哮喘患者的日记记录：书面记录与电子记录方法的比较
Diary keeping in asthma: comparison of written and electronic methods.
作者信息
Hyland M E, Kenyon C A, Allen R, Howarth P
机构信息
Department of Psychology, University of Plymouth.
出版信息
BMJ. 1993 Feb 20;306(6876):487-9. doi: 10.1136/bmj.306.6876.487.
OBJECTIVE
To determine the extent to which symptom diaries of asthmatic patients are inaccurate or based on retrospective recall.
DESIGN
Comparison of electronic and pencil and paper diaries. Both forms were completed twice daily at home for 14 days.
SETTING
Outpatient clinic.
SUBJECTS
24 asthmatic outpatients also tested for severity of asthma and for anxiety.
RESULTS
More sessions were missed in the evening than in the morning for both types of diaries. Significantly more retrospective entries were made in the evening (26 entries, 14 patients) than in the morning (6 entries, 3 patients). Discrepant entries of peak expiratory flow accounted for 15% of those made on the appropriate day, and three quarters of patients made at least one discrepant entry. Variation in peak expiratory flow was significantly related to number of discrepancies and number of missing days, and anxiety score was significantly related to number of missing days. About a fifth of written entries may have errors.
CONCLUSION
Poor diary completion may result from having unreasonable expectations of patients and giving incomplete instructions. Electronic, time coded diaries could ensure better quality of records.
目的
确定哮喘患者症状日记不准确或基于回顾性回忆的程度。
设计
电子日记与纸质日记的比较。两种形式均在家中每天填写两次，持续14天。
地点
门诊诊所。
研究对象
24名哮喘门诊患者，同时还对其哮喘严重程度和焦虑情况进行了测试。
结果
两种类型的日记中，晚上漏填的次数均多于早上。晚上进行的回顾性记录（26条记录，14名患者）明显多于早上（6条记录，3名患者）。呼气峰值流速的差异记录占当天相应记录的15%，四分之三的患者至少有一条差异记录。呼气峰值流速的变化与差异记录的数量和漏填天数显著相关，焦虑评分与漏填天数显著相关。约五分之一的书面记录可能存在错误。
结论
日记填写不佳可能是由于对患者期望不合理以及说明不完整所致。电子时间编码日记可确保记录质量更高。
Zotero 插件