Bane Catherine, Hughes Carmel M, Cupples Margaret E, McElnay James C
Research and Development Office, 12-22 Linenhall Street, Belfast, BT2 8BS, Northern Ireland, UK.
Pharm World Sci. 2007 Oct;29(5):534-40. doi: 10.1007/s11096-007-9099-x. Epub 2007 May 9.
We aimed to explore, using qualitative methods, the perspectives of patients with hypertension on issues relating to concordance in prescribing.
This study took place in NHS general practices in Northern Ireland. A purposeful sample of patients who had been prescribed anti-hypertensive medication for at least one year were invited to participate in focus groups or semi-structured interviews; data were analysed using constant comparison.
The perspectives of patients with hypertension on issues relating to concordance in prescribing.
Twenty-five individuals participated in five focus groups; two participated in semi-structured interviews. Participants felt they could make valuable contributions to consultations regarding their management. They were prepared to negotiate with GPs regarding their medication, but most deferred to their doctor's advice, perceiving doctors' attitudes and time constraints as barriers to their greater involvement in concordant decision-making. They had concerns about taking anti-hypertensive drugs, were aware of lifestyle influences on hypertension and reported using personal strategies to facilitate adherence and reduce the need to take medication.
Participants indicated a willingness to be involved in concordance in prescribing anti- hypertensive medication but needed health professionals to address their concerns and confusion about the nature of hypertension. These findings suggest that there is a need for doctors and other healthcare professionals with responsibility for prescribing to develop skills specifically to explore the beliefs and views underlying an individual's medication use. Such skills may need to be developed through specific training programmes at both undergraduate and postgraduate level.
我们旨在运用定性研究方法，探究高血压患者对处方一致性相关问题的看法。
本研究在北爱尔兰的国民保健服务（NHS）全科诊所开展。我们邀请了一个有目的抽样的患者群体参与焦点小组讨论或半结构化访谈，这些患者接受抗高血压药物治疗至少一年；采用持续比较法对数据进行分析。
高血压患者对处方一致性相关问题的看法。
25人参与了5个焦点小组讨论；2人参与了半结构化访谈。参与者认为他们能够在有关自身治疗的会诊中做出有价值的贡献。他们愿意就用药问题与全科医生协商，但大多数人听从医生的建议，认为医生的态度和时间限制是他们更多参与一致性决策的障碍。他们对服用抗高血压药物存在担忧，意识到生活方式对高血压的影响，并报告采用个人策略来促进依从性并减少用药需求。
参与者表示愿意参与抗高血压药物处方的一致性决策，但需要卫生专业人员解决他们对高血压本质的担忧和困惑。这些发现表明，负责开处方的医生和其他医疗保健专业人员需要培养专门技能，以探究个体用药背后的信念和观点。此类技能可能需要通过本科和研究生阶段的特定培训项目来培养。
