COMPLIANCE

被引:61
作者
BLACKWELL, B
机构
关键词
PATIENT COMPLIANCE; ILLNESS BEHAVIOR; ILLNESS ATTITUDES; EDUCATION;
D O I
10.1159/000288624
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Compliance is an ancient topic subjected to intense recent scrutiny as a result of scientific and social changes which focus on lifestyle adjustment to chronic illness and emphasize increasing patient involvement in self-care. Difficulties in definition, measurement and research design as well as the complexity of the problems contribute to conflicting findings and a lack of consensus about determinants of compliance. Five conceptual models have been studied but only a few positive and negative factors have been consistently identified, perhaps because outcome is often influenced by subtle attitudes, beliefs and quality of life considerations. Management involves both education and a variety of interventions that range from simple single strategies to complex multimodal approaches in which the patient's role may vary from being a passive participant of professional supervision to complete autonomy and self-care.
引用
收藏
页码:161 / 169
页数:9
相关论文
共 20 条
  • [11] HAYNES RB, 1979, COMP THERAPEUTIC PRE
  • [12] BEHAVIORAL THEORIES AND THE PROBLEM OF COMPLIANCE
    LEVENTHAL, H
    CAMERON, L
    [J]. PATIENT EDUCATION AND COUNSELING, 1987, 10 (02) : 117 - 138
  • [13] LEVENTHAL H, 1984, HDB PSCYHOL HLTH, V4
  • [14] LEVY RL, 1980, NIH812102 PUBL, P139
  • [15] LEY P, 1977, CONTRIBUTIONS MED PS
  • [16] MCKENNEY JM, 1973, CIRCULATION, V48, P1104, DOI 10.1161/01.CIR.48.5.1104
  • [17] Spilker B., 1991, PATIENT COMPLIANCE M
  • [18] Starr Paul, 1982, SOCIAL TRANSFORMATIO
  • [19] THE ACTIVATED PATIENT - DOGMA, DREAM, OR DESIDERATUM - BEYOND ADVOCACY - A REVIEW OF THE ACTIVE PATIENT CONCEPT
    STEELE, DJ
    BLACKWELL, B
    GUTMANN, MC
    JACKSON, TC
    [J]. PATIENT EDUCATION AND COUNSELING, 1987, 10 (01) : 3 - 23
  • [20] WILBER J A, 1969, Minnesota Medicine, V52, P1303