Luban-Plozza B
Soz Praventivmed. 1980 Mar;25(1-2):56-60. doi: 10.1007/BF02075074.
The "how" of prescribing is an important as what we prescribe. Drugs are part of everyday life for many people. The era of "social chemistry", the "inflation of drug use", or the "social use of drugs" create special difficulties for the "how" of prescribing. It is important that the expectation and fears of the patient are being taken seriously. The manner of prescribing has to depend on whether the patient interprets them negatively, as punishment and violent intrusion. But applications of drugs can also have a passive character, such as is the case with teas and baths. The physician should be aware of the contents of the package inserts, and keep them in mind so as to avoid mistaken interpretations by the patient. The psychological aspects of drug side effects are very important. A further concern is consideration of aspects of human interaction in diagnosis and therapy, also when applying medical drugs. Simplification of medication, written instruction concerning drug therapy addressed to the patient, intensified conversations with the patients on effects and side-effects of drugs are only a few practical examples of how patients can be influenced to the prescribed drugs more regularly.
开药的“方式”与我们所开的药物同样重要。对许多人来说,药物是日常生活的一部分。“社会化学”时代、“用药泛滥”或“药物的社会用途”给开药的“方式”带来了特殊困难。认真对待患者的期望和担忧很重要。开药的方式必须取决于患者是否将其视为负面的,比如惩罚和暴力侵犯。但药物应用也可能具有被动性,比如茶疗和浴疗的情况。医生应该了解药品说明书的内容,并牢记在心,以免患者产生误解。药物副作用的心理方面非常重要。另一个需要关注的是,在诊断和治疗中,包括使用药物时,要考虑人际互动的各个方面。简化用药、给患者提供关于药物治疗的书面说明、加强与患者就药物效果和副作用进行的沟通,这些只是一些实际例子,说明如何能促使患者更规律地服用所开药物。