Brody D S, Miller S M
Med Care. 1986 Aug;24(8):742-8. doi: 10.1097/00005650-198608000-00009.
Fifty ambulatory upper respiratory tract infection patients were studied to evaluate the nature of their illness concerns and explore the relationship between these concerns and subsequent recovery. Thirty-four patients still had URI-related symptoms 1 week after their medical visit, whereas 16 were asymptomatic. In general, asymptomatic patients could not be distinguished from symptomatic patients in terms of demographic variables, symptom type or duration, initial level of health concerns, physician findings, culture results, or therapy. Further, both groups exhibited surprisingly high levels of initial concern. Asymptomatic patients had a significantly greater reduction in these concerns shortly after their visit than the symptomatic group (P less than 0.01). Asymptomatic patients also reported more benefit from discussion of their concerns (P less than 0.01) and more satisfaction with this aspect of their care than the symptomatic group (P less than 0.001). The notion of illness concerns appears to be a concept worthy of clinical consideration and further investigation.
对50例门诊上呼吸道感染患者进行了研究，以评估他们对疾病的担忧性质，并探讨这些担忧与后续康复之间的关系。34例患者在就诊1周后仍有与上呼吸道感染相关的症状，而16例无症状。总体而言，在人口统计学变量、症状类型或持续时间、最初的健康担忧程度、医生检查结果、培养结果或治疗方面，无症状患者与有症状患者无法区分。此外，两组患者最初的担忧程度都出奇地高。无症状患者在就诊后不久这些担忧的减轻程度明显大于有症状组（P小于0.01）。无症状患者还报告说，讨论他们的担忧让他们受益更多（P小于0.01），并且在护理的这方面比有症状组更满意（P小于0.001）。疾病担忧的概念似乎是一个值得临床考虑和进一步研究的概念。
