文章基本信息

标题：The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms
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作者：Vojislav Ivetić ; Klemen Pašić ; Polona Selič 等
期刊名称：Slovenian Journal of Public Health
印刷版ISSN：0351-0026
电子版ISSN：1854-2476
出版年度：2017
卷号：56
期号：2
页码：91-98
DOI：10.1515/sjph-2017-0012
语种：English
出版社：Walter de Gruyter GmbH
摘要：Introduction Medically unexplained symptoms (MUS) are very common in family medicine, despite being a poorly-defined clinical entity. This study aimed to evaluate the effect of an educational intervention (EI) on self-rated quality of life, treatment satisfaction, and the family physician-patient relationship in patients with MUS. Methods In a multi-centre longitudinal intervention study, which was performed between 2012 and 2014, patients were asked to rate their quality of life, assess their depression, anxiety, stress and somatisation, complete the Hypochondriasis Index, the Medical Interview Satisfaction Scale and the Patient Enablement Instrument for assessing the physician-patient relationship, before and after the EI. Results The mean values before and after the intervention showed that after the EI, patients with MUS gave a lower (total) mean rating of their health issues and a higher rating of their quality of life, and they also had a more positive opinion of their relationship with the physician (p<0.05). However, there were no differences in the (total) rating of treatment satisfaction before and after the EI (p=0.423). Significant differences in the symptoms in patients with MUS before and after the intervention were confirmed for stress, somatisation and hypochondriasis (p<0.05). Conclusions It could be beneficial to equip family physicians with the knowledge, skills and tools to reduce hypochondriasis and somatisation in MUS patients, which would improve patients’ self-rated health status.
关键词：medically unexplained symptoms ; family medicine ; educational intervention ; quality of life ; treatment satisfaction ; family physician-patient relationship ; medicinsko nepojasnjena stanja ; družinska medicina ; edukacijska intervencija ; kakovost življenja ; zadovoljstvo bolnikov ; odnos med družinskim zdravnikom in bolnikom