Harsh Jennifer, Hodgson Jennifer, White Mark B, Lamson Angela L, Irons Thomas G
University of Nebraska Medical Center, Omaha, Nebraska, USA
East Carolina University, Greenville, North Carolina, USA.
Qual Health Res. 2016 Jul;26(8):1091-101. doi: 10.1177/1049732315578400. Epub 2015 Mar 23.
Patients who present with medically unexplained illnesses or medically unexplained symptoms (MUI/S) tend to be higher utilizers of health care services and have significantly greater health care costs than other patients, which add stress and strain for both the patient and provider. Although MUI/S are commonly seen in primary care, there is not sufficient information available regarding how providers can increase their level of confidence and decrease their level of frustration when working with patients who present with MUI/S. The goal of this article is to present findings from a qualitative phenomenology study, which highlights medical residents' experiences of caring for patients with MUI/S and the personal and professional factors that contributed to their clinical approaches. Results from these studies indicate that residents often experience a lack of confidence in their ability to effectively treat patients with MUI/S, as well as frustration surrounding their encounters with this group of patients.
患有医学上无法解释的疾病或症状(MUI/S)的患者往往比其他患者更多地使用医疗保健服务,且医疗保健成本显著更高,这给患者和医疗服务提供者都带来了压力。虽然MUI/S在初级保健中很常见,但关于医疗服务提供者在与患有MUI/S的患者打交道时如何提高信心水平并减少挫败感,目前尚无足够信息。本文的目的是展示一项定性现象学研究的结果,该研究突出了住院医师护理患有MUI/S患者的经历以及促成其临床方法的个人和专业因素。这些研究结果表明,住院医师在有效治疗患有MUI/S的患者方面往往缺乏信心,并且在与这类患者接触时会感到沮丧。