Bobo L, Miller S T, Smith W R, Elam J T, Rosmarin P C, Lancaster D J
Department of Medicine, University of Tennessee College of Medicine, Memphis 38163.
South Med J. 1989 Jan;82(1):9-12. doi: 10.1097/00007611-198901000-00004.
Inner-city adults (n = 108) with a chronic disease (sickle cell disease or asthma) and their unaffected siblings (n = 50) were interviewed and ratings of health perceptions and opinions about medical care were compared. Persons with a chronic disease reported unfavorable ratings of their health (P less than .001). Their siblings reported moderately favorable health perceptions but much worry and concern about their health. When compared with the asthma subgroup, persons with sickle cell disease reported more adverse ratings of health outlook susceptibility to illness, sickness orientation, humaneness of medical care, and satisfaction with medical care (P less than .05). These observations demonstrate low health perceptions in adults with two chronic medical conditions and more negative perceptions in persons with sickle cell disease. They indicate possible opportunities for improving medical care for patients with these conditions to achieve better perceptions of health, outlook, and medical services.
对患有慢性疾病（镰状细胞病或哮喘）的市中心成年人（n = 108）及其未患病的兄弟姐妹（n = 50）进行了访谈，并比较了他们对健康的认知评级以及对医疗护理的看法。患有慢性疾病的人对自己的健康给出了负面评级（P < .001）。他们的兄弟姐妹报告了适度良好的健康认知，但对自己的健康非常担忧。与哮喘亚组相比，镰状细胞病患者对健康前景、患病易感性、患病倾向、医疗护理的人性化程度以及对医疗护理的满意度给出了更负面的评级（P < .05）。这些观察结果表明，患有两种慢性疾病的成年人健康认知较低，而镰状细胞病患者的认知更消极。它们表明有可能改善对这些疾病患者的医疗护理，以实现对健康、前景和医疗服务更好的认知。
