CAN SIMPLE CLINICAL MEASUREMENTS DETECT PATIENT NON-COMPLIANCE
CAN SIMPLE CLINICAL MEASUREMENTS DETECT PATIENT NON-COMPLIANCE
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DOI：
10.1161/01.hyp.2.6.757
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发表时间：
1980-01-01
期刊：
影响因子：
8.3
通讯作者：
MUKHERJEE, J
中科院分区：
文献类型：
--
作者：
HAYNES, RB;TAYLOR, DW;MUKHERJEE, J
如果要有效地管理低依从性，则必须测量患者依从性。在前6个月内，将134名新治疗的高血压男性钢铁工人的几项容易获得的临床评估值与定量药丸计数进行了比较。抗高血压药物治疗的结果。结构化访谈获得的患者自我报告与服药依从性相关性最好（r = 0.74，P < 0.0001）。患者平均高估了17%的依从性，但90%的人承认不依从。定性尿氯噻酮和氢氯噻嗪水平和血清钾，尿酸和血压的变化与药丸计数依从性相关，但准确性低于访谈。评估病人的健康信念和各种社会人口学和健康特征和看法没有提供有用的信息，遵守。在评估患者对降压治疗的依从性时，访谈是一种简单而有用的方法。
Measurement of patient compliance is essential if management of low compliance is to be performed efficiently. The value of several easily obtained clinical assessments was compared to quantitative pill counts among 134 newly treated hypertensive male steelworkers during the first 6 mo. of their treatment with antihypertensive medication. Patient''s self-reports obtained on structured interview correlated best with pill count compliance (r = 0.74, P < 0.0001). Patients overestimated their compliance by an average of 17% but 90% of those who admitted to being noncompliant were found so. Qualitative urinary chlorthalidone and hydrochlorothiazide levels and changes in serum K, uric acid and blood pressure correlated with pill count compliance but were less accurate than interviews. Assessment of the patient''s health beliefs and a variety of sociodemographic and health traits and perceptions did not provide useful information on compliance. Interviewing the patient is a simple and useful approach in assessing compliance with antihypertensive therapy.