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[皮肤科的不依从患者]

[Non adherent patients in dermatology].

作者信息

Halioua B

机构信息

Institut Alfred-Fournier, 25 boulevard Saint-Jacques, Paris, France.

出版信息

Ann Dermatol Venereol. 2012 Jan;139 Suppl 1:S22-7. doi: 10.1016/S0151-9638(12)70105-9.

Abstract

Non compliance to therapy is frequent in dermatological disorders. Many factors related to the disease, treatment, the physician-patient relationship, the physician, and the patient explain this poor compliance during the course of dermatological treatments. Better knowledge of the non compliant patient-related factors could improve treatment compliance, resulting in better treatment efficacy. The patient parameters playing a part in therapy compliance are numerous and closely intertwined: age, sex, marital status, employment, education level, acceptance of the disease, perception of the treatment, associated psychiatric disorders, addictive behaviors, quality of life, the environment, and the relationship with the physician. It is important to take into account these noncompliance factors related to patient typology so as to optimize management of dermatological disorders. This requires knowing the patient's situation and habits well so that the treatment can be adapted as best possible to his or her lifestyle.

摘要

在皮肤病中,不依从治疗的情况很常见。许多与疾病、治疗、医患关系、医生和患者相关的因素解释了皮肤病治疗过程中依从性差的原因。更好地了解与患者相关的不依从因素可以提高治疗依从性,从而提高治疗效果。影响治疗依从性的患者因素众多且相互交织:年龄、性别、婚姻状况、职业、教育水平、对疾病的接受程度、对治疗的认知、相关精神障碍、成瘾行为、生活质量、环境以及与医生的关系。考虑这些与患者类型相关的不依从因素对于优化皮肤病管理非常重要。这需要充分了解患者的情况和习惯,以便使治疗尽可能地适应其生活方式。

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