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Determinants of non-compliance with lipid-lowering therapy in hyperlipidemic patients.

机译:高脂血症患者不遵守降脂治疗的决定因素。

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PURPOSE: In order to assess the determinants of non-compliance with a lipid-lowering therapy, a prospective study of the hyperlipidemic Korean subjects was carried out. METHODS: A total of 1019 patients was observed by 46 family physicians for the period of 1 year from January 1999 to January 2000. To ascertain the compliance associated with a lipid lowering drug (Simvastatin), we regularly followed up the hyperlipidemic patients at intervals of 4, 12 and 24 weeks. The criterion for evaluating compliance is to measure clinic attendance. Using a structured questionnaire, patients and physicians were asked about risk factors for the compliance. RESULTS: During the first 24 weeks of treatment, the lipid-lowering medication was continued by 52.3% and discontinued by 19.7%. The remaining 28% dropped out. Patient-related factors for non-compliance were young age, current smoker, lack of low fat diet and exercise, new user, no concomitant medication, and occurrence of adverse reactions. Physician-related factors for non-compliance were low patients' satisfaction with the physician, small number of hyperlipidemic patients per month and working in a relatively small hospital. CONCLUSIONS: Compliance with the lipid-lowering therapy was relatively low and several factors for non-compliance were detected.
机译:目的:为了评估不符合降脂治疗的决定因素,对高脂血症韩国人进行了前瞻性研究。方法:从1999年1月至2000年1月,在46年的家庭医生中共观察了1019例患者,为期1年。为确定与降脂药(Simvastatin)相关的依从性,我们定期对高脂血症患者进行随访,随访时间为4、12和24周。评估依从性的标准是衡量门诊人数。使用结构化调查表,询问患者和医生有关依从性的危险因素。结果:在治疗的前24周中,降脂药物持续52.3%,停药19.7%。其余的28%退学了。与患者不依从相关的因素包括年龄,吸烟者,缺乏低脂饮食和运动,新使用者,无伴随用药以及不良反应的发生。与医师不符的医师相关因素包括患者对医师的满意度低,每月高血脂患者人数少以及在相对较小的医院工作。结论:降脂治疗的依从性相对较低,并且发现了一些违规因素。

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