Tang Jian, Klunklin Pimpaporn, Lirtmunlikaporn Sumalee, Wang Yanan
Department of Infectious Diseases, The Affiliated Hospital, Southwest Medical University, Luzhou, People's Republic of China.
Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
Patient Prefer Adherence. 2024 Oct 1;18:2067-2075. doi: 10.2147/PPA.S477615. eCollection 2024.
To clarify the meaning of treatment adherence and identify its attributes, antecedents, consequences, and empirical referents.
A concept analysis.
Walker and Avant's method was used to analyze treatment adherence. PubMed, Web of Science, Wiley Online Library, and EBSCO databases were searched from 2013 to 2023. The PRISMA 2020 checklist was used.
Seventeen studies were included in this analysis. The defining attributes were the ability to comply with the treatment, consistency in the treatment plan, communication with the healthcare provider, and willingness to treat. Antecedents included multiple medicines, lifestyle changes, illness perceptions and beliefs, and long-term treatment. The outcomes included treatment success, improved long-term treatment, and improved clinical outcomes.
Treatment adherence is a positive reaction of a patient to have the ability to comply with the treatment, consistency in the treatment plan, communication with the healthcare provider, and willingness to treat. This study proposes a detailed definition, attributes, antecedents, consequences, and empirical referents for treatment adherence. It is instructive to clinical nursing of treatment adherence, can be extended to various diseases, helps to improve clinical nursing practice regarding treatment adherence, and contribute to improving human health.
阐明治疗依从性的含义，确定其属性、前因、后果及实证指标。
一项概念分析。
采用沃克和阿万特的方法对治疗依从性进行分析。检索了2013年至2023年的PubMed、科学网、威利在线图书馆和EBSCO数据库。使用了PRISMA 2020清单。
本分析纳入了17项研究。其定义属性包括遵守治疗的能力、治疗计划的一致性、与医疗服务提供者的沟通以及治疗意愿。前因包括多种药物、生活方式改变、疾病认知和信念以及长期治疗。结果包括治疗成功、长期治疗改善和临床结果改善。
治疗依从性是患者对遵守治疗的能力、治疗计划的一致性、与医疗服务提供者的沟通以及治疗意愿的一种积极反应。本研究提出了治疗依从性的详细定义、属性、前因、后果及实证指标。对治疗依从性的临床护理具有指导意义，可推广至各种疾病，有助于改善治疗依从性的临床护理实践，并有助于促进人类健康。
