BOWELS - BELIEFS AND BEHAVIOR
BOWELS - BELIEFS AND BEHAVIOR
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DOI：
10.1093/fampra/3.2.80
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发表时间：
1986-06-01
期刊：
影响因子：
2.2
通讯作者：
FREELING, P
中科院分区：
文献类型：
--
作者：
MACDONALD, L;FREELING, P
来自伦敦全科诊所的 171 名 55 岁及以上患者返回了一份关于肠道功能知识、信念和经验的邮寄调查问卷。在受访者中，10% 的人表示没有可预测的运动频率，其中女性比例高于男性； 79% 的人认为每天运动很重要，90% 的人认为“规律”对于健康是必要的； 14%的人对自己的排便习惯不满意，16%的人定期进行自我治疗； 95% 给出了“常规”和“腹泻”的合理定义；十分之一的人不确定“便秘”的定义。虽然76%的人认为有肠道症状需要立即就医，但98%的人会首先就便秘进行治疗，90%的人会因腹泻而进行治疗，25%的人会因直肠出血而进行治疗。为减少大肠癌诊断的延误，建议鼓励中老年人就肠道功能紊乱进行就诊。医生在检查此类患者时应考虑到恶性肿瘤的诊断。
A postal questionnaire about knowledge, beliefs, and experiences of bowel function was returned by 171 patients aged 55 years and over from a group general practice in London. Of the respondents, 10% reported no predictable frequency of movement, a higher proportion being women than men; 79% believed that a daily movement is important and 90% that ‘regularity’ is necessary for good health; 14% were dissatisfied with their bowel habits and 16% regularly self-treated; 95% gave reasonable definitions of ‘regular’ and ‘diarrhoea’; a tenth were unsure about the definition of ‘constipation’. Although 76% believed there were bowel symptoms which require immediate medical attention, 98% would in the first instance treat themselves for constipation, 90% for diarrhoea, and 25% for rectal bleeding.To reduce delay in the diagnosis of colorectal cancer, it is suggested that consultations for disturbance of bowel function be encouraged among the middle-aged and the elderly. Doctors should examine such patients with the diagnosis of malignancy in mind.