Afshar Kambiz, Bokhof Beate, Wiese Birgitt, Dierks Marie-Luise, Junius-Walker Ulrike
Institut für Allgemeinmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover, Hannover, Deutschland.
Z Gerontol Geriatr. 2016 Oct;49(7):632-638. doi: 10.1007/s00391-015-0956-2. Epub 2015 Sep 29.
During a doctor-patient consultation patients usually seek information by disclosing their reasons for requesting the encounter. Geriatric assessment allows a proactive examination of patients' overall health and function and provides an opportunity to broach issues beyond the initial purposes of the consultation.
The study aimed at investigating older patients' information seeking behavior following a geriatric assessment and the kind of topics they wished to discuss, taking a variety of patient and health-related factors into account.
A total of 317 patients (≥ 70 years) underwent a geriatric assessment in 40 general practices. Subsequently they obtained a list of the problems uncovered and rated the relevance and information needs for each problem. Analyses consisted of determining the prevalence of information need for each health topic and identifying predictors in a mixed model (multilevel regression analysis).
The 317 patients presented with a median of 11 health problems (interquartile range, IQR 8-14) and 80 % of the patients had information needs concerning only a few of the problems. High information needs were present for physical complaints and for vaccination issues. Little information seeking behavior was evident for unhealthy lifestyles, falls, limitations in daily activities and psychosocial problems. In the mixed model the personal relevance and the type of health problem both had a significant and independent effect on information seeking behavior.
A geriatric assessment generates a moderate need for information. It provides physicians with an opportunity to focus on those health problems that are important to older patients but not usually addressed in normal consultations. This particularly applies to limitations in daily activities and psychosocial problems.
在医患咨询过程中，患者通常会通过透露就诊原因来寻求信息。老年评估有助于主动检查患者的整体健康状况和功能，并提供机会探讨超出咨询初始目的的问题。
本研究旨在调查老年患者在接受老年评估后的信息寻求行为以及他们希望讨论的话题类型，同时考虑各种患者和健康相关因素。
共有317名年龄≥70岁的患者在40家普通诊所接受了老年评估。随后，他们收到了一份所发现问题的清单，并对每个问题的相关性和信息需求进行了评分。分析包括确定每个健康主题的信息需求患病率，并在混合模型（多水平回归分析）中识别预测因素。
317名患者中，健康问题的中位数为11个（四分位间距，IQR 8 - 14），80%的患者仅对少数问题有信息需求。对身体不适和疫苗接种问题的信息需求较高。对于不健康的生活方式、跌倒、日常活动受限和心理社会问题，信息寻求行为较少。在混合模型中，个人相关性和健康问题类型对信息寻求行为均有显著且独立的影响。
老年评估产生了适度的信息需求。它为医生提供了一个机会，使其能够关注那些对老年患者很重要但在常规咨询中通常未涉及的健康问题。这尤其适用于日常活动受限和心理社会问题。
