对30家普通诊所中癫痫患者管理情况的一项审计。
An audit of the management of patients with epilepsy in thirty general practices.
作者信息
Cooper G L, Huitson A
出版信息
J R Coll Gen Pract. 1986 May;36(286):204-8.
Abstract
An audit of the management of epilepsy in 30 general practices is presented. A total of 377 patients from widely dispersed practices in the UK independently completed questionnaires which mirrored similar questionnaires answered by their doctors. A lack of detailed awareness by the doctor of how epilepsy was affecting the patient was detected. Many patients were found to have difficulty in communicating anxieties and problems associated with the disease to their general practitioner. Use of drug monotherapy and anticonvulsant blood level monitoring was sub-optimal. This multi-centre study supports previous single-centre reports of certain deficiencies in long-term management of epilepsy in general practice.
摘要
本文呈现了一项对30家普通诊所癫痫管理情况的审计。来自英国广泛分布诊所的377名患者独立完成了问卷，这些问卷与他们医生所回答的类似问卷相对应。研究发现医生对癫痫如何影响患者缺乏详细了解。许多患者在向全科医生表达与该疾病相关的焦虑和问题时存在困难。药物单一疗法和抗惊厥药血药浓度监测的使用并不理想。这项多中心研究支持了先前关于普通诊所癫痫长期管理中某些不足之处的单中心报告。
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本文引用的文献
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A survey of epilepsy in fourteen general practices. II. Social and psychological aspects.十四家普通医疗机构的癫痫调查。II. 社会与心理层面
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The management of epilepsy-an audit of two practices.
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Diagnostic decision. The measurement of anticonvulsant agent levels.诊断决策。抗惊厥药物水平的测定。
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Epileptic seizures in a population of 6000. I: Demography, diagnosis and classification, and role of the hospital services.6000人群中的癫痫发作。I：人口统计学、诊断与分类以及医院服务的作用。
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One drug for epilepsy.一种治疗癫痫的药物。
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