Comparison of two Different Methods (Patient Questionnaire and Medication Possession Ratio - MPR) for Measuring the Chronic Patient's Behavior.
Comparison of two Different Methods (Patient Questionnaire and Medication Possession Ratio - MPR) for Measuring the Chronic Patient's Behavior.
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发表时间：
2014
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通讯作者：
J. Bošković;M. Leppée;J. Culig;Sinisa Fuckar;Nina Mandic-Zovko;Aleksandar Ratz;M. Jakovljevič
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作者：
J. Bošković;M. Leppée;J. Culig;Sinisa Fuckar;Nina Mandic-Zovko;Aleksandar Ratz;M. Jakovljevič
药物依从性是指患者按照医疗保健提供者的处方服用药物的程度。有许多方法可以研究服药行为。目的是比较两种最常用的测量依从性的方法：患者依从性问卷和药物占有比（MPR）。它们属于间接法。方法对4项依从性研究进行分析和比较，其中2项采用患者问卷调查，另外2项采用药物持有率调查。结果超过一半（58.9%）的受访患者持续出现不遵医嘱行为。不依从的主要原因是遗忘，提示有必要对这个问题给予更多的关注。结论：不坚持治疗对个人健康有负面影响，对社区健康和财富也有不利影响。应告知患者定期接受处方治疗的重要性。长期治疗的主要问题是在很短的时间内对药物的依从性显著降低。重要的是要强调，几乎所有有效的干预措施，以提高患者的长期护理依从性是复杂的，并应在一段时间后重复。
BACKGROUND Medication adherence is the extent to which patients take medications as prescribed by their health care providers. There are a number of approaches to study medication-taking behavior. The aim was to compare two most common methods for measuring adherence: Patient Adherence Questionnaire and Medication Possession Ratio (MPR). They belong to the indirect methods. METHODS In this article four adherence studies were analysed and the results were compared, two wherein the patient questionnaire was applied and other two with medication possession ratio applied. RESULTS The obtained results reveal that more than half of respondents (58.9%) experienced constant nonadherence behavior according to the prescribed therapy. The main reason of nonadherence is oblivion, suggesting that it is necessary to pay more attention to this problem. CONCLUSIONS Nonadherence with therapy has negative consequences on the health of the individual, and an adverse impact on the community health and wealth. Patients should be informed of the importance of regularly taking prescribed therapy. The main problem of long-term therapy is significantly decreased of adherence to medication in a very short time. It is important to stress that almost all the interventions effective for improving patient adherence in long-term care are complex and should be repeated after a while.