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临床实践中的“警觉感”(“直觉”)。一项针对欧洲全科医生对识别和表达的调查。

The 'sense of alarm' ('gut feeling') in clinical practice. A survey among European general practitioners on recognition and expression.

机构信息

University of Maastricht, Caphri School for Public Health and Primary Care, Department of General Practice, Maastricht, The Netherlands.

出版信息

Eur J Gen Pract. 2010 Jun;16(2):72-4. doi: 10.3109/13814781003653424.

DOI:10.3109/13814781003653424
PMID:20184496
Abstract

OBJECTIVE

Most general practitioners in the Netherlands and Flanders (Belgium) are familiar with that special feeling during certain consultations: 'There's something wrong here, though I have no specific indications yet'. This 'sense of alarm' alerts the doctor, activates the diagnostic process and induces him to initiate specific management to prevent serious health problems. We wanted to know whether this sense of alarm is a typical phenomenon among Dutch-speaking GPs or is also recognized by GPs elsewhere in Europe.

METHODS

A short questionnaire survey was held among 128 GPs in 28 countries included in the European General Practitioners Research Network (EGPRN). GPs were asked if they recognized our description of the 'sense of alarm' and if they used a typical phrase in their language to express this uneasy feeling.

RESULTS

We received 30 replies from GPs in 16 European countries, plus Israel and South-Africa. They all recognized our description and 25 GPs reported typical expressions in their own language. The GPs' uneasy feeling was sometimes perceived as a bodily sensation.

CONCLUSION

The 'sense of alarm' is a familiar phenomenon in general practices in Europe. We propose to use the English phrase 'gut feelings' in further research reports.

摘要

目的

荷兰和佛兰德斯(比利时)的大多数全科医生都熟悉在某些咨询中会出现一种特殊的感觉:“这里有些不对劲,尽管我还没有具体的迹象”。这种“警觉感”会提醒医生,激活诊断过程,并促使他采取特定的管理措施,以防止严重的健康问题。我们想知道这种警觉感是否是荷兰语系全科医生的典型现象,还是也被欧洲其他地方的全科医生所认可。

方法

在欧洲全科医生研究网络(EGPRN)涵盖的 28 个国家的 128 名全科医生中进行了一项简短的问卷调查。我们询问他们是否认识到我们对“警觉感”的描述,以及他们是否在语言中使用了一个典型的短语来表达这种不安的感觉。

结果

我们收到了来自 16 个欧洲国家以及以色列和南非的 30 名全科医生的回复。他们都认识到了我们的描述,25 名全科医生报告了他们自己语言中的典型表达。医生的不安感有时被视为一种身体感觉。

结论

“警觉感”是欧洲普通实践中的一种常见现象。我们建议在进一步的研究报告中使用英语短语“gut feelings”。

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