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了解头晕患者:对诊断、医疗服务提供者及治疗态度的横断面分析

Understanding Dizzy Patients a Cross-Sectional Analysis of Attitudes toward Diagnosis, Providers, and Treatment.

作者信息

Chiao Whitney, Krauter Roseanne, Kirk Laura, Steenerson Kristen, Pasquesi Lauren, Sharon Jeffrey

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, MN, USA.

Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, CA, USA.

出版信息

Ann Otol Rhinol Laryngol. 2022 Apr;131(4):352-359. doi: 10.1177/00034894211022095. Epub 2021 Jun 4.

DOI:10.1177/00034894211022095
PMID:34085539
Abstract

OBJECTIVE

To evaluate patients' attitudes regarding their dizziness, provider capabilities, and receptiveness toward treatment.

STUDY DESIGN

Cross-sectional study.

SETTING

Tertiary care vestibular clinic.

PATIENTS

Ages 18 years or older, fluent in English, and who presented with a chief complaint of dizziness or vertigo.

INTERVENTION(S): N/A.

MAIN OUTCOMES MEASURE(S): Non-validated questionnaire surveying patients' beliefs regarding the cause of their dizziness, likelihood of successful treatment, and openness to various treatment modalities.

RESULTS

Patients were asked to complete an online non-validated survey regarding their dizziness prior to being evaluated in neurotology clinic. About 67 surveys were completed between January 2017 and September 2018. A majority of patients attributed their dizziness to their ears (n = 47, 70%), followed by the brain (n = 29, 43%). Most subjects chose "neither agree nor disagree" about whether their provider could identify the cause of their dizziness (27%). Most subjects also chose "neither agree nor disagree" that their dizziness would resolve with treatment (31%). These attitudes were not influenced by demographics, dizziness severity, anxiety, depression, or quality of life on multivariate ordinal regression modeling.

CONCLUSIONS

Patients who experience dizziness have neutral attitudes with regards to believing that their provider will be able to identify the cause of their dizziness and whether their dizziness will resolve with treatment. These neutral attitudes are experienced by a plurality of patients and do not differ by demographic information, dizziness handicap, quality of life, depression, or anxiety.

摘要

目的

评估患者对自身头晕症状、医疗服务提供者的能力以及对治疗的接受程度的态度。

研究设计

横断面研究。

研究地点

三级医疗前庭诊所。

患者

年龄在18岁及以上,英语流利,且以头晕或眩晕为主诉前来就诊。

干预措施

无。

主要观察指标

一项未经验证的问卷调查,了解患者对头晕病因、治疗成功可能性以及对各种治疗方式的接受程度的看法。

结果

患者在神经耳科诊所接受评估前,被要求完成一份关于其头晕症状的在线未经验证的调查问卷。在2017年1月至2018年9月期间,共完成了约67份调查问卷。大多数患者将头晕归因于耳朵(n = 47,70%),其次是大脑(n = 29,43%)。大多数受试者对于医疗服务提供者能否确定其头晕病因选择“既不同意也不反对”(27%)。大多数受试者对于头晕是否会通过治疗得到缓解也选择“既不同意也不反对”(31%)。在多变量有序回归模型中,这些态度不受人口统计学、头晕严重程度、焦虑、抑郁或生活质量的影响。

结论

经历头晕的患者对于医疗服务提供者能否确定其头晕病因以及头晕是否会通过治疗得到缓解持中立态度。这些中立态度在众多患者中存在,且不因人口统计学信息、头晕障碍、生活质量、抑郁或焦虑而有所不同。

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