Klok Ted, Sulkers Eric J, Kaptein Ad A, Duiverman Eric J, Brand Paul L P
Isala klinieken, Amalia Kinderafdeling, Zwolle, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:A420.
Adherence to medication is a common problem in chronically ill patients. Three patients are presented who did not or did not fully adhere to their medication: a 3-year-old girl with asthma, a 57-year-old man with COPD and a 16-year-old boy with diabetes. This illustrates that adherence is not determined by age or illness. Known determinants of adherence are the patient's beliefs about illness and medication. Since these beliefs differ from patient to patient, dealing with non-adherence requires patient-centred care characterized by concordance, i.e. shared decision-making about therapy by doctors and patients. Appropriately targeted interventions, such as motivational interviewing, may influence patient beliefs and improve adherence.
慢性病患者的用药依从性是一个常见问题。本文介绍了三名未完全坚持用药的患者：一名3岁哮喘女童、一名57岁慢性阻塞性肺疾病（COPD）男性患者和一名16岁糖尿病男孩。这表明依从性并非由年龄或疾病决定。已知的依从性决定因素是患者对疾病和药物的看法。由于这些看法因人而异，应对不依从性需要以患者为中心的护理，其特点是一致性，即医生和患者共同做出治疗决策。针对性适当的干预措施，如动机性访谈，可能会影响患者的看法并提高依从性。
