Predicting compliance with a regimen of digoxin therapy in family practice.
Predicting compliance with a regimen of digoxin therapy in family practice.
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预测家庭实践中地高辛治疗方案的依从性。
DOI：
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发表时间：
1980
影响因子：
14.6
通讯作者：
P. Tugwell
中科院分区：
文献类型：
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作者：
J. R. Gilbert;C. E. Evans;R. Haynes;P. Tugwell
通过分析性调查研究了家庭医生预测患者对地高辛治疗方案依从性的能力。通过在家庭访视时的药丸计数和在该访视时获得的血液样品中的血清地高辛水平的测量来评估依从性。在74名患者中，发现70%的患者服用了80%以上的药丸，86%的患者血清地高辛水平达到治疗水平。这10名医生无法比偶然性更好地预测依从性，即使是他们认识5年或更长时间的58名患者。医生应谨慎预测依从性，当他们处方口服地高辛治疗时，他们应通过血清地高辛水平监测患者的依从性。
The ability of family physicians to predict patients' compliance with a regimen of digoxin therapy was studied by an analytic survey. Compliance was assessed by a pill count at a home visit and measurement of the serum digoxin level in a blood sample obtained at that visit. Of 74 patients 70% were found to be taking more than 80% of their pills and 86% had a therapeutic serum digoxin level. The 10 physicians were unable to predict compliance better than chance, even for the 58 patients they had known for 5 or more years. Physicians should be cautious in predicting compliance, and when they prescribe oral digoxin therapy they should monitor the patient's compliance by means of the serum digoxin levels.