THE MEANING OF MEDICATIONS - ANOTHER LOOK AT COMPLIANCE
THE MEANING OF MEDICATIONS - ANOTHER LOOK AT COMPLIANCE
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DOI：
10.1016/0277-9536(85)90308-9
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发表时间：
1985-01-01
影响因子：
5.4
通讯作者：
CONRAD, P
中科院分区：
文献类型：
--
作者：
CONRAD, P
大多数关于医疗方案依从性的研究都采取以医生为中心的视角，并基于某些假设进行。本文利用对癫痫患者进行 80 次深度访谈的数据，提出了一种以患者为中心的替代药物管理方法。这种方法侧重于药物在人们日常生活中的意义，并研究人们服药和不服药的原因。从患者的角度来看，问题更多的是自我调节而不是依从性。当检查除副作用和药物疗效以外的不依从性时，自我调节的含义包括测试、控制依赖、消除污名和创造实践。从医学角度来看，看似不遵守规定的行为实际上可能是对自己的疾病进行控制的一种形式。
Most research on compliance with medical regimens takes a doctor-centered perspecitve and proceeds from certain assumptions. This paper presents an alternative, patient-centered approach to managing medications, using data from 80 in-depth interviews of people with epilepsy. This approach focuses on the meanings of medication in people''s everyday lives and looks at why people take their medications as well as why they do not. From a patient''s perspective the issue is more one of self-regulaton than compliance. When noncompliance beyond difficulties with side effects and drug efficacy is examined the meanings of self-regulation include testing, controlling dependence, destigmatization and creating a practical practice. What appears to be noncompliance from a medical perspective may actually be a form of asserting control over one''s disorder.