Patient compliance: recognition of factors involved and suggestions for promoting compliance with therapeutic regimens
- 1 August 1996
- journal article
- review article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 24 (2) , 244-250
- https://doi.org/10.1046/j.1365-2648.1996.01993.x
Abstract
Patient compliance is paramount in the effectiveness of therapeutic regimens Without compliance therapeutic goals cannot be achieved, resulting in poorer patient outcomes The social and psychological factors thought to influence compliance are identified as (a) knowledge and understanding including communication, (b) quality of the interaction including the patient–provider relationship and patient satisfaction, (c) social isolation and social support including the effect of the family, (d) health beliefs and attitudes — health belief model variables, and (e) factors associated with the illness and the treatment including the duration and the complexity of the regimen Noncompliance is a significant problem and a major challenge for the health care team Practical advice is offered for nurses and other health care professionals to increase patient compliance with therapeutic regimens These include factors involved in the patient‐provider relationship, communication skills and information‐giving, and the mobilization of existing social support networks Further research is needed to provide more conclusive results into the factors involved in patient compliance and to test the effectiveness of compliance‐enhancing strategiesKeywords
This publication has 32 references indexed in Scilit:
- Chronic illness and complianceJournal of Advanced Nursing, 1987
- Strategies for enhancing patient complianceJournal of Community Health, 1980
- A Test of the Construct Validity of Health Locus of Control: Effects on Self-Reported Compliance for Hypertensive PatientsHealth Education Monographs, 1978
- Mothers' health beliefs and children's clinic visitsJournal of Community Health, 1977
- Patient adherence to antihypertensive medical regimensJournal of Community Health, 1977
- IMPROVEMENT OF MEDICATION COMPLIANCE IN UNCONTROLLED HYPERTENSIONThe Lancet, 1976
- Psychological and Social Factors as Predictors of Medical BehaviorMedical Care, 1976
- Dropping out of treatment: A critical review.Psychological Bulletin, 1975
- Doctor-Patient CommunicationScientific American, 1972
- Do Psychiatric In-Patients Take their Pills?The British Journal of Psychiatry, 1967