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你有没有拥堵? 耳鼻喉科医生及其患者之间的定义比较
Jakob L Fischer1,2, Anthony M Tolisano1,2, Alvaro I Navarro3
1Department of Otolaryngology-Head and Neck Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
患者和耳鼻喉科医生对堵塞症状的解释不同. 患者使用更广泛的术语,而临床医生只专注于阻碍,影响沟通.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医学沟通 医学沟通
- 症状感知 症状感知
背景情况:
- 患者和临床医生之间的有效沟通对于耳鼻喉科的准确诊断和治疗至关重要.
- 了解患者报告的症状,特别是像拥堵这样的复杂疾病,对于最佳护理至关重要.
- 之前的研究还没有完全阐明患者和耳鼻喉科医生描述堵塞相关症状的具体差异.
研究的目的:
- 调查和量化耳鼻喉科患者和临床医生之间与拥堵相关的症状描述的预期含义上的差异.
- 为了确定特定的症状领域,患者和临床医生的感知有所不同.
- 探索症状报告中的潜在地理差异.
主要方法:
- 调查问卷评估了四个领域 (阻塞性,压力,粘液,其他) 的16个常见拥堵症状描述符.
- 在2020年6月至2022年10月期间,从5家三级耳鼻喉科实践中收集了349名患者和40名耳鼻喉科医生的数据.
- 主要结果:对患者和临床医生的看法进行比较;次要结果:评估地理差异.
主要成果:
- 与耳鼻喉科医生 (4.0) (p < 0.001) 相比,患者报告的拥堵术语中位数 (6.8) 显著更高 (p < 0.001).
- 耳鼻喉科医生不成比例地选择了与阻塞相关的症状 (6.3%的差异).
- 与临床医生相比,患者更频繁地描述了与压力相关 (-43.7%),粘液相关 (-43.5%) 和其他症状 (-44.2%) 的拥堵.
结论:
- 耳鼻喉科患者和临床医生之间解释堵塞症状存在显著差异.
- 临床医生对拥堵的解释往往只集中在阻塞上,而患者的描述更广泛.
- 这些感知差异凸显了改善临床医生咨询和沟通策略的需要,以改善关于拥堵症状的沟通策略.
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