Stensland P, Malterud K
Sogndal Health Centre, Norway.
Scand J Prim Health Care. 1997 Dec;15(4):175-9. doi: 10.3109/02813439709035023.
To present the development of a clinical communicative method based on illness diaries.
Action research with qualitative evaluation of experiences leading to the clinical method.
The practice of one of the authors.
16 patients with long-standing illness without clinical findings.
Description of the illness diary method grounded in patients' and doctor's experiences.
The illness diary method includes the following approach: The patient presents his symptoms and the doctor may suggest the use of an illness diary. Together, they shape the format of the diary and identify items to be included. The patient uses the diary for home notes between consultations. The notes constitute the frame for a fresh dialogue about the complaints in the next consultation. The method has gradually been elaborated according to utilization experiences on an interactional level, leading to a more specific presentation of the method and how it can be used.
An illness diary and the subsequent doctor-patient interaction can be a feasible tool to expand the gateways to dialogue in general practice.
介绍一种基于疾病日记的临床沟通方法的发展情况。
采用行动研究法，并对形成该临床方法的经验进行定性评估。
其中一位作者的诊所。
16例患有慢性病但无临床症状的患者。
基于患者和医生经验对疾病日记方法的描述。
疾病日记方法包括以下步骤：患者陈述其症状，医生可建议使用疾病日记。他们共同确定日记的格式并确定要包含的项目。患者在会诊期间使用日记记录家中情况。这些记录构成了下次会诊时就主诉展开新对话的框架。该方法已根据互动层面的使用经验逐步完善，从而更具体地呈现了该方法及其使用方式。
疾病日记及随后的医患互动可以成为扩大全科医疗中对话渠道的可行工具。
