Bradley L A
Arthritis Care Res. 1989 Sep;2(3):S33-9. doi: 10.1002/anr.1790020312.
This paper reviews the literature concerning adult rheumatoid arthritis (RA) patients' adherence with medication regimens, home exercise, splint usage, and self-management of pain. There are few reliable data regarding the prevalence of adherence problems or the attributes of patients, health-care providers, and environments that may influence adherence. In addition, little effort has been devoted to the development of interventions that may enhance adherence. Future investigators should attend to (1) the development of reliable and valid measures of adherence; (2) longitudinal studies of changes in adherence as a function of disease activity, treatment methods, and third-party reimbursements for services; (3) observational studies of patient-provider interactions and their influence on adherence; and (4) interventions to enhance adherence that are based on a self-regulation model.
本文回顾了有关成年类风湿性关节炎（RA）患者对药物治疗方案、家庭锻炼、夹板使用以及疼痛自我管理的依从性的文献。关于依从性问题的患病率，以及可能影响依从性的患者、医疗保健提供者和环境的特征，几乎没有可靠的数据。此外，在开发可能提高依从性的干预措施方面投入的精力很少。未来的研究人员应关注：（1）开发可靠且有效的依从性测量方法；（2）关于依从性变化作为疾病活动、治疗方法和第三方服务报销函数的纵向研究；（3）对患者与提供者互动及其对依从性影响的观察性研究；以及（4）基于自我调节模型的提高依从性的干预措施。
