McLane C G, Zyzanski S J, Flocke S A
Department of Family Medicine, Case Western Reserve University School of Medicine, Cleveland, OH 44106-7136, USA.
Am J Hypertens. 1995 Feb;8(2):206-9. doi: 10.1016/0895-7061(94)00194-G.
This study sought indicators of patient noncompliance with medications prescribed for hypertension. A sample of 62 elderly, rural hypertensive patients were interviewed regarding demographics, history and knowledge of hypertension, quality of life, the physician-patient relationship, drug use, and side effects encountered. A five-variable composite was able to detect the patients who were defined as noncompliant. The composite included: 1) number of chronic illnesses, 2) perceived amount of time the physician spends with the patient, 3) the patient's household composition, 4) family history of hypertension, 5) and whether hypertension affects work or home activities. More accurate identification of noncompliant patients sets the stage for interventions to improve compliance.
本研究旨在寻找患者不遵医嘱服用高血压药物的指标。对62名农村老年高血压患者进行了访谈，内容涉及人口统计学、高血压病史和知识、生活质量、医患关系、药物使用以及所遇到的副作用。一个由五个变量组成的综合指标能够检测出被定义为不遵医嘱的患者。该综合指标包括：1）慢性病数量，2）患者感知到的医生与患者相处的时间，3）患者的家庭构成，4）高血压家族史，5）以及高血压是否影响工作或家庭活动。更准确地识别不遵医嘱的患者为改善依从性的干预措施奠定了基础。
