Compliance and noncompliance in asthma.
Compliance and noncompliance in asthma.
复制标题
哮喘的依从性和不依从性。
DOI：
10.2500/aap2007.28.3040
复制
发表时间：
2007
影响因子：
2.8
通讯作者：
H. Kaiser
中科院分区：
文献类型：
--
作者：
H. Kaiser
依从性和不依从性是哮喘管理中的大问题。已经确定，依从性患者比不依从性患者经历更少的恶化，并且依从率通常<50%。不遵守的原因是多方面的，复杂的，并不总是清楚地理解。建议提高依从性的方法包括患者教育、更多的合作护理、减少频繁给药、简单的时间表、日记等。较少的剂量和简单的时间表是最有效的。很难全面提高遵守情况，尽管进行了广泛的研究和努力，遵守情况的比率仍然很低。哮喘治疗中的不遵医嘱是生活中的事实，没有任何一种改善遵医嘱的策略可能比良好的医患关系更有效。
Compliance and noncompliance are big issues in asthma management. It has been well established that compliant patients experience less exacerbations than less compliant patients and that compliance rates often are <50%. The reasons for noncompliance are multiple and complex and not always clearly understood. Methods proposed to improve compliance include patient education, more partnership care, less frequent dosing, simple schedules, diaries, etc. Less dosing and simple schedules are most effective. It is difficult to improve compliance overall and despite extensive research and efforts, rates of compliance remain low. Noncompliance in asthma management is a fact of life and no single compliance-improving strategy probably will be as effective as a good physician-patient relationship.