Britten N
United Medical School of Guy's Hospital, University of London.
Br J Gen Pract. 1994 Oct;44(387):465-8.
Little attention has been paid to patients' ideas about medicines and such ideas might well have relevance for understanding non-adherence to medication.
This qualitative study set out to describe the ideas about medicines and the self-reported adherence to medication of a general practice population.
Semistructured interviews were conducted with 30 adult patients (attenders and non-attenders) from two general practices.
The main themes emerging from the analysis were: perceived properties of medicines; orientation towards medicines, that is, patients' general preference for taking or not taking medication; and actual usage of medicines. The data revealed that on the one hand much medicine taking was taken for granted and on the other hand that patients had many fears and powerful negative images of medicines.
Any assessment of the appropriateness of a proposed treatment for an individual patient should include an exploration of his or her preferences, orientation towards medicines and social context.
患者对药物的看法很少受到关注,而这些看法很可能与理解药物治疗的不依从性有关。
这项定性研究旨在描述普通执业人群对药物的看法以及自我报告的药物治疗依从性。
对来自两家普通诊所的30名成年患者(就诊者和未就诊者)进行了半结构化访谈。
分析得出的主要主题有:对药物的感知特性;对药物的态度,即患者对服药或不服药的总体偏好;以及药物的实际使用情况。数据显示,一方面,很多服药行为被视为理所当然,另一方面,患者对药物存在诸多恐惧和强烈的负面印象。
对个体患者拟议治疗方案适当性的任何评估都应包括对其偏好、对药物的态度和社会背景的探究。