Val Jiménez A, Amorós Ballestero G, Martínez Visa P, Fernández Ferré M L, León Sanromà M
ABS La Gavarra (Cornellà), Unidad Docente de Medicina Familiar y Comunitaria de Barcelona.
Aten Primaria. 1992 Oct 1;10(5):767-70.
To ascertain the degree of correct use of a course of medication in a sample of patients with high blood pressure attending Primary Attention consultation, and to validate the Morisk and Green completion test.
This is a transversal observational study carried out in two stages, which aims to analyse the variable rate of correct following of instructions. The sample was selected at random. SITE. The study was carried out within the framework of Primary Care.
The sample was drawn from patients with high blood pressure under treatment by medication, including 96 patients of whom only 86 completed the study.
Measurement of the actual incidence of correct use was carried out by means of counting the pills in the patients' homes, and the theoretical incidence of correct use by means of the Morisky and Green Test. We class those who take between 80-110% of the prescribed pills as completing the course correctly. We found: 18.6% took less medication (Margin of reliability (MR) 95%: 10, 3-26.8%), 23% took more than they should (MR 95%: 14.4-32, 2%) and 58.1% took medication as instructed (MR 95%: 48-68%, without significant differences either by sex or age. The test's sensitivity in detecting those who complied with instructions was 52%, and specificity was 44.4%.
确定在初级保健门诊就诊的高血压患者样本中药物疗程正确使用的程度，并验证莫里斯克和格林完成测试。
这是一项分两个阶段进行的横向观察性研究，旨在分析遵循医嘱的可变率。样本是随机选取的。地点。该研究在初级保健框架内进行。
样本取自正在接受药物治疗的高血压患者，包括96名患者，其中只有86名完成了研究。
通过清点患者家中的药片来测量正确使用的实际发生率，通过莫里斯克和格林测试来测量正确使用的理论发生率。我们将服用规定药片数量在80%至110%之间的人归类为正确完成疗程。我们发现：18.6%的人服药量不足（可靠性区间（MR）95%：10.3 - 26.8%），23%的人服药量超过应服量（MR 95%：14.4 - 32.2%），58.1%的人按医嘱服药（MR 95%：48 - 68%），按性别或年龄划分均无显著差异。该测试检测遵循医嘱者的敏感性为52%，特异性为44.4%。
