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Relationship between depression and medication adherence in cardiovascular disease: the perfect challenge for the integrated care team

机译：心血管疾病中抑郁与药物依从性之间的关系：综合护理团队的完美挑战

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Many individuals with cardiovascular disease (CVD) experience depression that is associated with poor health outcomes, which may be because of medication nonadherence. Several factors influence medication adherence and likely influence the relationship between depression and medication adherence in CVD patients. This comprehensive study reviews the existing literature on depression and medication adherence in CVD patients, addresses the methods of and problems with measuring medication adherence, and explains why the integrated care team is uniquely situated to improve the outcomes in depressed CVD patients. This paper also explores how the team can collaboratively target depressive symptoms and medication-taking behavior in routine clinical care. Finally, it suggests the limitations to the integrated care approach, identifies targets for future research, and discusses the implications for CVD patients and their families.
机译：许多患有心血管疾病（CVD）的人会感到沮丧，这与健康状况不佳有关，这可能是由于不坚持药物治疗。几个因素会影响药物依从性，并可能影响CVD患者抑郁与药物依从性之间的关系。这项全面的研究回顾了有关CVD患者抑郁和药物依从性的现有文献，探讨了测量药物依从性的方法和问题，并解释了为什么综合护理团队具有独特的优势以改善抑郁症CVD患者的疗效。本文还探讨了该团队如何在常规临床护理中共同针对抑郁症状和服药行为。最后，它提出了综合护理方法的局限性，确定了未来研究的目标，并讨论了对CVD患者及其家庭的影响。

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