Kunze M, Schoberberger R
Dtsch Med Wochenschr. 1983 May 13;108(19):735-8. doi: 10.1055/s-2008-1069631.
The repeatedly described influence variables of the compliance of hypertensive patients were assessed in 195 patients and 101 medical doctors using a questionnaire. Subsequent factor analysis showed five essential influence criteria for non-compliance: "drug dilemma" (reduced drug-compliance through confounding of patients), "ignored independence and impeded patient responsibility" (as cause of insufficient information and organisation), "hypochondriac belief in medicine" (readiness to undergo treatment without active contribution towards improvement of disease, particularly in assumed increased proneness to disease), "prescription-happy mentality" (exaggerated trust in drugs of doctors), and "cognitive and emotional excess demands" (insufficient understandability and retainability of advice, too many recommendations at once.
通过问卷调查对195名患者和101名医生进行了评估，这些患者和医生是高血压患者依从性方面反复被描述的影响变量。随后的因素分析显示了不依从的五个主要影响标准：“药物困境”（因患者混淆导致药物依从性降低）、“忽视独立性和阻碍患者责任”（作为信息不足和组织不力的原因）、“疑病症患者对医学的信念”（愿意接受治疗而不对疾病改善做出积极贡献，特别是在假定疾病易感性增加的情况下）、“开方过度心态”（对医生药物的过度信任）以及“认知和情感过度需求”（建议的可理解性和可保留性不足，一次性建议过多）。
