THE PREVALENCE OF SYMPTOMS IN MEDICAL OUTPATIENTS AND THE ADEQUACY OF THERAPY
THE PREVALENCE OF SYMPTOMS IN MEDICAL OUTPATIENTS AND THE ADEQUACY OF THERAPY
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DOI：
10.1001/archinte.150.8.1685
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发表时间：
1990-08-01
影响因子：
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通讯作者：
MANGELSDORFF, AD
中科院分区：
文献类型：
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作者：
KROENKE, K;ARRINGTON, ME;MANGELSDORFF, AD
常见症状是造成病人残疾和利用保健服务的主要原因。为了确定15种症状的患病率和治疗的充分性，对500名门诊病人进行了调查。410名受访者指出了哪些症状是“主要问题”，以及哪些治疗（如果有的话）是有帮助的。每种症状至少有10%的患者存在，最常见的症状是疲劳（33%）和背痛（32%）。患者分为三组：140例无症状或单一症状，135例报告2或3个症状，135例有4个或更多症状。这些症状中的大多数（77%）以前曾报告给医生。虽然80%的疼痛综合征和胃肠道疾病患者获得了一些治疗益处，但只有39%的疲劳、呼吸困难、头晕、失眠、性功能障碍、抑郁和焦虑患者报告有任何缓解。对于这些常见的门诊投诉，需要更好的治疗。
Common symptoms account for substantial patient disability and health services utilization. To determine the prevalence of 15 symptoms and the adequacy of therapy, 500 medical outpatients were surveyed. The 410 respondents indicated which symptoms were "major problems" and what therapy, if any, had been helpful. Each symptom was present in at least 10% of patients, with the most prevalent symptoms being fatigue (33%) and back pain (32%). Patients were clustered into three groups: 140 were asymptomatic or monosymptomatic, 135 reported 2 or 3 symptoms, and 135 had 4 or more symptoms. The majority (77%) of these symptoms had been previously reported to a physician. Whereas 80% of patients with pain syndromes and gastrointestinal complaints had obtained some therapeutic benefit, only 39% of the individuals with fatigue, dyspnea, dizziness, insomnia, sexual dysfunction, depression, and anxiety reported any relief. Better therapy is needed for these common outpatient complaints.