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异常服药行为与头痛:患者报告与医生报告对比

Aberrant drug-taking behaviors and headache: patient versus physician report.

作者信息

Weaver Michael F, Bond Dale S, Arnold Brent L, Waterhouse Elizabeth, Towne Alan

机构信息

Department of Internal Medicine, Virginia Commonwealth University Medical Center, Richmond, VA 23298, USA.

出版信息

Am J Health Behav. 2006 Sep-Oct;30(5):475-82. doi: 10.5555/ajhb.2006.30.5.475.

DOI:10.5555/ajhb.2006.30.5.475
PMID:16893310
Abstract

OBJECTIVE

To explore prevalence of aberrant medication-taking behaviors (AMTB) among headache patients and treating physician's awareness of such behaviors.

METHODS

Fifty patientphysician dyads were surveyed on patients' AMTB.

RESULTS

The most frequently endorsed behaviors by patients and physicians, respectively, were going to the ER for pain medication (n = 19) and continuing to take pain medication despite minimal relief (n = 23). For the majority of AMTB, phi coefficients indicating level of patient-physician agreement were equal to chance.

CONCLUSIONS

Headache patients perform a wide range of AMTB. Low rates of patient-physician agreement indicate that physicians possess limited knowledge of patients' AMTB.

摘要

目的

探讨头痛患者异常用药行为(AMTB)的发生率以及治疗医生对此类行为的认知情况。

方法

对50对患者-医生组合就患者的AMTB进行了调查。

结果

患者和医生分别最常认可的行为是因疼痛用药而去急诊室(n = 19)以及尽管缓解甚微仍继续服用止痛药物(n = 23)。对于大多数AMTB,表明患者-医生一致性水平的phi系数与随机概率相当。

结论

头痛患者存在广泛的AMTB。患者-医生一致性率较低表明医生对患者的AMTB了解有限。

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