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The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms

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 r...

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Autores principales: Ivetić, Vojislav, Pašić, Klemen, Selič, Polona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: De Gruyter 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5329772/
https://www.ncbi.nlm.nih.gov/pubmed/28289468
http://dx.doi.org/10.1515/sjph-2017-0012
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author Ivetić, Vojislav
Pašić, Klemen
Selič, Polona
author_facet Ivetić, Vojislav
Pašić, Klemen
Selič, Polona
author_sort Ivetić, Vojislav
collection PubMed
description 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.
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spelling pubmed-53297722017-03-13 The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms Ivetić, Vojislav Pašić, Klemen Selič, Polona Zdr Varst Original Scientific Article 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. De Gruyter 2017-02-26 /pmc/articles/PMC5329772/ /pubmed/28289468 http://dx.doi.org/10.1515/sjph-2017-0012 Text en © National Institute of Public Health, Slovenia http://creativecommons.org/licenses/by-nc-nd/3.0 This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
spellingShingle Original Scientific Article
Ivetić, Vojislav
Pašić, Klemen
Selič, Polona
The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms
title The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms
title_full The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms
title_fullStr The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms
title_full_unstemmed The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms
title_short The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms
title_sort effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms
topic Original Scientific Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5329772/
https://www.ncbi.nlm.nih.gov/pubmed/28289468
http://dx.doi.org/10.1515/sjph-2017-0012
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