OBJECTIVE: To provide reference for improving the breast cancer patients’medication compliance. METHODS: 280 inpatients with advanced breast cancer who had received endocrine therapy in a hospital ward of chemotherapy of breast from Sept. to Nov. 2015 were selected, questionnaires was combined with on-site interview to investigate and analyze the medication compliance, influential factors and adverse reactions induced by endocrine drugs. RESULTS: Among the 280 patients, 161 (57.5%) showed good medication compliance, 64 (22.9%) were general and 55 (19.6%) were poor; its medication compliance were mainly affected by “wrong understanding on disease control (27.2%)”“adverse drug reactions (22.4%)”“forgetting taking medicines (21.1%)”; the common adverse reactions of endocrine therapy included hot flashes, mood disorders and joint pain. CONCLUSIONS: Clinical pharmacists, especially the specialists should give full play to their own professional advantage, strengthen patient medication education, actively participate ward round and follow-up, improve breast cancer patients’compliance on endocrine therapy.