epilepsiaEpilepsy and paroxysmal conditionsЭпилепсия и пароксизмальные состояния2077-83332311-4088IRBIS LLC10.17749/2077-8333/epi.par.con.2021.059epilepsia-695Research ArticleSCIENTIFIC SURVEYSНАУЧНЫЕ ОБЗОРЫCompliance in epileptology. How to change the situation for betterКомплаентность в эпилептологии. Как изменить ситуацию к лучшемуhttps://orcid.org/0000-0003-0183-5643МасловаН. Н.MaslovaN. N.

Маслова Наталья Николаевна – д.м.н., профессор, заведующая кафедрой неврологии и нейрохирургии

Scopus Author ID: 7005487934; РИНЦ SPIN-код: 4193-3595

ул. Крупской, д. 28, Смоленск 214019

Natalia N. Maslova – Dr. Med. Sc., Professor, Chief of Chair of Neurology and Neurosurgery

Scopus Author ID: 7005487934; RSCI SPIN-code: 4193-3595

28 Krupskaya Str., Smolensk 214019

maslovasm@yahoo.comhttps://orcid.org/0000-0003-2845-9983ЛитвиноваА. А.LitvinovaA. A.

Литвинова Александра Алексеевна – студентка 4-го курса лечебного факультета

РИНЦ SPIN-код: 2234-7591

ул. Крупской, д. 28, Смоленск 214019

Aleksandra A. Litvinova – 4th year Student, Faculty of Therapy

RSCI SPIN-code: 2234-7591

28 Krupskaya Str., Smolensk 214019

https://orcid.org/0000-0001-9419-3533ЮрьеваН. В.YuryevaN. V.

Юрьева Наталья Вячеславовна – к.м.н., доцент кафедры неврологии и нейрохирургии

РИНЦ SPIN-код: 4193-3595

ул. Крупской, д. 28, Смоленск 214019

Natalia V. Yuryeva – MD, PhD, Associate Professor, Chair of Neurology and Neurosurgery

RSCI SPIN-code: 4193-3595

28 Krupskaya Str., Smolensk 214019

https://orcid.org/0000-0002-1223-8812КовалевП. С.KovalevP. S.

Ковалев Павел Сергеевич – ассистент кафедры неврологии и нейрохирургии

ул. Крупской, д. 28, Смоленск 214019

Pavel S. Kovalev – Assistant Professor, Neurology and Neurosurgery

28 Krupskaya Str., Smolensk 214019

Федеральное государственное бюджетное образовательное учреждение высшего образования «Смоленский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияSmolensk State Medical UniversityRussian Federation202120072021132157167Copyright © Maslova N.N., Litvinova A.A., Yuryeva N.V., Kovalev P.S., 20212021Маслова Н.Н., Литвинова А.А., Юрьева Н.В., Ковалев П.С.Maslova N.N., Litvinova A.A., Yuryeva N.V., Kovalev P.S.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/695

The problem of low adherence to therapy in patients with epilepsy is one of the most pressing public health problems. Failure to follow the doctor's instructions leads to an increased risk of hospitalization and sudden death. Knowing the main predictors of non-compliance, the doctor is able to develop appropriate strategies to increase adherence. There are methods of improving compliance that should be actively implemented in the clinical practice of epileptologists. The article presents a review of the literature on this problem, clinical examples from the authors' practice are given.

Проблема низкой приверженности к терапии пациентов с эпилепсией является одной из актуальных проблем общественного здравоохранения. Несоблюдение назначений врача приводит к увеличению риска госпитализации и внезапной смерти. Зная основные предикторы некомплаенса, врач получает возможность разработать соответствующие стратегии повышения приверженности. Существуют методики улучшения комплаентности, которые должны активно внедряться в клиническую практику эпилептологов. В статье представлен обзор литературы по данной проблеме, приведены клинические примеры из практики авторов.

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