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№4' 2014


International Medical Journal, Vol. 20., Iss. 4, 2014, P. 20−26.


Naumova E. A., Semenova O. N., Strokova E. V., Shwartz Yu. G.

V. I. Rasumoskiy Saratov State Medical University of Ministry of Health of Russia, Russian Federation

Lack of compliance to long−term treatment in patients with cardiovascular disease is one of the main causes of low efficiency of the treatment. According to the findings of the research conducted in 2006−2012 at hospital of SSMU, the factors influencing compliance to therapy of such patients were analyzed in terms of dividing them into conscious and unconscious behavior of the patient, i.e. regularity of therapy separately and its continuation or not at the outpatient stage. In all cases, the survey and/or questioning of the patients were performed on the inpatient stage followed by control calls. The studies showed appropriateness to analyze separately regular intake of drugs, which is influenced by forgetfulness and well−being of the patient, and the fact of its complete termination by the patient. Assessment of the patient's treatment at home should be performed in two ways: based on their replies about continuation of the treatment and comparison of treatment assigned in the hospital, and drugs taken by them after the discharge. For analysis of therapy regularity it is necessary to compare replies of the patients about the frequency of missed doses and objective consideration of the number of issued/returned tablets. Subjective assessment by the patients of their health is an important parameter, which influence on different patients is ambiguous. High estimation by the patient of his/her attending physician is associated with an increased compliance to regular intake of the prescribed drugs.

Key words: adherence to treatment, non−compliance with medical recommendations, continuation of the therapy, regularity of therapy, compliance.

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