The Analysis of the Characteristic of the Patient with Dizziness Based on the Medical Interview Sheet

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  • 初診時めまい問診票の自由記載内容による患者の特性の検討
  • ショシンジメマイ モンシンヒョウ ノ ジユウ キサイ ナイヨウ ニ ヨル カンジャ ノ トクセイ ノ ケントウ

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Abstract

Objective : When evaluating patients with dizziness or vertigo the most important thing to do is to listen to the patients carefully. Also sometimes it is quite helpful to use a medical interview sheet when time is limited at an outpatient clinic. There are two types of interview sheets. One involves freestyle writing, which is suitable for qualitative analysis, and the other is a scoring-type questionnaire like the Dizziness Handicap Inventory (DHI), which is suitable for quantitative analysis. In the former type, there is a space for freestyle writing in which the patients can express their requests for treatment. It is certainly important to see the written contents in free-style writing, but it may be more important to note the presence or absence of the description itself. We postulated that patient characteristics may differ depending on the presence or absence of free-style writing in their demand for treatment on the medical interview sheets. Subjective and Methods : Retrospective chart review was conducted from medical records. The participants were 555 patients complaining of dizziness or vertigo who visited our department from 2013 to 2014. We instructed them to complete both types of questionnaires immediately before the medical examination. These questionnaires were original interview sheets inviting free-style writing in which the participants could express their desire for treatment, the DHI, and a Hospital Anxiety and Depression Scale (HADS). The physician was blinded to the free-style writing. After diagnosis, patients could choose from two types of treatments : short-term (5 days) hospitalization for vestibular rehabilitation or conventional outpatient treatment. The description types were categorized depending on the contents. The participants were divided into two groups depending on the presence (Group A) or absence (Group B) of a free-style writing description in the sheet. The DHI and HADS scores and the final treatment chosen were compared across groups. Results : There were several types of free-style writing content. The scores on the DHI and levels of anxiety in the HADS were significantly higher in Group A. The patients in Group A had a greater tendency to choose short-term hospitalization treatment than did Group B (p<0.01). Conclusion : Based on the results obtained in this study, we can see the patient characteristics depending on the presence of any type of description. The presence of free-style writing on the interview sheet may reflect an assertive attitude toward the treatment and anxiety in the patient. We should focus not only on written contents but also on the presence or absence of free-style writing on the medical interview sheet.

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