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纤维肌痛综合征的认知与看法:马来西亚和新加坡风湿病学家的一项调查。

Awareness and perceptions of fibromyalgia syndrome: a survey of Malaysian and Singaporean rheumatologists.

作者信息

Arshad A, Kong K O

机构信息

Rheumatic Diseases Unit, Putra Specialist Centre, Alor Star 05100, Malaysia.

出版信息

Singapore Med J. 2007 Jan;48(1):25-30.

Abstract

INTRODUCTION

Fibromyalgia syndrome (FMS) is a common but controversial condition. There appears to be different levels of belief of its existence and awareness. We set out to explore the variations of perceptions and awareness of this condition among rheumatologists from Malaysia and Singapore.

METHODS

48 rheumatologists from Malaysia (28) and Singapore (20) were approached to participate in this survey by answering a specific questionnaire regarding their belief in FMS. 23 respondents from Malaysia and 20 from Singapore completed the questionnaire.

RESULTS

91 percent of Malaysian rheumatologists and 95 percent of the Singaporean believe that FMS is a distinct clinical entity and that this condition is considered an illness rather than a disease. 87 percent and 90 percent of rheumatologists from Malaysia and Singapore, respectively, believe that FMS is a mixture of medical and psychological illness. However, not many of those in the university setting include FMS in their undergraduate teaching. 87 percent and 80 percent of the respondents from Malaysia and Singapore, respectively, also ordered blood tests to exclude other serious pathologies, and 100 percent of the respondents from both countries also prescribed some form of drugs to their FMS patients.

CONCLUSION

This study confirmed that there was a variation of perceptions and knowledge of FMS among rheumatologists from Malaysia and Singapore. The majority of rheumatologists recognise that FMS is a distinct clinical entity, and is diagnosed by excluding other well-defined clinical diseases through a combination of clinical evaluation and screening tests.

摘要

引言

纤维肌痛综合征(FMS)是一种常见但存在争议的病症。对于其存在和认知似乎存在不同程度的看法。我们着手探讨马来西亚和新加坡的风湿病学家对这种病症的认知差异。

方法

邀请了来自马来西亚的28位和新加坡的20位风湿病学家参与此项调查,让他们回答一份关于他们对FMS看法的特定问卷。来自马来西亚的23位受访者和来自新加坡的20位受访者完成了问卷。

结果

91%的马来西亚风湿病学家和95%的新加坡风湿病学家认为FMS是一种独特的临床实体,且这种病症被视为一种疾病而非病症。分别有87%和90%来自马来西亚和新加坡的风湿病学家认为FMS是医学和心理疾病的混合体。然而,在大学环境中,没有多少人将FMS纳入本科教学。分别有87%和80%来自马来西亚和新加坡的受访者也会安排血液检查以排除其他严重病症,并且两国100%的受访者也会给他们的FMS患者开某种形式的药物。

结论

这项研究证实,马来西亚和新加坡的风湿病学家对FMS的认知和了解存在差异。大多数风湿病学家认识到FMS是一种独特的临床实体,并且是通过结合临床评估和筛查测试排除其他明确的临床疾病来进行诊断的。

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