Holzgreve H
MMW Munch Med Wochenschr. 1980 Feb 22;122(8):267-70.
Patients with hypertension usually follow the medical recommendations only very inadequately. It can be assumed that perhaps 50-60% of hypertensives take less than 50-80% of the drugs prescribed. Improved cooperation will best be achieved when the nature of their illness, the necessity for prolonged treatment and the consequences of not being treated are carefully and intelligently explained to the patient. The plan of treatment should be simple and adapted to the living habits as closely as possible. The patient should be instructed on the possible side-effects of the drug as early as possible and strengthened in his own sense of responsibility (e.g. keeping a record and measuring his own blood pressure). Regular follow-up examinations possibly by the appointment system should be arranged. The legislators and the pharmaceutic industry are asked to produce package inserts which patients can understand.
高血压患者通常极不充分地遵循医嘱。可以推测,或许50% - 60%的高血压患者服用的药物不足所开剂量的50% - 80%。当向患者仔细且明智地解释其病情的性质、长期治疗的必要性以及不治疗的后果时,能最好地实现更好的医患合作。治疗方案应简单且尽可能贴合生活习惯。应尽早告知患者药物可能的副作用,并增强其自身的责任感(例如记录并自行测量血压)。应安排定期随访检查,可能通过预约系统进行。要求立法者和制药行业制作患者能够理解的药品说明书。