Stanton A L
Department of Psychology, Auburn University, Alabama 36849.
J Behav Med. 1987 Aug;10(4):377-94. doi: 10.1007/BF00846477.
This study employed multivariate analyses and structural modeling procedures to examine a model for the determinants of adherence to medical regimens. Fifty adult hypertensive patients at a health maintenance organization completed questionnaires and participated in home interviews over a 10-week period. Knowledge of medical regimens, information communication between the patient and the medical professionals, satisfaction with health-care providers, health locus of control, social support, and treatment disruption to life-style were assessed. Adherence was assessed through self-report and behavioral (i.e., pill-count ratio, percentage of kept medical appointments) indices. Finally, repeated blood-pressure measurements were obtained. Structural modeling procedures revealed that greater expectancy for internal control over health and hypertension, greater knowledge of the treatment regimen, and stronger social support were significant determinants of adherence; in turn, higher levels of adherence facilitated blood-pressure reduction.
本研究采用多变量分析和结构建模程序来检验一个关于坚持医疗方案决定因素的模型。一家健康维护组织的50名成年高血压患者在10周内完成了问卷调查并参与了家庭访谈。评估了对医疗方案的了解、患者与医疗专业人员之间的信息沟通、对医疗服务提供者的满意度、健康控制点、社会支持以及治疗对生活方式的干扰。通过自我报告和行为指标（即药丸计数比率、按时就诊的百分比）来评估依从性。最后，获取了重复的血压测量值。结构建模程序显示，对健康和高血压内部控制的更高期望、对治疗方案的更多了解以及更强的社会支持是依从性的重要决定因素；反过来，更高水平的依从性有助于降低血压。
