Agras W S
Arthritis Care Res. 1989 Sep;2(3):S2-7. doi: 10.1002/anr.1790020308.
This article reviews the scope of the compliance problem and introduces a social cognitive model as a framework for understanding the many factors influencing compliance behaviors. Among the broad categories of factors influencing compliance are the nature of the regimen, immediate controlling factors such as the locale in which the regimen is to be followed, the patients' expectations concerning the regimen, characteristics of the health-care setting, and social support. Each of these factors is considered in some detail. It is concluded that compliance is a complex behavior deserving of thorough investigation by the health-care team, requiring long-term monitoring in chronic health problems, and is susceptible to change by a variety of interventions.
本文回顾了依从性问题的范围，并引入了一种社会认知模型作为理解影响依从性行为诸多因素的框架。影响依从性的广泛因素类别包括治疗方案的性质、直接控制因素，如遵循治疗方案的地点、患者对治疗方案的期望、医疗保健环境的特征以及社会支持。对这些因素中的每一个都进行了详细的考量。得出的结论是，依从性是一种复杂的行为，值得医疗团队进行全面调查，在慢性健康问题中需要长期监测，并且容易受到多种干预措施的影响而发生改变。
