Giardini Anna, Maffoni Marina, Kardas Przemyslaw, Costa Elisio
Psychology Unit, Istituti Clinici Scientifici Maugeri Spa SB, IRCSS Montescano, Montescano (PV), Italy.
Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy.
Patient Prefer Adherence. 2018 Jun 11;12:1003-1005. doi: 10.2147/PPA.S164686. eCollection 2018.
Worldwide, the population is aging and this trend will increase in the future due to medical, technological and scientific advancements. To take care of the elderly is highly demanding and challenging for the health care system due to their frequent condition of chronicity, multimorbidity and the consequent complex management of polypharmacy. Nonadherence to medications and to medical plans is a well-recognized public health problem and a very urgent issue in this population. For this reason, some considerations to identify a new shared approach to integrated care of older people are described. The concept of adherence should be considered as a complex and continuous process where family, caregivers and patients' beliefs come into play. Moreover, a new culture of adherence should contemplate the complexity of multimorbidity, as well as the necessity to renegotiate the medication regimen on the basis of each patient's needs.
在全球范围内，人口正在老龄化，由于医学、技术和科学的进步，这一趋势在未来还会加剧。照顾老年人对医疗保健系统来说要求极高且极具挑战性，因为他们经常患有慢性病、多种疾病，进而导致复杂的多药治疗管理。不遵守药物治疗和医疗计划是一个公认的公共卫生问题，在这一人群中尤为紧迫。因此，本文描述了一些思考，以确定一种新的针对老年人综合护理的共享方法。依从性的概念应被视为一个复杂且持续的过程，其中家庭、护理人员和患者的信念都发挥着作用。此外，一种新的依从性文化应考虑到多种疾病的复杂性，以及根据每个患者的需求重新协商药物治疗方案的必要性。
