Lee M G, Soyibo K, Garro I O, Phillips N, Dale B
Department of Medicine, U.W.I. Jamaica.
West Indian Med J. 1995 Jun;44(2):58-9.
In the management and prevention of recurrence of peptic ulcer disease, patients' awareness of their disorder is essential. Fifty-one patients with peptic ulcer disease were studied regarding their awareness of their disorder and compliance with medications. There were 30 women and 21 men with a mean age of 45 years. Thirty-five per cent had secondary school education; 22% had tertiary training and 10% had no formal education. Sixty-three per cent of patients knew their ulcer location but 37% were unaware of their diagnosis. Twenty-nine per cent received most of their information from their pharmacists. Twenty per cent of patients smoked cigarettes; 31% drank alcohol, and 14% took non-steroidal analgesics. Seventy-six per cent thought that poor eating habits were a contributory cause of their ulcer; 39% thought that stress was a cause and 16% implicated heredity. Seventy-six per cent of patients took their medications daily, and 24% only when symptomatic. Jamaican patients' awareness of their ulcer disease is inadequate. There is a need for more physician education of their patients as well as public health promotion about peptic ulcer disease.
在消化性溃疡疾病的管理和复发预防中，患者对自身疾病的认知至关重要。对51例消化性溃疡疾病患者的疾病认知和药物依从性进行了研究。其中有30名女性和21名男性，平均年龄45岁。35%的患者接受过中学教育；22%接受过高等教育，10%未接受过正规教育。63%的患者知道自己溃疡的位置，但37%的患者不知道自己的诊断情况。29%的患者主要从药剂师那里获取信息。20%的患者吸烟；31%的患者饮酒，14%的患者服用非甾体类镇痛药。76%的患者认为不良饮食习惯是导致其溃疡的一个原因；39%的患者认为压力是一个原因，16%的患者认为与遗传有关。76%的患者每天服药，24%的患者仅在有症状时服药。牙买加患者对其溃疡疾病的认知不足。需要加强医生对患者的教育以及开展关于消化性溃疡疾病的公共卫生宣传。
