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癫痫患者对药物治疗的依从性。

Compliance with drug therapy by epileptic patients.

作者信息

Pryse-Phillips W, Jardine F, Bursey F

出版信息

Epilepsia. 1982 Jun;23(3):269-74. doi: 10.1111/j.1528-1157.1982.tb06191.x.

DOI:10.1111/j.1528-1157.1982.tb06191.x
PMID:7084138
Abstract

Fifty patients with epilepsy were randomly divided into three groups and given, respectively, oral information about the nature, purpose, appearances, functions, and unwanted effects of their medications at an initial interview; the same information supplemented by its presentation in written form for the patient to take home; and the same information by telephone contact only. Compliance with anticonvulsant therapy was assessed by interview and by drug levels. The amount of knowledge retained and the drug levels were measured again 4 weeks later. While no increase in serum levels could be detected over the mean values in the first interview, no reduction in levels could be documented either, although the drug information sheets had listed both the minor and the more serious unwanted effects of the drugs. The patients' information scores improved significantly in all three groups, but the combination of data presented at interview both orally and in written form was markedly superior to the other methods.

摘要

50名癫痫患者被随机分为三组,在初次面谈时分别给予关于其药物的性质、用途、外观、功能及不良反应的口头信息;相同信息并辅以书面形式供患者带回家;以及仅通过电话联系提供相同信息。通过面谈和药物水平评估对抗惊厥治疗的依从性。4周后再次测量知识保留量和药物水平。虽然在初次面谈中未检测到血清水平相对于平均值有所升高,但也没有记录到水平降低,尽管药物信息单列出了药物的轻微和较严重的不良反应。所有三组患者的信息得分均显著提高,但面谈时以口头和书面形式呈现数据的组合明显优于其他方法。

相似文献

1
Compliance with drug therapy by epileptic patients.癫痫患者对药物治疗的依从性。
Epilepsia. 1982 Jun;23(3):269-74. doi: 10.1111/j.1528-1157.1982.tb06191.x.
2
A randomised trial of strategies to improve patient compliance with anticonvulsant therapy.一项改善患者对抗惊厥治疗依从性策略的随机试验。
Epilepsia. 1984 Aug;25(4):412-7. doi: 10.1111/j.1528-1157.1984.tb03436.x.
3
Drug compliance and seizure control in epileptic children.癫痫患儿的药物依从性与癫痫发作控制
Postgrad Med J. 1985 May;61(715):401-5. doi: 10.1136/pgmj.61.715.401.
4
Premature deaths in persons with seizure disorders--subtherapeutic levels of anticonvulsant drugs in postmortem blood specimens.
J Forensic Sci. 1978 Jul;23(3):522-6.
5
Compliance during treatment of epilepsy.癫痫治疗期间的依从性。
Epilepsia. 1988;29 Suppl 2:S79-84. doi: 10.1111/j.1528-1157.1988.tb05801.x.
6
Non-compliance with anticonvulsant therapy as a cause of seizures.不遵守抗惊厥治疗作为癫痫发作的一个原因。
N Z Med J. 1985 Mar 13;98(774):150-2.
7
Compliance for anticonvulsant medication in an institution for mentally retarded.一所智障人士机构中抗惊厥药物的依从性。
Clin Electroencephalogr. 1982 Apr;13(2):103-7. doi: 10.1177/155005948201300206.
8
Plasma level monitoring of anticonvulsants.
Clin Pharmacokinet. 1976;1(1):52-66. doi: 10.2165/00003088-197601010-00005.
9
How to get patients with epilepsy to take their medication. The problem of noncompliance.如何让癫痫患者服药。不依从性问题。
Postgrad Med. 1990 Jul;88(1):253-6. doi: 10.1080/00325481.1990.11716375.
10
Treatment considerations in anticonvulsant monotherapy.抗惊厥单药治疗中的治疗考量
Epilepsia. 1987;28 Suppl 2:S1-7. doi: 10.1111/j.1528-1157.1987.tb05765.x.

引用本文的文献

1
Strategies for improving adherence to antiepileptic drug treatment in people with epilepsy.提高癫痫患者抗癫痫药物治疗依从性的策略。
Cochrane Database Syst Rev. 2020 Oct 22;10(10):CD008312. doi: 10.1002/14651858.CD008312.pub4.
2
Strategies for improving adherence to antiepileptic drug treatment in people with epilepsy.提高癫痫患者抗癫痫药物治疗依从性的策略。
Cochrane Database Syst Rev. 2017 Feb 3;2(2):CD008312. doi: 10.1002/14651858.CD008312.pub3.
3
Noncompliance with Treatment of Neurologic Disease.
Curr Treat Options Neurol. 2002 Nov;4(6):469-476. doi: 10.1007/s11940-002-0014-4.
4
The logic of noncompliance: management of epilepsy from the patient's point of view.不依从的逻辑:从患者角度看癫痫的管理
Cult Med Psychiatry. 1983 Mar;7(1):35-56. doi: 10.1007/BF00249998.