115 KB26 KB199420252002Petek, Davorinaštevilka:4letnik:41str. 321-327ISSN:0025-8121COBISSID:15960025URN:URN:NBN:SI:doc-MEAV6M6KslMedicinski razglediMedicinski razglediBolnik, sodelovanjeBolnik, sprejetje zdravstvene oskrbebolnikiPatient Acceptance Of Health CarePatient CompliancePhysician-Patient RelationssodelovanjetherapyzdravljenjeZdravnik-bolnik, odnosizdravstvena oskrbaOvire sodelovanja bolnikov pri zdravljenju| Obstacles to adherence to treatment|Adherence to treatment is especially important for patients with a chronic illness. The emphasis is on the active cooperation of the patient in the treatment process, not just his passive submission to doctors' instructions. Most studies conclude that poor compliance is to be expected in 30-50% of patients with a chronic illness. The measurements of compliance can be direct (detection of a chemical metabolite) or indirect-like interviews and other self report methods. No method gives valid and reliable data for measuring of compliance. Numerous variables (sociodemographic, treatment factors, economic factors) have been studied as possible causes of poor adherence, but none of them is consistently related to adherence. Patient health beliefs seem important in this context. Several interventions have been investigated to improve patient adherence, including reminders, education, fewer doses per day, diminishing practical obstacles in access to check-ups or organisation ofhelp in the family. Doctor-patient relationship and communication are identified as an important issueSodelovanje bolnika pri predpisanem zdravljenju je posebej pomembno pri kroničnih boleznih. Poudarjeno je aktivno soodločanje bolnika v postopku zdravljenja, ne le pasivno podrejanje zdravnikovim navodilom. Večina študij ocenjuje, da je pri 30-50% bolnikov s kroničnimi boleznimi sodelovanje pri zdravljenju slabo. Meritve sodelovanja so lahko neposredne (meritev metabolitav telesni tekočini) ali posredne, kot so intervju in različne metodesamoocenjevanja. Nobena metoda žal ne daje povsem zanesljive ocene sodelovanja. Kot možni vzroki slabega sodelovanja so analizirali številne dejavnike, npr. sociodemografske značilnosti, dejavnike zdravljenja in zdravilter ekonomske spremenljivke, a večinoma je dokazana povezava šibka. Pomembna so bolnikova z zdravjem povezana prepričanja in znanje. Preizkušanih je bilo več intervencij za izboljšanje sodelovanja, med njimi uporaba raznih opomnikov, poučitev bolnikov, prilagoditev števila odmerkov, zmanjševanje praktičnih ovir, kot je npr. dostopnost do kontrol ali organizacija pomoči v družini. Posebej poudarjen je pomen dobrega odnosa med bolnikom in zdravnikomTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo Medicinski razgledi