressure, the possible complications of hypertension, the goal of the treatment. Often they do not even know the name of their medicine. Compliance is a complicated problem. Improvement could be reached by regular teaching of the patients, by teaching the patients how to measure blood pressure at home, by increasing the number of educational publications, by regular training of the doctors, by keeping the rules of the treatment, by using modern and long-term effective drugs. It would be important to start with teaching the healthy way of living already at a young age.
在治疗高血压等慢性病时,实现良好的患者依从性非常重要。然而,三分之一的患者服药不规律。治疗失败通常是由患者造成的,他们没有意识到自己的病情,感觉自己很健康,所以不去看医生或停止服药。依从性差的原因也可能是医生没有在患者身上花费足够的时间和精力。很少有治疗因药物副作用而中断。去年,通过问卷调查询问了100名高血压患者的服药习惯和他们对高血压的了解情况。从答案中我们发现,三分之一的患者服药不规律。不到一半的患者血压达到正常水平。大多数接受多年治疗的患者不知道目标血压、高血压可能的并发症、治疗目标。他们甚至常常不知道自己所服药物的名称。依从性是一个复杂的问题。可以通过定期对患者进行教育、教导患者如何在家测量血压、增加教育出版物数量、定期对医生进行培训、遵守治疗规则、使用现代且长效的药物来实现改善。在年轻时就开始教导健康的生活方式很重要。