{"id":1052,"date":"2018-09-18T06:33:00","date_gmt":"2018-09-18T06:33:00","guid":{"rendered":"http:\/\/practicalhealthpsychology.com\/?p=1052"},"modified":"2025-11-04T14:35:03","modified_gmt":"2025-11-04T14:35:03","slug":"1052","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/zh\/2018\/09\/1052\/","title":{"rendered":"<strong>\u5f53\u4eba\u4eec\u56de\u5bb6\u540e\uff0c\u836f\u7269\u6cbb\u7597\u4f1a\u53d1\u751f\u4ec0\u4e48\uff1f<\/strong>"},"content":{"rendered":"<p>\u7531\u65b0\u897f\u5170\u5965\u514b\u5170\u6885\u897f\u5927\u5b66\u7684\u514b\u91cc\u00b7\u5f20\u4f2f\u4f26\uff08Kerry 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href=\"http:\/\/ps.psychiatryonline.org\/doi\/pdf\/10.1176\/ps.62.5.pss6205_0459\">\u5404\u56fd<\/a><\/u>\u4e4b\u95f4<u>\u53ef\u80fd\u5b58\u5728<\/u><a href=\"http:\/\/www.nature.com\/articles\/1002089.pdf\">\u5f88\u5927\u5dee\u5f02<\/a>\u3002<\/p>\n<p><!--more--><\/p>\n<p>\u5404\u79cd\u836f\u7269\u90fd\u662f\u590d\u6742\u7684<u><a 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href=\"https:\/\/ps.psychiatryonline.org\/doi\/pdf\/10.1176\/ps.62.5.pss6205_0459\">\u968f\u7740\u836f\u7269\u7684\u53cd\u590d\u670d\u7528\u800c\u53d8\u5316<\/a>\u3002<\/p>\n<p>\u6211\u4eec\u6709\u5927\u91cf\u8bc1\u636e\u8868\u660e\uff0c\u53ea\u6709\u5927\u7ea6\u4e00\u534a\u7684\u5904\u65b9\u836f\u662f<a href=\"http:\/\/primarycare.imedpub.com\/medication-nonadherence-identified-at-home-a-systematic-review-and-metaanalysis.php?aid=19318\">\u6309\u7167\u6307\u793a<\/a><a href=\"https:\/\/www.annualreviews.org\/doi\/abs\/10.1146\/annurev-pharmtox-011711-113247\">\u670d\u7528<\/a>\u7684\u3002\u51fa\u73b0\u8fd9\u79cd\u60c5\u51b5\u7684<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0277953604006069\">\u539f\u56e0\u591a\u79cd\u591a\u6837<\/a>\uff0c\u5305\u62ec\u836f\u7269\u526f\u4f5c\u7528\u7684\u7ecf\u5386\u3001\u5bf9\u4f9d\u8d56\u6027\u7684\u62c5\u5fe7\u3001\u5bf9<a href=\"https:\/\/www.bmj.com\/content\/345\/bmj.e3953.short\">\u75be\u75c5<\/a>\u3001\u836f\u7269\u548c\u6cbb\u7597\u7684\u4fe1\u5ff5\u3002<\/p>\n<p>\u56e0\u6b64\uff0c\u4e86\u89e3\u975e\u4e13\u4e1a\u4eba\u58eb\u5728\u65e5\u5e38\u751f\u6d3b\u4e2d\u5982\u4f55\u7406\u89e3\u836f\u7269\u662f\u5f88\u91cd\u8981\u7684\u3002\u6211\u4eec\u5bf9\u6765\u81ea\u65b0\u897f\u5170\u56db\u4e2a\u57ce\u5e02\u768455\u4e2a\u5bb6\u5ead\u7684\u4eba\u5458\u8fdb\u884c\u4e86\u7814\u7a76\u3002\u6211\u4eec\u5bf9\u4ed6\u4eec\u5bf9\u836f\u7269\u7684\u4f9d\u4ece\u6027\u4e0d\u611f\u5174\u8da3\uff0c\u4f46\u6211\u4eec\u8981\u6c42\u4ed6\u4eec<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/1467-9566.12041\">\u8ba8\u8bba\u4ed6\u4eec\u7684\u7528\u836f\u4e60\u60ef<\/a>\uff0c\u7ed8\u5236\u51fa\u5404\u79cd\u836f\u7269\u5728\u5bb6\u4e2d\u5b58\u653e\u7684\u4f4d\u7f6e\uff0c\u5e76\u5236\u4f5c\u548c\u8ba8\u8bba\u5bb6\u4e2d\u7684\u6240\u6709\u836f\u7269\u3002<\/p>\n<p>\u672c\u7814\u7a76\u7684\u4e00\u4e9b\u4e3b\u8981\u7ed3\u679c\u5982\u4e0b\uff1a<\/p>\n<ul>\n<li>\u5404\u79cd\u5404\u6837\u7684\u836f\u7269\u2014\u2014\u5305\u62ec\u5904\u65b9\u836f\u3001\u975e\u5904\u65b9\u836f\u548c\u66ff\u4ee3\u54c1\u2014\u2014\u5728\u6240\u6709\u5bb6\u5ead\u4e2d\u90fd\u666e\u904d\u5b58\u5728\uff0c\u5e76\u5728\u5bb6\u4e2d\u5e7f\u6cdb\u5206\u5e03\u3002\u5b83\u4eec\u7684\u653e\u7f6e\u662f\u6709\u7ec4\u7ec7\u7684\uff0c\u5e76\u4e14\u5bf9\u4f7f\u7528\u5f88\u91cd\u8981\uff0c\u5171\u4eab\u836f\u7269\u96c6\u4e2d\u5b58\u653e\uff08\u53a8\u623f\u548c\u5ba2\u5385\uff09\uff0c\u4e2a\u4eba\u836f\u7269\u5b58\u653e\u5728\u66f4\u79c1\u4eba\u7684\u7a7a\u95f4\uff08\u5367\u5ba4\u3001\u6d74\u5ba4\uff09\uff0c\u65e7\u836f\u7269\u5b58\u653e\u5728\u8fdc\u5904\uff08\u6a71\u67dc\u548c\u9601\u697c\uff09\u3002\u836f\u7269\u7684\u8fd9\u79cd\u6446\u653e\u65b9\u5f0f\u53cd\u6620\u4e86<a href=\"http:\/\/www.sciencedirect.com\/science\/article\/pii\/S1353829210001760\">\u5bb6\u5ead\u5173\u7cfb\u548c\u5bb6\u5ead\u5185\u7684\u62a4\u7406\u5b9e\u8df5\u3002<\/a><\/li>\n<li>\u4eba\u4eec\u5bf9\u836f\u7269\u7684\u7406\u89e3\u548c\u4f7f\u7528\u65b9\u5f0f\u975e\u5e38\u4e0d\u540c\uff0c\u4ece\u5bf9\u836f\u7269\u7684<a href=\"http:\/\/www.medanthrotheory.org\/read\/2020\/forms-of-resistance-to-medications-within-new-zealand-households\">\u62b5\u6297<\/a>\u5230\u9075\u5b88\u3001\u4fee\u6539\u6216\u5ef6\u957f\u836f\u7269\u4f7f\u7528\u7684\u5404\u79cd\u65b9\u5f0f\uff0c\u5177\u4f53\u53d6\u51b3\u4e8e\u836f\u7269\u7c7b\u578b\u548c\u6240\u6d89\u53ca\u7684\u75be\u75c5\u3002\n<ul>\n<li>\u4f8b\u5982\uff0c\u6709\u4e9b\u4eba\u5bf9\u670d\u7528\u6297\u751f\u7d20\u5f88\u6311\u5254\uff1a\u201c\u6211\u4e0d\u559c\u6b22\u670d\u7528\u6297\u751f\u7d20\u2026\u2026\u6297\u751f\u7d20\u5e94\u8be5\u4fdd\u5b58\u8d77\u6765\u4ee5\u5907\u4e0d\u65f6\u4e4b\u9700\u3002\u201d<\/li>\n<li>\u5176\u4ed6\u670d\u7528\u7cbe\u795e\u836f\u7269\u7684\u4eba\u7531\u4e8e\u526f\u4f5c\u7528\u548c\u4f9d\u8d56\u6027\u800c\u51cf\u5c11\u4e86\u5b83\u4eec\u7684\u4f7f\u7528\uff1a\u201c\u6211\u60f3\u6210\u4e3a\u4e00\u4e2a\u6b63\u5e38\u7684\u793e\u4f1a\u6210\u5458\u6765\u53d1\u6325\u4f5c\u7528\u2026\u2026\u4e3a\u4e86\u5eb7\u590d\uff0c\u5fc5\u987b\u771f\u6b63\u653e\u5f03\u836f\u7269\u6cbb\u7597\u3002\u201d<\/li>\n<li>\u4f7f\u7528\u66ff\u4ee3\u836f\u7269\u7684\u4eba\u901a\u5e38\u4f1a\u5b8c\u5168\u62b5\u5236\u5bf9\u6297\u7597\u6cd5\u836f\u7269\uff1a\u201c\u6211\u5b81\u613f\u5c1d\u8bd5\u5e76\u7b49\u5f85\u5b83\u7ed3\u675f\uff0c\u6216\u8005\u53ea\u662f\u4efb\u4f55\u5176\u4ed6\u9009\u62e9\uff0c\u800c\u4e0d\u662f\u670d\u7528\u836f\u7269\u3002\u201d<\/li>\n<li>\u5176\u4ed6\u4eba\u6839\u636e\u75c7\u72b6\u8c03\u6574\u5242\u91cf\uff1a\u201c\u533b\u751f\u7ed9\u6211\u5f00\u4e86\u66f4\u9ad8\u7684\u5242\u91cf\uff0c\u4f46\u6211\u51b3\u5b9a\u5c3d\u91cf\u4fdd\u6301\u4f4e\u5242\u91cf\u3002\u201d<\/li>\n<\/ul>\n<\/li>\n<li>\u8fd9\u4e9b\u65e5\u5e38\u7528\u836f\u4e60\u60ef\u53d6\u51b3\u4e8e\u4eba\u4eec\u5bf9\u836f\u7269\u7684\u4ef7\u503c\u548c\u793e\u4f1a\u5730\u4f4d\u7684\u7406\u89e3\u3002\u5f53\u836f\u7269\u8425\u9500\u548c\u5a92\u4f53\u62a5\u9053\u5f15\u8d77\u7684\u6050\u60e7\u548c\u7126\u8651\u5524\u8d77\u4e86\u201c\u4e0d\u81ea\u7136\u201d\u548c\u5931\u63a7\u65f6\uff0c\u836f\u7269\u53ef\u80fd\u4f1a\u5bfc\u81f4\u6df7\u4e71\uff1b\u6216\u8005\u5f53\u88ab\u7406\u89e3\u4e3a\u63d0\u4f9b\u201c\u5e73\u8861\u201d\u5e76\u6062\u590d\u79e9\u5e8f\u548c\u63a7\u5236\u65f6\uff0c\u836f\u7269\u4e5f\u53ef\u80fd\u4f1a\u4ea7\u751f\u79e9\u5e8f\u3002\u5f53\u836f\u7269\u88ab\u89c6\u4e3a\u201c\u5fc5\u8981\u7684\u90aa\u6076\u201d\uff0c\u9700\u8981\u4e2a\u4eba\u5728\u6d88\u8d39\u65f6\u4fdd\u6301\u8b66\u60d5\uff0c\u6216\u8005\u5f53\u836f\u7269\u6d88\u8d39\u610f\u5473\u7740\u4e00\u4e2a<u>\u201c<\/u><u><a 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href=\"http:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/09505430902885631\">\u975e\u4e13\u4e1a\u836f\u7406\u5b66<\/a><u>\u201d<\/u>\u4e3a\u57fa\u7840\uff0c\u5176\u4e2d\u60a3\u8005\u5bf9\u836f\u7269\u7684\u770b\u6cd5\u65e2\u53d6\u51b3\u4e8e\u4ed6\u4eec\u63a5\u53d7\u836f\u7269\u7684\u6761\u4ef6\uff0c\u4e5f\u53d6\u51b3\u4e8e\u4ed6\u4eec\u7684\u4e2a\u4eba\u5065\u5eb7\u53d9\u8ff0\u3002\u8fd9\u79cd\u975e\u4e13\u4e1a\u836f\u7406\u5b66\u80fd\u529b\u4ee5\u4e0a\u8ff0\u65b9\u5f0f\u5f71\u54cd\u548c\u6539\u53d8\u4e86\u5bb6\u5ead\u5185\u7684\u670d\u836f\u884c\u4e3a\uff0c\u5e76\u63d0\u4f9b\u4e86<a href=\"http:\/\/www.rsap.org\/article\/S1551-7411(16)30105-X\/\">\u8bb8\u591a<\/a>\u7406\u89e3<a href=\"http:\/\/www.routledge.com\/Self-Medication-and-Society-Mirages-of-Autonomy\/Fainzang\/p\/book\/9781138213944\">\u670d\u836f\u65b9\u6cd5<\/a>\u7f3a\u5931\u7684\u89c6\u89d2\u3002\u5c45\u5bb6\u670d\u836f\u4e5f\u6709\u81ea\u5df1\u7684<a 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