1题目：非性疾病治疗效果关系
2摘关键词：性 年龄 治疗 疾病 性格
3摘：性(Patient complianceTreatment compliance)称性应性指病医生规定进行治疗医嘱致行惯称病合作反称非性非性患者占较高例遵嘱执行力差疾病预佳患疾病关联时治疗着影响患者身性格特质脑结构发育关联
4正文
患者医院目治疗疾病令费解中少患者愿意遵循医嘱甚付出生命代价认患者治疗效果性格特征着密分关系
1） 非性种普遍现象采集病史时候发现导致疾病进行性进展原便性佳没规律遵嘱治疗疾病已发展患者法忍受医状况时原发病已难做控制已研究发现性佳住院率死亡率着明显相关性[1]着良性患者住院费住院率明显降性佳患者疾病预预期
2）非性成瘾性疾病关联研究调查显示药物成瘾酒精成瘾患者中抗高血压治疗效果较差[2]抽烟酗酒糖尿病患者中相较群体群患者监测血糖更加规律[3]合理猜测非性成瘾性疾病作机制便控力较差意志力较薄弱性格
3）意志薄弱性格影响治疗慢性疾病中体现更明显慢性疾病治疗通常包含二级预防等预防性治疗时长期服治疗效果显著非性够带更快乐（例规避药物副作节约医时间）需长期投资治疗效果难体会情况意志力薄弱患者通常选择优先考虑眼前快乐意志薄弱拒绝长期治疗患者群体性格特征相够考虑长远未性格坚持长期治疗患者特征解释份调查结果：慢性病中非性年轻患者中更常见[4]2型糖尿病患者中尤显著[5]越年轻越难预见未
4）非性脑结构发育相关神生理学中项研究否考虑长远未前额叶皮层关[6]结构20岁完全发育成熟[78]说明青少年患者群体中例较高项心脏移植研究结果表明接受移植青年青少年预年龄关[9]
5结
现治疗疾病已仅仅局限医院场更慢性病长期治疗需患者良性完成针患成瘾性疾病年龄较患者应予更关访加强患者家属教育样更利疾病预
6参考文献
[1] Ho PM Rumsfeld JS Masoudi FA McClure DL Plomondon ME Steiner JF et al Effect of medication nonadherence on hospitalization and mortality among patients with diabetes mellitus Arch Intern Med 20061661836–4
[2] Steiner JF Ho PM Beaty BL Dickinson LM Hanratty R Zeng C et al Sociodemographic and clinical characteristics are not clinically useful predictors of refill adherence inpatients with hypertension Circ Cardiovasc QualOutcomes 20092451–7
[3] Karter AJ Ferrara A Darbinian JA Ackerson LM Selby JV Selfmonitoring of blood glucose language and financial barriers in a managed care population with diabetes Diabetes Care 200023477–83
[4] Briesacher BA Andrade SE Fouayzi H Chan KA Comparison of drug adherence rates among patients with seven different medical conditions Pharmacotherapy 200828437–43
[5] Lee R Taira DA Adherence to oral hypoglycemic agents in Hawaii Prev Chronic Dis 20052A09
[6] Bickel WK Miller ML Yi R Kowal BP Lindquist DM PitcockJA Behavioral and neuroeconomics of drug addictioncompeting neural systems and temporal discounting processes Drug Alcohol Depend 200790SS85–91
[7] Giedd JN Adolescent brain development vulnerabilities and opportunities Ann NY Acad Sci 2004102177–8
[8] Christakou A Brammer M Rubia K Maturation of limbic corticostriatal activation and connectivity associated with developmental changes in temporal discounting Neuroimage 2011541344–54
[9] Stilley CS Lawrence K Bender A Olshansky E Webber SA Dew MA Maturity and adherence in adolescent and young adult heart recipients Pediatr Transplant 200610323–30
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2摘关键词：性 年龄 治疗 疾病 性格
3摘：性(Patient complianceTreatment compliance)称性应性指病医生规定进行治疗医嘱致行惯称病合作反称非性非性患者占较高例遵嘱执行力差疾病预佳患疾病关联时治疗着影响患者身性格特质脑结构发育关联
4正文
患者医院目治疗疾病令费解中少患者愿意遵循医嘱甚付出生命代价认患者治疗效果性格特征着密分关系
1） 非性种普遍现象采集病史时候发现导致疾病进行性进展原便性佳没规律遵嘱治疗疾病已发展患者法忍受医状况时原发病已难做控制已研究发现性佳住院率死亡率着明显相关性[1]着良性患者住院费住院率明显降性佳患者疾病预预期
2）非性成瘾性疾病关联研究调查显示药物成瘾酒精成瘾患者中抗高血压治疗效果较差[2]抽烟酗酒糖尿病患者中相较群体群患者监测血糖更加规律[3]合理猜测非性成瘾性疾病作机制便控力较差意志力较薄弱性格
3）意志薄弱性格影响治疗慢性疾病中体现更明显慢性疾病治疗通常包含二级预防等预防性治疗时长期服治疗效果显著非性够带更快乐（例规避药物副作节约医时间）需长期投资治疗效果难体会情况意志力薄弱患者通常选择优先考虑眼前快乐意志薄弱拒绝长期治疗患者群体性格特征相够考虑长远未性格坚持长期治疗患者特征解释份调查结果：慢性病中非性年轻患者中更常见[4]2型糖尿病患者中尤显著[5]越年轻越难预见未
4）非性脑结构发育相关神生理学中项研究否考虑长远未前额叶皮层关[6]结构20岁完全发育成熟[78]说明青少年患者群体中例较高项心脏移植研究结果表明接受移植青年青少年预年龄关[9]
5结
现治疗疾病已仅仅局限医院场更慢性病长期治疗需患者良性完成针患成瘾性疾病年龄较患者应予更关访加强患者家属教育样更利疾病预
6参考文献
[1] Ho PM Rumsfeld JS Masoudi FA McClure DL Plomondon ME Steiner JF et al Effect of medication nonadherence on hospitalization and mortality among patients with diabetes mellitus Arch Intern Med 20061661836–4
[2] Steiner JF Ho PM Beaty BL Dickinson LM Hanratty R Zeng C et al Sociodemographic and clinical characteristics are not clinically useful predictors of refill adherence inpatients with hypertension Circ Cardiovasc QualOutcomes 20092451–7
[3] Karter AJ Ferrara A Darbinian JA Ackerson LM Selby JV Selfmonitoring of blood glucose language and financial barriers in a managed care population with diabetes Diabetes Care 200023477–83
[4] Briesacher BA Andrade SE Fouayzi H Chan KA Comparison of drug adherence rates among patients with seven different medical conditions Pharmacotherapy 200828437–43
[5] Lee R Taira DA Adherence to oral hypoglycemic agents in Hawaii Prev Chronic Dis 20052A09
[6] Bickel WK Miller ML Yi R Kowal BP Lindquist DM PitcockJA Behavioral and neuroeconomics of drug addictioncompeting neural systems and temporal discounting processes Drug Alcohol Depend 200790SS85–91
[7] Giedd JN Adolescent brain development vulnerabilities and opportunities Ann NY Acad Sci 2004102177–8
[8] Christakou A Brammer M Rubia K Maturation of limbic corticostriatal activation and connectivity associated with developmental changes in temporal discounting Neuroimage 2011541344–54
[9] Stilley CS Lawrence K Bender A Olshansky E Webber SA Dew MA Maturity and adherence in adolescent and young adult heart recipients Pediatr Transplant 200610323–30
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