epilepsiaEpilepsy and paroxysmal conditionsЭпилепсия и пароксизмальные состояния2077-83332311-4088IRBIS LLC10.17749/2077-8333.2020.12.1.74-81epilepsia-521Research ArticleREVIEW ARTICLEНАУЧНЫЙ ОБЗОРCompliance in epileptology: a modern view of the problem and strategies for its optimizationКомплаенс в эпилептологии: современный взгляд на проблему и стратегии его оптимизацииhttps://orcid.org/0000-0003-0183-5643МасловаН. Н.MaslovaN. N.

 д. м.н., проф., зав. кафедрой неврологии и нейрохирургии,

ул. Крупской, д. 28, г. Смоленск 214019, Смоленская обл., Россия

MD, Dr Sci Med, Professor, Headof the Department of Neurology and Neurosurgery,

Krupskaya Str., 28, Smolensk 214019, Smolensk Region, Russia

maslovasm@yahoo.comhttps://orcid.org/0000-0003-2131-3922СкоробогатоваВ. А.SkorobogatovaV. A.

клинический ординатор кафедры неврологии и нейрохирургии,

ул. Крупской, д. 28, г. Смоленск 214019, Смоленская обл., Россия

Clinical Resident of the Department of Neurology and Neurosurgery,

Krupskaya Str., 28, Smolensk 214019, Smolensk Region, Russia

Федеральное государственное бюджетное образовательное учреждение высшего образования «Смоленский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияSmolensk State Medical UniversityRussian Federation2020160420201217481Copyright © Maslova N.N., Skorobogatova V.A., 20202020Маслова Н.Н., Скоробогатова В.А.Maslova N.N., Skorobogatova V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.epilepsia.su/jour/article/view/521

Low adherence to therapy in patients with epilepsy is today a serious problem, despite the emergence of new opportunities for the treatment of seizures. According to modern data, the level of non-adherence is 29–39%. Non-adherence is naturally associated with adverse clinical outcomes, such as status epilepticus and sudden death syndrome, which generally increase the risk of death. Thus, the study of the causes of low adherence in patients with epilepsy is necessary for doctors to develop strategies to increase it.

Низкая приверженность к терапии у пациентов с эпилепсией на сегодняшний день представляет серьезную проблему, несмотря на появление новых возможностей в лечении приступов. По современным данным, уровень не- приверженности составляет 29-39%. Некомплаенс закономерно ассоциируется с неблагоприятными клинически- ми исходами, такими как эпилептический статус и синдром внезапной смерти, в целом повышая риски летального исхода. Таким образом, изучение причин низкой комплаентности у пациентов с эпилепсией необходимо для разработки врачами стратегий, способствующих ее повышению.

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The authors declare that there are no conflicts of interest present.