Yaffe M J, Stewart M A
Med Care. 1985 Nov;23(11):1276-82. doi: 10.1097/00005650-198511000-00006.
Because individuals who deal effectively with life events may be healthier, doctors may need to be aware of the important events in their patients' lives. This study was designed to document the actual level of awareness that 20 community family practitioners had of their middle-aged patients' life events. A total of 116 patients completed a life events questionnaire when they visited their family doctors. The physicians completed a similar questionnaire for each patient. A comparison between the patients' and physicians' responses provided the measure of doctors' awareness. Doctors were found to be aware of approximately 25% of all patients' life events. Awareness was inversely associated with patients' self-reliance and directly associated with age of patients and with those events having a negative effect. The observed level of knowledge may be unacceptably low, in which case physicians must find ways to improve their knowledge. Alternatively, this level of knowledge may be realistic, given that some patients may not need to discuss their life events, particularly self-reliant patients or patients experiencing events that did not affect them negatively. If this is the case, family physicians need to find ways of determining the patients and events for which their knowledge would be helpful.
由于能够有效应对生活事件的个体可能更健康，医生或许需要了解患者生活中的重要事件。本研究旨在记录20名社区家庭医生对中年患者生活事件的实际了解程度。共有116名患者在就诊时填写了生活事件问卷。医生为每位患者填写了一份类似的问卷。通过比较患者和医生的回答来衡量医生的了解程度。结果发现，医生了解所有患者约25%的生活事件。了解程度与患者的自立程度呈负相关，与患者年龄以及具有负面影响的事件呈正相关。观察到的了解水平可能低得令人无法接受，在这种情况下，医生必须设法提高自己的了解程度。或者，鉴于一些患者可能无需讨论他们的生活事件，尤其是自立的患者或经历的事件未对其产生负面影响的患者，这个了解水平可能是现实的。如果是这种情况，家庭医生需要找到方法来确定哪些患者和事件是他们的了解会有帮助的。
