患者和耳鼻喉科医生如何定义头?
Brianna L Murphy1, Jakob L Fischer1,2, Anthony M Tolisano1,2
1Department of Otolaryngology-Head and Neck Surgery, Walter Reed National Military Medical Center, Bethesda, MD, USA.
The Annals of otology, rhinology, and laryngology
|February 20, 2024
概括
患者和耳鼻喉科医生对与不平衡,头和运动有关的头有着相似的看法. 然而,患者更频繁地将头与视力或疼痛症状联系在一起,突出了沟通缺口.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医学语义学医学语义学
- 患者沟通 患者沟通
背景情况:
- 头是一种常见而复杂的症状.
- 了解患者和临床医生的头定义对于有效的诊断和治疗至关重要.
- 以前的研究还没有完全探索患者和医生对头的看法之间的语义细微差别.
研究的目的:
- 调查和比较患者和耳鼻喉科医生如何定义"头"一词.
- 为了确定患者和临床医生之间症状领域感知的差异.
- 探索患者对头的定义中的地理差异.
主要方法:
- 一个基于语义的问卷被分配给271名患者和31名耳鼻喉科医生在美国的5个学术机构.
- 参与者使用20个描述符在5个症状领域定义了"头":失衡,头,运动,视力和疼痛.
- 分析了患者和临床医生之间领域选择的差异,以及地理差异.
主要成果:
- 患者和耳鼻喉科医生同样使用了不平衡,头和运动相关领域的术语.
- 患者比临床医生更有可能将与视觉有关的 (23.6%的差异) 和与疼痛有关的 (18.2%的差异) 术语纳入他们对头的定义中.
- 在患者报告的头症状中观察到微小的地理差异.
结论:
- 虽然核心头症状重叠,但患者比耳鼻喉科医生更频繁地结合视力和疼痛.
- 识别这些语义差异可以改善患者与临床医生的关于头的沟通.
- 对这些感知差异的进一步研究可能会导致更好的诊断工具和患者护理.
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