Jones P K, Jones S L, Katz J
Department of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University, Cleveland, Ohio 44106-2333.
Ann Emerg Med. 1990 Jan;19(1):16-20. doi: 10.1016/s0196-0644(05)82133-x.
A randomized trial was used to evaluate two forms of a health belief model (HBM) intervention aimed at increasing compliance among 139 patients with urinary tract infections who presented to the emergency department. Patients who received an HBM clinical intervention administered in the ED, HBM telephone intervention two to four days after the ED visit, or both interventions were much more likely than control patients to both schedule and keep a follow-up referral appointment. Both the clinical and telephone interventions were designed to increase perceived susceptibility to complications of the urinary tract infection, seriousness of the complications, and benefits and costs of action. Other factors predicting compliance include age of the patient, urgency of the urinary tract infection as rated subjectively by the emergency physician, need for child care, whether transportation was available, and questioning the nurse about the referral appointment.
一项随机试验用于评估两种形式的健康信念模型（HBM）干预措施，旨在提高139名到急诊科就诊的尿路感染患者的依从性。在急诊科接受HBM临床干预、在急诊科就诊后两到四天接受HBM电话干预或接受两种干预措施的患者比对照组患者更有可能安排并遵守后续转诊预约。临床干预和电话干预均旨在提高对尿路感染并发症的易感性认知、并发症的严重性以及行动的益处和成本。其他预测依从性的因素包括患者年龄、急诊科医生主观评定的尿路感染紧急程度、是否需要儿童护理、是否有交通工具以及向护士询问转诊预约情况。
