Abstract：
:Upper gastrointestinal symptoms are a common complaint among the general population but only a small proportion of sufferers seek medical advice. The aim of this study was to examine what kind of perceptions persons using self medication have about the causes of their gastrointestinal symptoms, whether they have made any health-related lifestyle changes, and whether visits to a physician are related to lifestyle changes. A pharmacy-based survey was done in 10 pharmacies in the Helsinki area in 1995. The questionnaire was completed by 292 customers. The response rate was 53%. Respondents in a population-based health interview survey (n = 10,410) were used as a comparison group for poor health-behavior (consumption of tobacco, alcohol, coffee). The most common perceived causes of gastrointestinal symptoms were poor diet, coffee, and stress. Ignorance about possible causes of symptoms was especially common among less educated respondents and among those persons who had never visited a physician due to their symptoms. Respondents were significantly more often smokers and they had attempted to reduce their coffee and alcohol consumption more often than the general population. Those who had visited a physician during past year, less often had poor health-behavior and they had better knowledge about the possible causes of their symptoms. They had also made lifestyle changes more often, but after adjustment for background characteristics, physician visits were positively correlated only with coffee reduction. Counseling about healthy lifestyles, especially about smoking, should be increased in physician consultations and in pharmacies for all patients and customers having gastrointestinal problems.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Sihvo S,Hemminki Edoi
10.1016/s0738-3991(98)00103-7subject
Has Abstractpub_date
1999-05-01 00:00:00pages
55-63issue
1eissn
0738-3991issn
1873-5134pii
S0738-3991(98)00103-7journal_volume
37pub_type
杂志文章abstract：:The substantial health-enhancing potential of physical activity can be realised on population level best if people can incorporate physical activity into their daily life routines. Physically active commuting to and from work provides a promising mode for such activity. In a series of three studies we explored more sp...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(98)00013-5
更新日期：1998-04-01 00:00:00
abstract：OBJECTIVE:Breast cancer is the most common cancer among women worldwide, increasing the relevance of an efficient and successful care process. As length of stay (LOS) in the hospital decreases, patients' satisfaction with the LOS varies. We hypothesize that successful discharge planning can improve this evaluation. ME...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.08.012
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVES:To examine the provision of information by health care providers (HCPs) to fertility patients about accessing psychological resources. METHODS:This study utilized data from a cross-sectional survey of 659 male and female patients seeking fertility treatment at clinics in Toronto and Montreal. Regression ana...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.06.013
更新日期：2018-10-01 00:00:00
abstract：OBJECTIVE:To validate a hypothesized model exploring the influencing pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycosylated hemoglobin (HbA1c) levels in patients with type 2 diabetes (T2DM). METHODS:Overall, 295 patients with T2DM were recruited from five endocrine...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.08.021
更新日期：2016-02-01 00:00:00
abstract：:Using ethnoscience methods, interviews with 50 South Asian women living in Western Canada were conducted and analyzed to explore explanations and images of breast cancer. Embedded in the women's stories of breast cancer were distinctive, often vivid and fear-provoking images of abnormal growth. Explanations about the ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(98)00118-9
更新日期：1999-07-01 00:00:00
abstract：:The purpose of this cross-sectional study is to examine the relationship between social support, coping, and subjective well-being by testing three hypotheses: (1) social support influences subjective well-being via coping; (2) coping influences subjective well-being via social support; (3) there is a reciprocal relat...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(99)00033-6
更新日期：2000-02-01 00:00:00
abstract：OBJECTIVES:Shared decision making (SDM) requires an active role from patients, which might be difficult for some. We aimed to identify what patients need to be ready (i.e., well-equipped and enabled) to participate in SDM about treatment, and what patient- and decision-related characteristics may influence readiness. ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.08.031
更新日期：2020-09-13 00:00:00
abstract：OBJECTIVE:Many express concern that modern medicine fails to provide adequate psychosocial and mental health care. Our educational system has not trained the primary care providers who care for most of these patients. Our objective here is to propose a quantum change: prepare residents and students during all years of ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.09.010
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVE:To investigate the association between the quality of the family physician-patient relationship and frequent attendance of primary and specialist health care. METHODS:Cross-sectional survey of a representative German population sample (N=2.266). Family physician-patient relationship was assessed with the Pat...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.02.009
更新日期：2016-07-01 00:00:00
abstract：:While evidence exists regarding the effectiveness of many health education interventions, few of these evidence-based programs have been systematically or widely disseminated. This paper reports on the dissemination of one such intervention, the 6-week peer-led Chronic Disease Self-Management Program, throughout a lar...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.10.002
更新日期：2005-10-01 00:00:00
abstract：OBJECTIVE:This study explored the impact of breast cancer patients' experiences of physician-patient communication and participation in decision making on patient depression and quality of life three and six months after primary treatment. METHODS:Participants were 135 German breast cancer patients, recruited within a...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.09.005
更新日期：2009-12-01 00:00:00
abstract：OBJECTIVE:Develop a system of practice tools and procedures to prompt shared decision making in primary care. SDM-GRIP (Shared Decision Making Guidance Reminders in Practice) was developed for suspected stable coronary artery disease (CAD), prior to the percutaneous coronary intervention (PCI) decision. METHODS:Progra...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.12.028
更新日期：2011-11-01 00:00:00
abstract：:Randomised evaluations of resources to facilitate informed decisions about prostate cancer screening are rarely conducted. In this study, 421 men recruited from the community were randomly allocated to receive a leaflet (n = 140) or one of two resources meeting criteria for a decision-aid: a video (n = 141) or an evid...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/j.pec.2004.05.011
更新日期：2005-05-01 00:00:00
abstract：:Chronic obstructive pulmonary disease (COPD) is a systemic disease with major impact worldwide. In the treatment of COPD a holistic approach should be taken. In order to reach this, an individual treatment plan should be made which includes at least elements of smoking cessation, optimisation of pulmonary status by ph...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/S0738-3991(03)00095-8
更新日期：2004-03-01 00:00:00
abstract：OBJECTIVE:The 12-item "observing patient involvement" (OPTION(12))-instrument is commonly used to assess the extent to which healthcare providers involve patients in health-related decision-making. The five-item version (OPTION(5)) claims to be a more efficient measure. In this study we compared the Dutch versions of t...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.12.019
更新日期：2016-06-01 00:00:00
abstract：OBJECTIVE:To break new ground by directly examining how patients seek life-expectancy estimates, and how doctors support them in doing so. METHODS:Conversation analytic examination of 10 recorded UK hospice consultations involving 3 palliative specialists. RESULTS:Life-expectancy estimate episodes frequently begin af...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.03.026
更新日期：2019-02-01 00:00:00
abstract：OBJECTIVE:The European Association of Communication in Healthcare (EACH) Early Career Researchers Network (ECRN) aims are to (1) promote international collaboration among young investigators and (2) provide a support network for future innovative communication research projects. In October 2009, Miami, USA at a worksho...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.06.020
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE:This study attempts to identify a structure among patient-related factors that could predict treatment adherence in statin patients, especially with regards to the necessity-concern framework. METHODS:414 Swedish patients using statins completed a questionnaire about their health, treatment, locus of control...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.11.001
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVE:Emotions, are in part conveyed by varying levels of fundamental frequency of voice pitch (f0). This study tests the hypothesis that patients display heightened levels of emotional arousal (f0) during Verona Coding Definitions of Emotional Sequences (VR-CoDES) cues and concerns versus during neutral statements...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.08.003
更新日期：2016-12-01 00:00:00
abstract：OBJECTIVE:Recognising patients' cues and concerns is an important part of patient centred care. With nurses and pharmacists now able to prescribe in the UK, this study compared the frequency, nature, and professionals' responses to patient cues and concerns in consultations with GPs, nurse prescribers and pharmacist pr...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.11.009
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVE:To validate the Norwegian version of MAPPIN'SDM observer scales with regard to reliability, accuracy and the extent to which the scales include the essentials of the shared decision-making concept. METHODS:Three MAPPIN'SDM scales, focusing on the skills of doctor, patient and dyad, were applied to audiovisua...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.10.023
更新日期：2017-03-01 00:00:00
abstract：OBJECTIVE:To analyze large-scale data obtained from telephone cancer consultations and clarify sex differences in the information sought by callers to guide future cancer survivor support. METHODS:We qualitatively analyzed 10,534 cases of telephone consultations with cancer patients. The relationships between callers'...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.05.012
更新日期：2020-05-16 00:00:00
abstract：:Amongst all the long-term complications of diabetes it is believed that foot ulceration and amputation are the most preventable: small studies have suggested that more than 50% of amputations should be avoidable by screening and appropriate education. There is ample evidence that simple non-invasive screening tests ar...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(95)00746-m
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVE:The present study aimed to contribute to the design of effective health education information. Based on cognitive-psychological theory, pictures were expected to improve understanding of two existing textual instructions for using asthma devices (inhaler chamber and peak flow meter). From an analysis of the a...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2005.12.003
更新日期：2006-12-01 00:00:00
abstract：OBJECTIVE:First-degree relatives (FDRs) of people diagnosed with colorectal cancer (CRC) have a two- to threefold increased risk of developing the same disease. Tailored print interventions based on behavior change theories have demonstrated considerable promise in facilitating health-promoting behaviors. This study co...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2008.01.013
更新日期：2008-05-01 00:00:00
abstract：:Patients with diabetes are ultimately responsible for their disease management, but many patients with diabetes do not have the necessary knowledge or skill. Recently developed National Standards for diabetes care include patient education. A nonprobability, convenience sample of 50 patients and 50 staff nurses was se...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(90)90074-u
更新日期：1990-12-01 00:00:00
abstract：OBJECTIVE:Provider communication that supports patient autonomy has been associated with numerous positive patient outcomes. However, to date, no research has examined the relationship between perceived provider communication style and patient-assessed decision quality in breast cancer. METHODS:Using a population-base...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.06.025
更新日期：2016-12-01 00:00:00
abstract：OBJECTIVE:The implementation of patient-centered care (PCC) innovations continues to be poorly understood. We used the implementation effectiveness framework to pilot a method for measuring the impact of a PCC innovation in primary care practices. METHODS:We analyzed data from a prior study that assessed the implement...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.09.009
更新日期：2014-12-01 00:00:00
abstract：OBJECTIVE:Patient engagement has been credited with contributing to improved outcomes and experiences of care. Patient engagement has become a widely used term, but remains a poorly understood concept in healthcare. Citations for the term have increased throughout the healthcare-related disciplines without a common def...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2016.09.002
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:Relatively few studies have tracked retention effects of stroke education in low- and high-risk groups. Such information is important to improve the design of stroke prevention programs. METHODS:The frequency of risk factors within the sample was defined as "high" if 30% or more of participants in that group...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.08.024
更新日期：2009-02-01 00:00:00
