Klein L E, German P S, Levine D M, Feroli E R, Ardery J
Arch Intern Med. 1984 Jun;144(6):1185-8.
When patients ascribe adverse symptoms to their medications, the medical care process can be affected. To investigate how often medical outpatients link various adverse symptoms with their medications and to learn what actions they take in response, 299 randomly selected medical outpatients were interviewed. Thirty percent of the subjects identified at least one medication as causing an undesirable symptom. Subjects 65 years or older attributed a lower mean number of adverse symptoms to their medications than did younger subjects. Subjects rarely reported modifying their medication regimens due to adverse symptoms, a finding supported by multiple regression analysis. Approximately one in four subjects did not discuss their symptoms with their providers. These results have important implications for medical care in general, and for the elderly in particular.
当患者将不良症状归因于他们所服用的药物时，医疗过程可能会受到影响。为了调查门诊患者将各种不良症状与他们所服用药物联系起来的频率，并了解他们采取了哪些应对措施，研究人员对299名随机挑选的门诊患者进行了访谈。30%的受试者认为至少有一种药物导致了不良症状。65岁及以上的受试者认为其服用药物导致的不良症状的平均数量低于年轻受试者。受试者很少因不良症状而报告调整其用药方案，多元回归分析也证实了这一发现。约四分之一的受试者没有与他们的医疗服务提供者讨论过他们的症状。这些结果对一般医疗护理，尤其是对老年人的医疗护理具有重要意义。
