COMPLIANCE TO TREATMENT

被引:27
作者
SCHAUB, AF
STEINER, A
VETTER, W
机构
[1] Department of Internal Medicine, University Hospital
关键词
HYPERTENSION; COMPLIANCE; DROP-OUT; QUALITY OF LIFE; BLOOD PRESSURE SELF-MEASUREMENT; ANTIHYPERTENSIVE MEDICATION;
D O I
10.3109/10641969309037099
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
One major challenge of hypertension managment is to achieve a compliance rate as high as possible in order to guarantee a successful long-term antihypertensive therapy. Clinical studies have shown that the drop-out rate may represent an indirect parameter for patient compliance. As having a negative influence on long-term compliance drug related side effects are best known but newer results indicate that there are also other factors like age, sex, psychological features and quality of life do have important influence on compliance. For achieving the therapeutic aim strategies like simple prescription, few concommitant medication and cautious dose-titration have shown to be efficient. Additional blood pressure self-measurement and profound instruction are essential to optimize hypertension managment in terms of compliance to treatment.
引用
收藏
页码:1121 / 1130
页数:10
相关论文
共 38 条
[1]  
ALDERMAN MH, 1981, CLIN INVEST MED, V4, P165
[2]  
AMERY A, 1985, LANCET, V1, P1349
[3]  
ANDREOLI KG, 1981, NURS RES, V30, P323
[4]  
[Anonymous], 1970, JAMA, V213, P1143
[5]  
BECKER MH, 1980, COMPLIANCE THERAPEUT, P40
[6]   DROPOUT PROBLEM IN ANTIHYPERTENSIVE TREATMENT . A PILOT STUDY OF SOCIAL AND EMOTIONAL FACTORS INFLUENCING A PATIENTS ABILITY TO FOLLOW ANTIHYPERTENSIVE TREATMENT [J].
CALDWELL, JR ;
COBB, S ;
DOWLING, MD ;
JONGH, DD .
JOURNAL OF CHRONIC DISEASES, 1970, 22 (8-9) :579-+
[7]  
CARNAHAN J, 1976, LANCET, V1, P1265
[8]   THE EFFECTS OF ANTIHYPERTENSIVE THERAPY ON THE QUALITY-OF-LIFE [J].
CROOG, SH ;
LEVINE, S ;
TESTA, MA ;
BROWN, B ;
BULPITT, CJ ;
JENKINS, CD ;
KLERMAN, GL ;
WILLIAMS, GH .
NEW ENGLAND JOURNAL OF MEDICINE, 1986, 314 (26) :1657-1664
[9]   MORBIDITY AND MORTALITY IN THE SWEDISH TRIAL IN OLD PATIENTS WITH HYPERTENSION (STOP-HYPERTENSION) [J].
DAHLOF, B ;
LINDHOLM, LH ;
HANSSON, L ;
SCHERSTEN, B ;
EKBOM, T ;
WESTER, PO .
LANCET, 1991, 338 (8778) :1281-1285
[10]   FACTORS PREDICTIVE OF ATTENDANCE AT CLINIC AND BLOOD-PRESSURE CONTROL IN HYPERTENSIVE PATIENTS [J].
DEGOULET, P ;
MENARD, J ;
VU, HA ;
GOLMARD, JL ;
DEVRIES, C ;
CHATELLIER, G ;
PLOUIN, PF .
BRITISH MEDICAL JOURNAL, 1983, 287 (6385) :88-93