Stoller E P, Forster L E, Pollow R, Tisdale W A
Department of Sociology, SUNY-Plattsburgh 12901.
Health Educ Q. 1993 Winter;20(4):505-22. doi: 10.1177/109019819302000410.
This paper examines the appropriateness of lay evaluations of potential risk of symptoms among a sample of 667 elderly people living in community settings. Data were gathered through personal interviews and 3 weeks of structured health diaries in which older respondents recorded the symptoms they experienced. Potential medical risk was determined on a symptom by symptom basis based on clinical information gathered during the interviews. Almost three fourths of the respondents exhibited potential clinical risk for at least one symptom they experienced during the 3-week diary period. One in eight respondents was judged at risk yet gave no evidence of physician consultation, either during or prior to the diary period. Implications of these results for health education designed to improve consultation decisions among elderly people are discussed.
本文调查了667名居住在社区的老年人对症状潜在风险进行非专业评估的合理性。数据通过个人访谈以及为期3周的结构化健康日记收集，老年受访者在日记中记录他们所经历的症状。根据访谈期间收集的临床信息，逐一对症状的潜在医疗风险进行判定。近四分之三的受访者在为期3周的日记记录期内，至少对一种所经历的症状表现出潜在临床风险。八分之一的受访者被判定有风险，但在日记记录期内或之前均未显示有咨询医生的迹象。文中讨论了这些结果对旨在改善老年人咨询决策的健康教育的启示。
