Common Medical Terms Defined by Parents: Are We Speaking the Same Language?
Common Medical Terms Defined by Parents: Are We Speaking the Same Language?
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父母定义的常见医学术语：我们说的是同一种语言吗？
DOI：
10.1097/01.pec.0000144918.00995.8a
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发表时间：
2004
影响因子：
1.4
通讯作者：
J. Gonzalez
中科院分区：
文献类型：
--
作者：
M. Gittelman;E. M. Mahabee;J. Gonzalez
目的：医生通常假设患者理解经常使用的医学词汇，并且患者管理可以基于这些假设。这项研究的目的是确定公众对经常使用的医学术语的定义。方法：一个横断面的便利性调查进行了儿童的监护人提出的城市儿科急诊科。口头完成，开放式问卷包括父母的人口统计信息和他们的定义11常用的医学术语。所选的词汇代表了我们急诊科常见的主诉。对定义进行分组，选择75%的一致率来考虑相似的反应。结果：122名监护人完成了调查（89%的父母，88%的女性，55%的高中毕业生）。护理人员对腹泻、便秘、脱水、发烧和癫痫的定义达成一致。然而，腹泻和便秘主要由粪便的稠度或频率来定义，而不是两者兼而有之。脱水被适当地定义为缺乏体液（92%），但许多父母很难识别一个以上的脱水迹象。发烧被认为是体温升高（76%），但69%的人认为低于100.5°F的温度被认为是发烧。大多数受访者不知道脑膜炎（70%），嗜睡（64%）和病毒（40%）的定义。结论：虽然在日常对话中经常使用，但护理人员的看法和医疗术语的实际定义之间似乎存在很大的差异。更准确的沟通可能有助于双方了解真实情况。
Objectives: Physicians often assume that a patient understands frequently utilized medical words and patient management may be based on these assumptions. The objective of this study was to determine the public's definition of regularly used medical terminology. Methods: A cross-sectional convenience survey was conducted for guardians of children presenting to an urban pediatric emergency department. The orally completed, open-ended questionnaire included parental demographic information and their definition of eleven commonly used medical terms. The words chosen represent common chief complaints given in our emergency department. Definitions were grouped, and a concordance rate of 75% was chosen to consider responses similar. Results: One hundred twenty-two guardians completed the survey (89% parents, 88% female, and 55% high school graduates). Caregivers agreed on the definitions of diarrhea, constipation, dehydration, fever, and seizure. However, diarrhea and constipation were mainly defined by either stool consistency or frequency, not both. Dehydration was appropriately defined as lack of body fluids (92%), but many parents had difficulty identifying more than one sign of dehydration. Fever was thought to be an elevated body temperature (76%), yet 69% felt that a temperature less than 100.5°F was considered a fever. Most respondents did not know the definitions of meningitis (70%), lethargy (64%), and virus (40%). Conclusions: Although commonly used in everyday conversation, there seems to be a large disparity between a caregiver's perception and the actual definition of medical terms. More precise communication may help both parties to understand the true situation.