Sanazaro P J
West J Med. 1985 May;142(5):703-5.
A survey was carried out by telephone on 201 patients receiving continuing care from internists for commonly occurring chronic conditions. Although 90% of patients knew the names and therapeutic purposes of the drugs prescribed for them, only 30% could name any side effects to watch for. Almost 90% were satisfied with their physicians' explanations but only 58% actually had a good understanding of their condition. More than 90% complied with their drug regimen but only 39% adhered to the prescribed low-sodium diet and only 55% of diabetic patients tested their urines as instructed. Overall, degree of satisfaction and knowledge of their own condition did not correlate with degree of compliance. Patients need more adequate education regarding their condition and potential side effects of drugs. More systematic attention should also be given to methods of motivating patients to comply with regimens that require a change in behavior.
通过电话对201名接受内科医生持续护理以治疗常见慢性病的患者进行了一项调查。尽管90%的患者知道为他们开的药的名称和治疗目的，但只有30%的患者能说出任何需要注意的副作用。近90%的患者对医生的解释感到满意，但只有58%的患者真正对自己的病情有很好的了解。超过90%的患者遵守药物治疗方案，但只有39%的患者坚持规定的低钠饮食，只有55%的糖尿病患者按指示检测尿液。总体而言，满意度和对自身病情的了解程度与依从程度没有相关性。患者需要接受关于自身病情和药物潜在副作用的更充分教育。还应更加系统地关注激励患者遵守需要改变行为的治疗方案的方法。
