Gianinazzi F, Bodenmann P, Izzo F, Voeffray Favre A C, Rossi I, Ruiz J
Service de médecine interne, Hôpital d'Yverdon, Yverdon-les-Bains.
Rev Med Suisse. 2010 Jun 9;6(252):1182-4, 1186-7.
Evidence-based medicine has enabled to approach disease in a more rational and scientific way. Clinical research has identified behaviours and risk factors that could cause disease often "silent" at the beginning, such as diabetes. Despite the clear impact of these evidences on public health, it seems that the individual risk perception level remains weak. To mention as well, the health professionals very often have a different views, which makes it difficult to communicate the risk with patients. In this article we describe the principles of risk perception, the diabetes related risk perception concerning cardiovascular complications, and suggest some practical strategies and tools which could improve risk communication in the everyday practice.
循证医学使人们能够以更合理、科学的方式诊治疾病。临床研究已确定了一些行为和风险因素,这些因素可能引发疾病,而疾病在初期往往“悄无声息”,比如糖尿病。尽管这些证据对公众健康有着明显影响,但个体的风险认知水平似乎仍然较低。此外,医疗专业人员的观点往往各不相同,这使得向患者传达风险变得困难。在本文中,我们阐述了风险认知的原则、与心血管并发症相关的糖尿病风险认知,并提出了一些实用策略和工具,这些策略和工具可在日常实践中改善风险沟通。