Leppik I E
MINCEP Epilepsy Care, Minneapolis, MN 55416.
Postgrad Med. 1990 Jul;88(1):253-6. doi: 10.1080/00325481.1990.11716375.
Noncompliance in patients with epilepsy is a serious hindrance to successful treatment. It can result in increased healthcare costs and put both the patients and others around them at unnecessary risk. Noncompliance should be considered whenever a patient has (1) an unexpected increase in number of severity of seizures, (2) serum levels of anticonvulsant medications below the expected range, or (3) a change in medical reimbursement systems. Effective intervention strategies are based on assessment of life-style issues and possible barriers to compliance. Communication with the patient about medication regimens and the value of treatment is extremely important, and a real partnership between physician and patient is needed to set and achieve goals.
癫痫患者的不依从性是成功治疗的严重障碍。它会导致医疗成本增加，并使患者及其周围的人面临不必要的风险。每当患者出现以下情况时，都应考虑不依从性：（1）癫痫发作次数或严重程度意外增加；（2）抗惊厥药物的血清水平低于预期范围；或（3）医疗报销系统发生变化。有效的干预策略基于对生活方式问题和可能的依从性障碍的评估。与患者就药物治疗方案和治疗价值进行沟通极为重要，需要医生和患者建立真正的合作关系来设定和实现目标。
