Foerster E C, Achermann R, Groth H, Edmonds D, Siegenthaler W, Vetter W
Schweiz Med Wochenschr. 1985 Feb 2;115(5):163-5.
To increase compliance in antihypertensive therapy, adherence was measured before and after distribution of non-automatic blood pressure devices. After 2 weeks of taking placebo, 37 essential hypertensive patients, both male and female, were treated over a period of 8 months with an antihypertensive combination drug containing triamterene. At each follow-up, compliance was checked by triamterene urine fluorescence. In the third month of therapy all patients were given a non-automatic blood pressure device. The results showed that self-recording of blood pressure increased the compliance rate of the group from 65% at the beginning of the trial to 81% at the end. Patients who showed poor adherence and consistently insufficient blood pressure values increased their compliance rate from 0% before to 70% after self-measuring of blood pressure. In the light of these findings, self-recording of blood pressure can be recommended in cases where compliance is suspected to be poor and blood pressure is inadequately controlled.
为提高抗高血压治疗的依从性，在发放非自动血压计之前和之后测量了依从性。在服用安慰剂2周后，37名原发性高血压患者（男女均有）接受了为期8个月的含有氨苯蝶啶的抗高血压复方药物治疗。每次随访时，通过氨苯蝶啶尿液荧光检查依从性。在治疗的第三个月，所有患者都得到了一台非自动血压计。结果显示，血压自我记录使该组的依从率从试验开始时的65%提高到了结束时的81%。依从性差且血压值一直不达标的患者，其依从率从血压自我测量前的0%提高到了之后的70%。鉴于这些发现，在怀疑依从性差且血压控制不佳的情况下，建议进行血压自我记录。
