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Int J Behav Med. 2010 Sep;17(3):182-8. doi: 10.1007/s12529-009-9058-0.
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疑病态度和信念、对补充替代医学的态度以及现代健康担忧可预测患者满意度。

Hypochondriacal attitudes and beliefs, attitudes towards complementary and alternative medicine and modern health worries predict patient satisfaction.

作者信息

Fionda Sofia, Furnham Adrian

机构信息

Research Department of Clinical, Educational and Health Psychology, University College London, 26 Bedford Way, London WC1H 0AP, UK.

出版信息

JRSM Open. 2014 Nov 4;5(11):2054270414551659. doi: 10.1177/2054270414551659. eCollection 2014 Nov.

DOI:10.1177/2054270414551659
PMID:25408919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4229056/
Abstract

OBJECTIVE

To investigate how hypochondriacal attitudes and beliefs, attitudes towards complementary and alternative medicine (CAM) and modern health worries (MHWs) related to patient satisfaction with their general practitioner.

DESIGN

Participants completed a five-part questionnaire anonymously which measured satisfaction with one's doctor, hypochondriacal beliefs, attitudes to CAM, MHWs and personality.

SETTING

England.

PARTICIPANTS

Included 215 adults from a variety of cultural backgrounds.

MAIN OUTCOME MEASURE

The Illness Attitudes Scales measuring the attitudes, fears and beliefs associated with hypochondriasis; Worry about Illness; Concerns about Pain, Health Habits, Hypochondriacal beliefs; Thanatophobia, Disease phobia, Bodily preoccupations; Treatment experience and Effects of symptoms.

RESULTS

Correlations (around r = .10 to .25) and Regressions (R square from .06 to .09) showed demographic and personality variables only modestly related to patient satisfaction. Hypochondriasis, CAM and MHWs were associated with greater patient dissatisfaction as predicted with the former as the most powerful correlate.

CONCLUSION

The study indicates the different needs of potential patients in a typical medical consultation. It is important to ascertain patients' health beliefs and practices with regard to medical history, attitudes to CAM and MHWs to increase consultation satisfaction.

摘要

目的

探讨疑病态度和信念、对补充和替代医学（CAM）的态度以及现代健康担忧（MHWs）与患者对全科医生满意度之间的关系。

设计

参与者匿名完成一份由五部分组成的问卷，该问卷测量了对医生的满意度、疑病信念、对CAM的态度、MHWs和个性。

地点

英国。

参与者

包括215名来自不同文化背景的成年人。

主要观察指标

疾病态度量表，用于测量与疑病症相关的态度、恐惧和信念；对疾病的担忧；对疼痛、健康习惯、疑病信念的关注；对死亡恐惧、疾病恐惧、身体关注；治疗经历和症状影响。

结果

相关性（约r = 0.10至0.25）和回归分析（决定系数从0.06至0.09）表明，人口统计学和个性变量与患者满意度仅有适度关联。正如预期的那样，疑病症、CAM和MHWs与患者更高的不满相关，其中疑病症是最有力的关联因素。

结论

该研究表明了典型医疗咨询中潜在患者的不同需求。在病史方面确定患者的健康信念和做法、对CAM的态度以及MHWs对于提高咨询满意度很重要。