Sovaila Silvia, Purcarea Adrian, Gheonea Dan, Ciurea Tudorel
Gastroenterology Department, University of Medicine and Pharmacy, Craiova, Romania.
Internal Medicine Clinic "Internist.ro", Brasov, Romania.
J Med Life. 2018 Oct-Dec;11(4):355-358. doi: 10.25122/jml-2018-1006.
Adherence to medical treatment in chronic patients challenging, especially in primary prevention where the benefit is not directly perceived by the patient. Through the directed interview of this qualitative study we assessed some specific factors that intervene in beta-blockers adherence in cirrhotic patients with oesophageal varices in primary prevention in Romanian. We identified that the most important modifiable extrinsic factor that influences adherence is the confidence in medicine. The intensely negative perception of the disease seemed to be another major driver of adherence.
慢性病患者坚持治疗具有挑战性，尤其是在一级预防中，因为患者无法直接感受到益处。通过这项定性研究的定向访谈，我们评估了罗马尼亚一级预防中影响食管静脉曲张肝硬化患者β受体阻滞剂依从性的一些特定因素。我们发现，影响依从性的最重要的可改变外在因素是对药物的信心。对疾病的强烈负面认知似乎是依从性的另一个主要驱动因素。
