Oelzner S, Brandstädt A, Hoffmann A
Institute of Clinical Pharmacology, University Hospital, Friedrich Schiller University of Jena, Germany.
Int J Clin Pharmacol Ther. 1996 Jun;34(6):236-42.
There are correlations between objective and subjective compliances on the one hand and factors determining compliance (3 times drug intake per day, no support by the family to get over the disease and no nicotine abuse). In agreement with the literature, mainly subjective criteria (due to disease, therapy, doctor, and environment) influence compliance strongly. To realize their personal psychological task to help the patients even better it is of importance for the doctors to analyze the variability of these parameters. Measures to improve compliance, such as better psychological guidance for the patient taking these factors and the patient's personality into consideration, can be helpful to improve the relatively poor compliance reported in the literature to be as little as 20-50%.
客观依从性与主观依从性之间存在关联，同时也与决定依从性的因素（每日服药3次、家人未提供战胜疾病的支持以及无尼古丁滥用）相关。与文献一致，主要是主观标准（由于疾病、治疗、医生和环境）对依从性有强烈影响。为了更好地完成帮助患者的个人心理任务，医生分析这些参数的变异性很重要。考虑到这些因素和患者个性，采取如为患者提供更好心理指导等提高依从性的措施，有助于改善文献中报道的相对较差的依从性，使其低至20% - 50%。
