Hoagland A C, Morrow G R, Bennett J M, Carnrike C L
Am J Clin Oncol. 1983 Apr;6(2):239-44. doi: 10.1097/00000421-198304000-00018.
Cancer patient compliance with medical advice and procedures is crucial to successful treatment. This study assessed the views of 246 randomly selected oncologists about the extent of, and reasons for, cancer patient noncompliance. A questionnaire was designed to assess aspects of a) appointment-keeping, b) adherence to outpatient and inpatient treatments, and c) adherence to self-medication instructions. Difficulties with cancer patients' adherence to either inpatient or outpatient treatments were reported as the most difficult problems. Oncologists who reported greater problems with noncompliance had significantly more patients on randomized clinical trials. Oncologists cited psychological problems as a prime determinant for noncompliance. Treatment-related side effects were also seen as contributing to patient noncompliance. The results suggest that mental health and educational disciplines could play a significant role in the reduction of cancer patient noncompliance.
癌症患者对医疗建议和程序的依从性对成功治疗至关重要。本研究评估了246名随机挑选的肿瘤学家对癌症患者不依从的程度及原因的看法。设计了一份问卷来评估以下方面：a）预约就诊，b）对门诊和住院治疗的依从性，以及c）对自我用药说明的依从性。据报告，癌症患者在住院或门诊治疗依从性方面的困难是最棘手的问题。报告称在不依从方面存在更大问题的肿瘤学家，其参与随机临床试验的患者明显更多。肿瘤学家将心理问题列为不依从的主要决定因素。与治疗相关的副作用也被视为导致患者不依从的因素。结果表明，心理健康和教育学科在减少癌症患者不依从方面可能发挥重要作用。
