Haag G, Gerber W D
Abteilung für Rehabilitationspsychologie, Universität Freiburg.
Schweiz Rundsch Med Prax. 1993 Mar 9;82(10):293-6.
Many patients, even cancer patients do not take their medication at all or at the prescribed dose showing thus a form of noncompliance. Reasons for this are manyfold and differ from patient to patient. They may undergo dynamic changes in the course of disease. Experience shows, that compliance is mainly improved when patients have the impression to be responsible for their comportment. This is an important goal in therapy of patients with chronic pain. Of particular importance is therefore the doctor-patient relation, i.e. non-compliance thus always indicates a disturbed doctor-patient relation.
许多患者,甚至癌症患者根本不服用药物或不按规定剂量服药,从而表现出一种不依从的形式。原因是多方面的,而且因人而异。在疾病过程中,这些原因可能会发生动态变化。经验表明,当患者觉得自己应对自己的行为负责时,依从性会得到主要改善。这是慢性疼痛患者治疗中的一个重要目标。因此,医患关系尤为重要,也就是说,不依从总是表明医患关系受到干扰。