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患者依从性:事实还是虚构?

Patient Compliance: Fact or Fiction?

作者信息

Mohiuddin A K

机构信息

Department of Pharmacy, World University of Bangladesh.

出版信息

Innov Pharm. 2019 Aug 31;10(1). doi: 10.24926/iip.v10i1.1621. eCollection 2019.

Abstract

The word 'compliance' comes from the Latin word complire, meaning to fill up and hence to complete an action, transaction, or process and to fulfil a promise. In the Oxford English Dictionary, the relevant definition is 'The acting in accordance with, or the yielding to a desire, request, condition, direction, etc.; a consenting to act in conformity with; an acceding to; practical assent". Compliance with therapy is simply patients understanding of medication, motivation toward having this medication is a prescribed manner with the belief that the prescriber and prescribed medicine will be beneficial for his well-being. Although this is often the case, in a number of situations, the physician and pharmacist have not provided the patient with adequate instructions or have not presented the instructions in such a manner that the patient understands them. Nothing should be taken for granted regarding the patient's understanding of how to use medication, and appropriate steps must be taken to provide patients with the information and counseling necessary to use their medications as effectively and as safely as possible. 20% to 30% of new prescriptions are never filled at the pharmacy. Medication is not taken as prescribed 50% of the time. For patients prescribed medications for chronic diseases, after six months, the majority take less medication than prescribed or stop the medication altogether. There are both federal and state laws that make using or sharing prescription drugs illegal. If someone take a pill that was prescribed to someone else or give that pill to another person, not only is it against the law, it's extremely dangerous.

摘要

“依从性”一词源于拉丁语“complire”,意为填满,进而表示完成一项行动、交易或过程以及履行承诺。在《牛津英语词典》中,相关定义为“依照或屈从于欲望、请求、条件、指示等行事;同意按照……行事;同意;实际认可”。治疗依从性简单来说就是患者对药物的理解,以及以规定方式服用此药物的动机,相信开药者和所开药物对其健康有益。尽管通常情况如此,但在许多情况下,医生和药剂师并未向患者提供充分的说明,或者没有以患者能够理解的方式呈现这些说明。对于患者如何使用药物的理解,不应想当然,必须采取适当措施,为患者提供尽可能有效且安全地使用药物所需的信息和咨询。20%至30%的新处方在药房从未被取药。药物有50%的时间未按规定服用。对于开了慢性病药物的患者,六个月后,大多数人服用的药物比规定的少,或者干脆停药。联邦和州都有法律规定使用或分享处方药是非法的。如果有人服用别人开的药或把药给另一个人,这不仅违法,而且极其危险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c8a/7643710/0a60e569b3e2/21550417-10-01-1621-g1.jpg

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