Brody E M, Kleban M H
J Am Geriatr Soc. 1981 Oct;29(10):442-9. doi: 10.1111/j.1532-5415.1981.tb01746.x.
A research study was designed to develop information about the day-to-day symptoms of older persons that often are not reported to professionals. As one aspect of the research, the subjects (N = 132) were asked: 1) if they had had any of a predetermined list of 20 symptoms during the previous month; 2) to whom did they report these symptoms; and 3) if no one had been told, what was the reason for not reporting. About half of the subjects had experienced difficulty in sleeping, tiredness, nervousness, feeling blue, unsteadiness on feet, and forgetfulness. A slight majority told someone (a professional, family member, or friend) about their symptoms, but a large proportion did not tell anyone. Most symptoms (56 percent) were not reported to health professionals. When another person was told, usually the recipient of the information was as likely to be a family member or friend as a professional. Reasons for not telling anyone included: the symptom ws "no big deal"; "nobody cares"; "nothing can be done about it"; and "don't want to bother people." The data are discussed in terms of the implications for health education of older people and family members, and for the attitudes and behaviors of health professionals.
一项研究旨在获取有关老年人日常症状的信息，这些症状通常不会报告给专业人员。作为研究的一个方面，研究对象（N = 132）被问及：1）他们在前一个月是否出现过预先确定的20种症状清单中的任何一种；2）他们向谁报告了这些症状；3）如果没有告诉任何人，不报告的原因是什么。大约一半的研究对象经历过睡眠困难、疲劳、紧张、情绪低落、脚步不稳和健忘。略多数人会向某人（专业人员、家庭成员或朋友）讲述他们的症状，但很大一部分人没有告诉任何人。大多数症状（56%）没有报告给健康专业人员。当告诉其他人时，信息接收者通常是家庭成员或朋友，与专业人员的可能性一样。不告诉任何人的原因包括：症状“没什么大不了的”；“没人关心”；“对此无能为力”；以及“不想麻烦别人”。将根据这些数据对老年人及其家庭成员的健康教育以及健康专业人员的态度和行为的影响进行讨论。
