遵医嘱如遵玛丽·波平斯教谕：使良药下咽的策略。
Adherence according to Mary Poppins: strategies to make the medicine go down.
机构信息
Division of Biological Research and Department of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine, Columbia, SC, USA.
出版信息
Perspect Psychiatr Care. 2010 Jan;46(1):3-13. doi: 10.1111/j.1744-6163.2009.00233.x.
PURPOSE
This article reviews the prevalence, risk factors, and burden of nonadherence in mood and psychotic disorders, and presents evidence-based, disease-specific strategies shown to improve adherence.
CONCLUSION
A comprehensive approach based on the goal of remission, designed around the patient's individual needs, facilitates adherence, leads to improved quality of life, and reduces disease burden.
PRACTICE IMPLICATIONS
Adherence in mood and psychotic disorders can be improved when providers take time to build trusting relationships; identify risk factors; anticipate nonadherence; individualize treatment; and educate patients, families, and other healthcare providers.
目的
本文综述了心境和精神病性障碍患者不依从的发生率、风险因素和负担，并介绍了经证实可提高依从性的基于疾病的具体策略。
结论
基于缓解这一目标，围绕患者的个体需求设计的全面方法有助于提高依从性，改善生活质量，减轻疾病负担。
实践意义
当提供者花时间建立信任关系、识别风险因素、预测不依从性、个体化治疗以及教育患者、家属和其他医疗保健提供者时，心境和精神病性障碍患者的依从性可以得到改善。
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