Wu Jia-Rong, Moser Debra K, Lennie Terry A, Burkhart Patricia V
College of Nursing, University of Kentucky, 527 CON Building, 760 Rose Street, Lexington, KY 40536-0232, USA.
Nurs Clin North Am. 2008 Mar;43(1):133-53; vii-viii. doi: 10.1016/j.cnur.2007.10.006.
Data indicate that nonadherence plays a major role in preventable rehospitalizations. The first step to improving adherence is determining the affecting factor. This article critically reviews the literature on factors affecting medication adherence in heart failure patients. Findings about effects of age, gender, race, and living status on adherence are quite inconsistent. Patients who believe taking medications is beneficial or who have no side effects are more adherent, as are those highly motivated to improve their well-being. Forgetfulness, social support, and patient-provider relationship are related to adherence. Providers seeking to increase adherence must consider patients' expectations for their health, their environment, their barriers to following prescribed regimen, and their understanding of their condition and how it relates to medication taking.
数据表明，不依从在可预防的再次住院中起主要作用。提高依从性的第一步是确定影响因素。本文批判性地回顾了有关影响心力衰竭患者药物依从性因素的文献。关于年龄、性别、种族和生活状况对依从性影响的研究结果相当不一致。认为服药有益或无副作用的患者更依从，那些有强烈动机改善自身健康状况的患者也是如此。健忘、社会支持以及医患关系都与依从性有关。寻求提高依从性的医疗服务提供者必须考虑患者对自身健康的期望、他们的环境、遵循规定治疗方案的障碍，以及他们对自身病情的理解及其与服药的关系。
