INTENTIONAL PRESCRIPTION NON-ADHERENCE (NON-COMPLIANCE) BY THE ELDERLY
INTENTIONAL PRESCRIPTION NON-ADHERENCE (NON-COMPLIANCE) BY THE ELDERLY
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DOI：
10.1111/j.1532-5415.1982.tb05623.x
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发表时间：
1982-01-01
影响因子：
6.3
通讯作者：
RAFFOUL, PR
中科院分区：
文献类型：
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作者：
COOPER, JK;LOVE, DW;RAFFOUL, PR
处方药并不总是按照指示服用。当药物的使用和处方说明之间存在差异时，药物服用行为被认为是“不依从”。为了确定老年人不依从处方的程度和不依从的原因，对111名正在服用处方药的老年受试者进行了一项家庭调查。将服药行为与处方说明所暗示的行为进行比较，并寻找差异的原因。在研究样本中，43%的人在使用一种或多种处方药方面表现出这种差异。主要的差异是使用不足（90%的不遵守）。没有观察到差异，在大多数的心理社会变量研究之间的那些谁服用药物的指示和那些谁没有。高血压受试者与无高血压受试者无差异。很大一部分不遵守（73%）是故意的。使用两个或两个以上药房和两个或两个以上医生的受试者更可能发生故意不依从。旨在减少忘记服药的发生率的传统努力在故意不遵守的情况下似乎没有帮助。
Prescription drugs are not always taken as directed. When there is a discrepancy between the use of a drug and the prescription directions, the drug‐taking behavior is considered “nonadherent.” To determine the extent of prescription nonadherence by old persons and the reasons for nonadherence, an in‐home survey was made of 111 elderly subjects who were taking prescription drugs. Drug‐taking behavior was compared with the behavior implied by the prescription instructions, and reasons for the differences were sought. Of the study sample, 43 per cent showed such differences in use of one or more prescription drugs. The chief type of discrepancy was underuse (90 per cent of nonadherence). No difference was observed in most of the psychosocial variables studied between those who took drugs as directed and those who did not. Hypertensive subjects did not differ from those without hypertension. A large proportion of nonadherence (73 per cent) was intentional. Intentional nonadherence was more likely to occur in subjects who used two or more pharmacies and two or more physicians. Traditional efforts aimed at reducing the incidence of forgetting to take medicines would not seem to be helpful in cases of intentional nonadherence.