Van Eijk J, Smits A, Huygen F, van den Hoogen H
Department of General Practice, University of Nijmegen, The Netherlands.
Fam Pract. 1988 Dec;5(4):278-82. doi: 10.1093/fampra/5.4.278.
This investigation focuses on the effect of the death of a family member on the number and type of diagnosed illnesses of the remaining members. The data on mortality and morbidity were obtained from a continuous morbidity register. A total of 225 cases of death were selected, involving 313 family members. A control group of 4909 people who had not been confronted with a death of a family member were selected. A comparison of morbidity rates for the two groups showed that morbidity rates, both for minor and serious illnesses, were affected by the death of a family member. Increases in minor illnesses occurred more often when people had been confronted with death after a chronic illness; increases in serious illnesses were mainly found among people confronted with sudden death. Surprisingly, people with nervous disorders in their medical history showed fewer diagnoses for minor illnesses after a sudden death of a family member. An explanation may be found in the basic principles of family medicine.
这项调查聚焦于家庭成员的死亡对其余家庭成员确诊疾病的数量和类型的影响。死亡率和发病率数据来自一份连续发病登记册。共选取了225例死亡病例,涉及313名家庭成员。选取了4909名未遭遇家庭成员死亡的人作为对照组。两组发病率的比较表明,无论是轻症还是重症,发病率均受家庭成员死亡的影响。当人们在慢性病之后遭遇死亡时,轻症的发病率增加更为常见;重症的增加主要出现在遭遇猝死的人群中。令人惊讶的是,有神经紊乱病史的人在家庭成员突然死亡后,轻症的诊断较少。或许可以从家庭医学的基本原则中找到解释。