Emeritus Professor of Community Nursing, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College, London.
Br J Community Nurs. 2020 Oct 2;25(10):474-479. doi: 10.12968/bjcn.2020.25.10.474.
Medication is the most frequent treatment intervention, and its success depends on patients taking their medicines in line with their prescribed regimen to yield the full benefit of the treatment. Adherence is especially difficult to ensure in those with multimorbidity, who take multiple medications to manage their conditions. Non-adherence is costly for the health service, both through wastage and increased ill health. Non-adherence may be intentional or non-intentional, and many factors affect an individual's compliance with a medication regimen. There are a variety of aids that may be helpful; however, the interaction with a health professional is very important, both for understanding the reason for non-adherence and for promoting adherence.
药物治疗是最常见的治疗干预措施，其成功与否取决于患者是否按照规定的方案服药，以充分发挥治疗效果。对于患有多种疾病的患者来说，确保其服药依从性尤其困难，因为他们需要服用多种药物来控制病情。不遵医嘱既浪费医疗资源，又加重健康不良，对医疗服务来说代价高昂。不遵医嘱可能是有意的，也可能是无意的，许多因素都会影响个人对药物治疗方案的遵守情况。有各种各样的辅助措施可能会有帮助；然而，与医疗保健专业人员的互动非常重要，这不仅有助于了解不遵医嘱的原因，还有助于促进患者遵医嘱。
