The burden of persistent symptom diagnoses in primary care patients: a cross-sectional study.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-03-01 Epub Date: 2024-02-07 DOI:10.1080/02813432.2023.2293930

Asma Chaabouni, Juul Houwen, Georg Grewer, Martin Liebau, Reinier Akkermans, Kees van Boven, Iris Walraven, Henk Schers, Tim Olde Hartman

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引用次数: 0

Abstract

Introduction: The burden of symptoms is a subjective experience of distress. Little is known on the burden of feeling unwell in patients with persistent symptom diagnoses. The aim of this study was to assess the burden in primary care patients with persistent symptom diagnoses compared to other primary care patients.

Methods: A cross-sectional study was performed in which an online survey was sent to random samples of 889 patients with persistent symptom diagnoses (>1 year) and 443 other primary care patients after a transactional identification in a Dutch primary care data registry. Validated questionnaires were used to assess the severity of symptoms (PHQ-15), Symptom Intensity and Symptom Interference questionnaires, depression (PHQ-9), anxiety (GAD-7), quality of life (SF-12 and EQ-5D-5L)) and social functioning (SPF-ILs).

Results: Overall, 243 patients completed the survey: 178 (73.3%) patients in the persistent symptom diagnoses group and 65 (26.7%) patients in the control group. In the persistent group, 65 (36.5%) patients did not have persistent symptom(s) anymore according to the survey response. Patients who still had persistent symptom diagnoses (n = 113, 63.5%) reported significantly more severe somatic symptoms (mean difference = 3.6, [95% CI: 0.24, 4.41]), depression (mean difference = 3.0 [95% CI: 1.24, 3.61]) and anxiety (mean difference = 2.3 [95% CI: 0.28, 3.10]) and significantly lower physical functioning (mean difference = - 6.8 [95% CI: -8.96, -3.92]).

Conclusion: Patients with persistent symptom diagnoses suffer from high levels of symptoms burden. The burden in patient with persistent symptoms should not be underestimated as awareness of this burden may enhance person-centered care.

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初级保健患者持续症状诊断的负担：一项横断面研究。

简介症状负担是一种主观的痛苦体验。人们对诊断出有持续性症状的患者的不适负担知之甚少。本研究旨在评估被诊断为持续性症状的初级保健患者与其他初级保健患者相比所承受的负担：这项研究是一项横断面研究，在荷兰初级医疗数据登记处进行交易识别后，向随机抽样的 889 名持续症状诊断患者（超过 1 年）和 443 名其他初级医疗患者发送了在线调查问卷。调查采用经过验证的问卷来评估症状严重程度（PHQ-15）、症状强度和症状干扰问卷、抑郁（PHQ-9）、焦虑（GAD-7）、生活质量（SF-12 和 EQ-5D-5L）和社会功能（SPF-ILs）：共有 243 名患者完成了调查：结果：共有 243 名患者完成了调查：178 名（73.3%）患者属于持续症状诊断组，65 名（26.7%）患者属于对照组。在持续症状组中，有 65 名（36.5%）患者根据调查回答不再有持续症状。仍有持续症状诊断的患者（n = 113，63.5%）报告的躯体症状（平均差异 = 3.6 [95% CI: 0.24, 4.41]）、抑郁（平均差异 = 3.0 [95% CI: 1.24, 3.61]）和焦虑（平均差异 = 2.3 [95% CI: 0.28, 3.10]）明显更严重，身体功能（平均差异 = - 6.8 [95% CI: -8.96, -3.92]）明显更低：结论：被诊断为持续性症状的患者承受着很大的症状负担。持续性症状患者的负担不应被低估，因为对这种负担的认识可加强以人为本的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.