Johnson S S
J Fam Pract. 1979 Nov;9(5):877-83.
This paper presents the results of a survey of the hypertensive patient population in a university family medicine practice to determine health beliefs, patient perceptions of the severity of their condition, stated levels of compliance to drug regimens, frequency of drug side effects, and frequency of physician discussions of drug side effects and diet. Health beliefs were then associated with diastolic hypertension and increase in medication dosage over a four-month period. Results of the survey sharpen the focus of patient education efforts by the family physician on specific attitudes, beliefs, and treatment issues which are most appropriate for the hypertensive patient. The physician may improve his/her management of hypertensive patients by: (1) anticipating prevalent myths and misconceptions which patients have concerning hypertension; (2) alleviating patient anxiety by stressing that control of blood pressure decreases the likelihood of complications; (3) effectively communicating to each patient the current status of his/her condition at each visit; and (4) initiating discussion of side effects through direct questioning for those effects most frequently seen.
本文介绍了一项针对大学家庭医学诊所高血压患者群体的调查结果，以确定健康观念、患者对自身病情严重程度的认知、所述药物治疗方案的依从水平、药物副作用的发生频率以及医生讨论药物副作用和饮食的频率。然后将健康观念与舒张期高血压以及四个月期间药物剂量的增加联系起来。调查结果使家庭医生对患者的教育工作更聚焦于高血压患者最适合的特定态度、观念和治疗问题。医生可以通过以下方式改善对高血压患者的管理：（1）预见到患者对高血压普遍存在的误解和错误观念；（2）强调控制血压可降低并发症发生的可能性，从而减轻患者焦虑；（3）每次就诊时有效地向每位患者传达其病情的当前状况；（4）通过直接询问最常见的副作用来展开关于副作用的讨论。
