Compliance with therapeutic regimens: issues, answers, and research questions.
Compliance with therapeutic regimens: issues, answers, and research questions.
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治疗方案的依从性：问题、答案和研究问题。
DOI：
10.1097/01376517-198102000-00001
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发表时间：
1981
期刊：
影响因子：
--
通讯作者：
Ozuna,J
中科院分区：
文献类型：
--
作者：
Ozuna,J
依从性作为一个卫生保健问题，是所有医学、护理和相关卫生保健学科都关心的问题，因为在许多情况下，治疗的结果取决于患者/委托人在其护理中发挥的积极作用。本文的目的是概述卫生保健遵从性的主要问题，为改善遵从性提供一些切实可行的建议，并讨论遵从性研究方法的一些方面。结束语将集中在一些具有挑衅性的研究问题上，希望能刺激护士参与依从性研究。在卫生保健文献中，依从性可以意味着各种各样的事情。一般说来，这意味着遵循医疗保健提供者的建议或处方。这可能意味着遵守预约、节食或服药。遵从性领域的一些人更喜欢使用坚持一词，因为这个词意味着护理提供者的角色不那么强制性，患者的角色更积极、更合作。然而，合规是最常用的术语。遵守医疗疗法要求患者以某种方式改变自己的生活方式--要么增加一种行为(吃药、锻炼)，要么省略一种行为(加盐、吃糖、喝酒)。对许多人来说，改变是困难的。因此，毫不奇怪，发现30%至60%(某些数据高达90%)的人不遵守或坚持规定的治疗或记录-
Compliance as a health care issue is of concern to all medical, nursing, and related health care disciplines because the outcome of therapy in many cases is dependent on the patient/client taking an active role in his care. The purpose of this paper is to present an overview of the major issues of compliance in health care, to offer some practical suggestions for improving compliance, and to discuss some aspects of research methodology in compliance. Concluding remarks will focus on some provocative research questions that hopefully will stimulate nurses to become involved in compliance research.In health care literature, compliance can mean a variety of things. In general, it means following the recommendations or prescriptions of a health care provider. It can mean keeping appointments, following a diet, or taking medications. Some in the field of compliance prefer to use the word adherence instead, as this term implies a less coercive role on the part of the care provider and a more active, cooperative role on the part of the patient. Compliance, however, is the most commonly used term. Compliance with medical therapies requires that the person change his lifestyle in some way–either by adding a behavior (taking pills, exercising) or omitting a behavior (salting food, eating sugar, drinking alcohol). Change for many people is difficult. It is not surprising, therefore, to find 30 to 60 per cent (some figures go as high as 90 per cent) of people do not comply or adhere to a prescribed treatment or rec-