关于服药依从性

服从性和依从性是什么意思？

服药依从性可使用直接和间接方法来测量²:

直接方法的例子:医疗工作者监视着病人每次服药，测量血液中药物的水平。

间接方法的例子: 调查，日记，病人自我报告，药店再填充速率，药丸计数，监测临床反应和电 子数据。

服药依从性的现状

长期疾病如何与服药依从性和服从性有关？

人们为什么不按照指示服用药物？

• 这种药物用于不会显示任何症状的疾病上，例如高血压或高胆固醇³
• 缺乏对这种疾病的了解³
• 健忘¹⁰
• 误解或混淆指示，例如，如何和何时采取¹¹

• 病人和医疗保健专业人员之间的关系不良好³
• 错过了医生的预约
• 药物费用（太贵）

参考

1. Gould E, Mitty E. Geriatr Nurs 2010;31:290–298.
2. Ho PM, et al. Circulation 2009;119:3028–3035.
3. PhRMA. Improving prescription medicine adherence is key to better health care. Available at https://www.phrma.org/-/media/Project/PhRMA/PhRMA-Org/PhRMA-Org/PDF/Patient_Savings_Programs_FINAL_062413.pdf. Accessed 8 October, 2019.
4. World Health Organizaion. Adherence to long-term therapies: Evidence for action [Updated 2003]. Available at http://www.who.int/chp/knowledge/publications/adherence_full_report.pdf. Accessed 19 September, 2019.
5. Ramli A, et al. Patient prefer adherence 2012;6:613–622.
6. Briesacher BA, et al. Pharmacotherapy 2008;28:437–443.
7. Ministry of Health Malaysia. Clinical practice guidelines: Management of type 2 diabetes mellitus (5^th Edition); 2015.
8. Ministry of Health Malaysia. Clinical practice guidelines: Management of hypertension (4^th Edition); 2013.
9. Feisul I, Azmi S. National Diabetes Registry, 2009–2012. Putrajaya: Non-communicable disease section, Disease control division, Department of public health, Ministry of Health Malaysia; 2013.
10. American Heart Assocation. Medication adherence–taking your meds as directed. Available at http://www.heart.org/heartorg/conditions/more/consumerhealthcare/medication-adherence---taking-your-meds-as-directed_ucm_453329_article.jsp#.VuJnIPyUfHQ. Accessed 19 September, 2019.
11. National Stroke Association. Medication adherence and compliance. Available at https://www.stroke.org/en/health-topics/consumer-healthcare/medication-information/medication-adherence-taking-your-meds-as-directed. Accessed 8 October, 2019.