Berg A O
Med Care. 1980 May;18(5):551-5. doi: 10.1097/00005650-198005000-00007.
The purpose of this study was to identify common acute symptoms that were significantly related to the decision to seek medical care. Data were from the Seattle Virus Watch, a 4-year study of 149 young families designed to monitor viral infection, regardless of medical care contact. Illness diaries were maintained by the families and checked for accuracy every 2 weeks during home visits by study personnel. Age sex, family unit, medical contact, duration and presence or absence of 80 symptoms in 17 categories were recorded for each illness. In 11,583 person-months of observation, 3,929 illness records were compiled. Using physician contact as the dependent variable and the illness information as independent variables, a series of discriminant analyses were performed on a 50% random sample of illnesses. Success of each analysis was tested on the remainder of the illnesses. Fever and ear symptoms were significant predictors in all age groups and cough was significant in four of five age groups. These symptoms are suggested as logical choices for health education programs in self-care of acute illnesses.
本研究的目的是确定与寻求医疗护理决策显著相关的常见急性症状。数据来自西雅图病毒监测项目，这是一项针对149个年轻家庭开展的为期4年的研究，旨在监测病毒感染情况，无论其是否有医疗护理接触。家庭记录疾病日记，研究人员在每次家访时每两周检查一次日记的准确性。每次生病时记录年龄、性别、家庭单位、医疗接触情况、病程以及17类80种症状的有无。在11583人月的观察期内，共整理出3929份疾病记录。以是否联系医生作为因变量，疾病信息作为自变量，对50%的随机抽取的疾病样本进行了一系列判别分析。每次分析的结果在其余疾病样本上进行检验。发热和耳部症状在所有年龄组中都是显著的预测因素，咳嗽在五个年龄组中的四个组中是显著的预测因素。这些症状被建议作为急性疾病自我护理健康教育项目的合理选择。
