慢性病患者中药用药依从性影响因素及干预措施研究现状

Research Status on Influencing Factors and Intervention Measures of Traditional Chinese Medicine Medication Compliance in Patients with Chronic Diseases

摘要: 慢性病患者中药用药依从性不佳严重影响中医辨证施治效果。影响因素涉及患者对中药“整体调理”理念的认知偏差、中药复方配伍复杂性、煎服方法掌握难度，以及中医诊疗服务可及性、中医药医保政策支持力度、家庭对中药调理的配合度等。提升依从性的有效干预需结合中医辨证施护思想，以及完善中医药医保报销政策，充分发挥中医药在慢性病管理中的优势。

Abstract: Poor compliance of patients with chronic diseases in taking traditional Chinese medicine seriously affects the therapeutic effect of TCM syndrome differentiation and treatment. The influencing factors involve patients’ cognitive biases towards the concept of “holistic conditioning” of traditional Chinese medicine, the complexity of compound combinations of traditional Chinese medicine, the difficulty in mastering the methods of decoction and administration, as well as the accessibility of traditional Chinese medicine diagnosis and treatment services, the support of medical insurance policies for traditional Chinese medicine, and the degree of cooperation of families with traditional Chinese medicine conditioning. Effective intervention to enhance compliance should be combined with the idea of syndrome differentiation and nursing in traditional Chinese medicine, as well as the improvement of medical insurance reimbursement policies for traditional Chinese medicine, to give full play to the advantages of traditional Chinese medicine in the management of chronic diseases.