Serov V A, Gorbunov V I
Klin Med (Mosk). 2007;85(3):65-8.
The authors analyzed 307 questionnaires of patients with essential hypertension (EH) in order to study the influence of social and economic factors on compliance to outpatient therapy. The analysis shows that about 55% of patients take antihypertensive medication on a regular basis. The most frequent reasons for non-compliance to treatment are financial problems, personal features such as forgetfulness and absent-mindedness, lack of motivation towards treatment, the necessity to take a large number of drugs, not knowing about the necessity to take medicines on a regular basis, fear of complications of the therapy etc. There is a strong positive correlation between patients" compliance, on the one hand, and the length of the disease and the level of education, on the other. The was a negative correlation between compliance, on the one hand, and the number of medicines taken, the financial income, the cost of antihypertensive medication, and the number of visits to the doctor during the year. Measures to increase the compliance of patients with EH to treatment include improvement of education of doctors on pharmacoeconomic issues, a wider use of educational actions for patients, improvement of the quality of outpatient observation and the work of schools for patients with arterial hypertension, as well as introduction of preferential provision with pharmaceuticals for all patients with arterial hypertension.
作者分析了307份原发性高血压（EH）患者的调查问卷，以研究社会经济因素对门诊治疗依从性的影响。分析表明，约55%的患者定期服用降压药。治疗不依从的最常见原因包括经济问题、健忘和心不在焉等个人特征、缺乏治疗动机、需要服用大量药物、不知道需要定期服药、害怕治疗并发症等。一方面，患者的依从性与疾病时长和教育水平之间存在很强的正相关。另一方面，依从性与所服用药物的数量、财务收入、降压药成本以及一年内就诊次数之间存在负相关。提高EH患者治疗依从性的措施包括提高医生对药物经济学问题的教育水平、更广泛地对患者开展教育活动、提高门诊观察质量以及高血压患者学校的工作质量，以及为所有高血压患者提供药品优惠。
