Patients' beliefs about prescribed medicines and their role in adherence to treatment in chronic physical illness

Patients' beliefs about prescribed medicines and their role in adherence to treatment in chronic physical illness
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DOI:
10.1016/s0022-3999(99)00057-4
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发表时间:
1999-12-01
影响因子:
4.7
通讯作者:
Weinman, J
Weinman, J
中科院分区:
医学3区
文献类型:
--
作者:
Horne, R;Weinman, J

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这项横断面研究的目的是量化患者对处方药物必要性的个人信念以及他们对服用药物的担忧,并评估来自4个慢性疾病组(哮喘,肾脏,心脏病和肿瘤)的324名患者的信念和报告依从性之间的关系。研究结果显示,疾病群体内部和之间报告的药物依从性和信念存在相当大的差异。大多数患者(89%)认为他们的处方药是维持健康所必需的。然而,超过三分之一的人对他们的药物有强烈的担忧,因为他们相信依赖的危险或长期影响。对药物的信念与报告的依从性有关:较高的必要性评分与较高的报告依从性相关(r=0.21,n=324,p
The aim of this cross-sectional study was to quantify patients' personal beliefs about the necessity of their prescribed medication and their concerns about taking it and to assess relations between beliefs and reported adherence among 324 patients from four chronic illness groups (asthma, renal, cardiac, and oncology). The findings revealed considerable variation in reported adherence and beliefs about medicines within and between illness groups. Most patients (89%) believed that their prescribed medication was necessary for maintaining health. However, over a third had strong concerns about their medication based on beliefs about the dangers of dependence or long-term effects. Beliefs about medicines were related to reported adherence: higher necessity scores correlated with higher reported adherence (r=0.21, n=324, p