Lee Khuan, Mokhtar Halimatun Halaliah, Krauss Steven Eric, Ong Beng Kok
Department of Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia.
Department of Counselor Education and Counseling Psychology, Faculty of Educational Studies, Universiti Putra Malaysia, Serdang, Malaysia.
Complement Ther Clin Pract. 2014 May;20(2):99-105. doi: 10.1016/j.ctcp.2014.03.001. Epub 2014 Mar 14.
This study aimed to understand hypertensive patients' perceptions of and adherence to prescribed medication.
A qualitative research study based on 23 purposely selected participants from a community health clinic in Malaysia. The participants underwent in-depth semi-structured interviews, and the data were analyzed using qualitative content analysis method.
The participants were presented with six types of perceptions of medication. The majority of the participants had negative perceptions of Western medicine (WM), self-adjusted their prescribed medication with complementary and alternative medicine (CAM) and concealed their self-adjusting habits from their doctors. Participants who thought positively of WM took their prescribed medication regularly. Most of the participants perceived the nature of WM as not being curative because of its side effects. Patients have the right to choose their preferred medication when they understand their illness.
Local health care systems should provide patients with alternative health services that suit their requests.
本研究旨在了解高血压患者对处方药的认知及用药依从性。
一项定性研究,从马来西亚一家社区健康诊所特意选取了23名参与者。参与者接受了深入的半结构化访谈,并采用定性内容分析法对数据进行分析。
参与者对药物有六种认知类型。大多数参与者对西药持负面看法,会自行用补充和替代医学(CAM)调整处方药用量,并且向医生隐瞒自行调整用药的习惯。对西药看法积极的参与者会按时服用处方药。大多数参与者认为西药因其副作用无法治愈疾病。患者在了解自身病情后有权选择自己偏爱的药物。
当地医疗保健系统应向患者提供符合其需求的替代健康服务。