Bulletin of Rehabilitation MedicineBulletin of Rehabilitation MedicineВестник восстановительной медицины2078-19622713-2625National Medical Research Center for Rehabilitation and Balneology69009110.38025/2078-1962-2025-24-5-142-157ArticlesСтатьиResearch ArticleAdherence to treatment in common chronic noncommunicable diseases: current challenges for physicians and the healthcare system. A literature reviewПриверженность лечению при распространенных хронических неинфекционных заболеваниях: современные вызовы для врачей и системы здравоохранения. Обзор литературыhttps://orcid.org/0000-0003-3852-2050ApkhanovaTatiana V.АпхановаТатьяна Валерьевна
Russian Federation

D.Sc. (Med.), Chief Researcher at the Department of Physiotherapy and Reflexotherapy

 

доктор медицинских наук, главный научный сотрудник отдела физиотерапии и рефлексотерапии

apkhanovatv@nmicrk.ruhttps://orcid.org/0000-0003-1886-124XMarchenkovaLarisa A.МарченковаЛариса Александровна
Russian Federation

D.Sc. (Med.), Docent, Head of the Research Department, Chief Researcher at the Department of Somatic Rehabilitation, Reproductive Health and Active Longevity, Professor at the Department of Restorative Medicine, Physical Therapy and Medical Rehabilitation

доктор медицинских наук, доцент, руководитель научно-исследовательского управления, главный научный сотрудник отдела соматической реабилитации, репродуктивного здоровья и активного долголетия, профессор кафедры восстановительной медицины, физической терапии и медицинской реабилитации

apkhanovatv@nmicrk.ruhttps://orcid.org/0000-0003-0991-8988KonchugovaTatiana V.КончуговаТатьяна Венедиктовна
Russian Federation

D.Sc. (Med.), Professor, Chief Researcher at the Department of Physiotherapy and Reflexotherapy

доктор медицинских наук, профессор, главный научный сотрудник отдела физиотерапии и рефлексотерапии

apkhanovatv@nmicrk.ruNational Medical Research Center for Rehabilitation and BalneologyНациональный медицинский исследовательский центр реабилитации и курортологии201020252451421570409202515102025Copyright ©; 2025, Apkhanova T.V., Marchenkova L.A., Konchugova T.V.Copyright ©; 2025, Апханова Т.В., Марченкова Л.А., Кончугова Т.В.2025Apkhanova T.V., Marchenkova L.A., Konchugova T.V.Апханова Т.В., Марченкова Л.А., Кончугова Т.В.https://creativecommons.org/licenses/by/4.0https://journals.eco-vector.com/2078-1962/article/view/690091

INTRODUCTION. Adherence to treatment, that is, the patient’s strict compliance with the treatment regimen prescribed by the doctor, is an important problem of modern healthcare around the world.

AIM. Analysis of modern foreign and Russian studies on the importance of adherence to drug therapy in patients with cardiovascular diseases and diabetes mellitus.

MATERIALS AND METHODS. 90 sources from international and domestic databases published for 2025 were analyzed.

RESULTS AND DISCUSSION. Up-to-date information is provided on the terminology, scale of the problem, and economic losses from low adherence to treatment, typical for patients with chronic non-communicable diseases. Adherence factors associated with the drug itself (price, frequency of administration, number of prescribed drugs), with the patient’s personal qualities and medical characteristics (forgetfulness, age, gender, diagnosis and concomitant pathology, history of complications, education, quality of life), with insufficient awareness of the disease and/or drugs, side effects were determined.

CONCLUSION. Thus, the patient’s adherence to drug therapy is determined by a large number of heterogeneous factors, the identification of which is an important step towards choosing the optimal method of influencing the patient’s motivation, behavior and choice. It is also often problematic to build a partnership between a doctor and a patient due to the peculiarities of the clinical picture, the psychological characteristics of certain groups of patients or the low quality of the organization of medical care.

ВВЕДЕНИЕ. Приверженность лечению, то есть четкое выполнение пациентом режима лечения, назначенного врачом, является важной проблемой современного здравоохранения во всем мире.

ЦЕЛЬ. Анализ современных зарубежных и российских исследований о значении приверженности медикаментозной терапии пациентов с сердечно-сосудистыми заболеваниями и сахарным диабетом.

МАТЕРИАЛЫ И МЕТОДЫ. Проанализировано 90 источников из международных и отечественных баз данных, опубликованных на 2025 г.

РЕЗУЛЬТАТЫ И ОБСУЖДЕНИЕ. Приведены актуальные сведения о терминологии, масштабах проблемы, экономических потерях от низкой приверженности лечению, характерной для пациентов с хроническими неинфекционными заболеваниями. Определены факторы приверженности, которые ассоциированы с самим препаратом (цена, частота приема, количество назначенных лекарственных средств), с личностными качествами и медицинскими характеристиками пациента (забывчивость, возраст, пол, диагноз и сопутствующая патология, наличие осложнений в анамнезе, образование, качество жизни), с недостаточной информированностью о заболевании и/или о лекарственных средствах, побочных эффектах.

ЗАКЛЮЧЕНИЕ. Приверженность больного медикаментозной терапии определяется большим количеством гетерогенных факторов, выявление которых является важным шагом к выбору оптимального метода воздействия на мотивацию, поведение и выбор пациента. Также часто представляется проблематичным выстраивание партнерских взаимоотношений врача и больного из-за особенностей клинической картины, психологических особенностей определенных групп больных или низкого качества организации медицинской помощи.

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