University of Cyprus, Cyprus.
University of Nicosia, Cyprus.
J Health Psychol. 2024 Sep;29(10):1088-1100. doi: 10.1177/13591053241227003. Epub 2024 Jan 28.
Medication adherence (MA) to recommended treatment is a multi-faceted problem and an ongoing challenge for healthcare providers (HCPs) to monitor. This qualitative study with 10 HCPs in Cyprus aims to explore HCPs' perceptions and strategies used on addressing medication non-adherence (MNA) in patients with chronic conditions. Two main themes emerged from the analysis reflecting the ways that HCPs described their reactions to MNA of their patients: (1) "Relying on information provision to improve MA" and (2) "Trying to understand patients' perspective." HCPs reported empathizing with patients and engaging in discussions to understand patients' perspective and reasons for MNA, so as to explore alternative solutions. Simultaneously, some HCPs reflected that the techniques used to improve MA are solely centered around information on medication and side-effects. HCPs experienced an internal conflict between providing patient-centered care versus using directive approaches to improve MA. Findings suggest how HCPs could thoroughly address patients' individual barriers.
药物依从性（MA）对推荐的治疗方案的坚持是医疗保健提供者（HCPs）需要持续监测的一个多方面问题。这项在塞浦路斯进行的针对 10 名 HCPs 的定性研究旨在探讨 HCPs 在处理慢性病患者药物不依从（MNA）方面的看法和使用的策略。分析中出现了两个主要主题，反映了 HCPs 描述他们对患者 MNA 的反应的方式：（1）“依靠信息提供来改善 MA”和（2）“试图理解患者的观点”。HCPs 报告说他们对患者表示同情，并进行讨论以了解患者的观点和 MNA 的原因，从而探索替代解决方案。同时，一些 HCPs 反映说，用于改善 MA 的技术仅集中在药物和副作用的信息上。HCPs 在提供以患者为中心的护理与使用指导方法来改善 MA 之间存在内在冲突。研究结果表明 HCPs 如何彻底解决患者的个体障碍。
