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背景有关呼吸道感染患者卧床休息、留在室内和限制运动的证据很少。目的针对此类患者,探究波兰和挪威全科医生会提出怎样的建议。方法波兰(n=216)和挪威(n=171)全科医生作为方便样本,阅读4种病情,即患者各自出现肺炎、鼻窦炎、普通感冒和慢性阻塞性肺疾病(COPD)加重的症状。针对每种病情,患者会询问全科医生是否会建议留在室内、卧床休息和限制运动,若如此,询问需要几天。结果针对每种病情,全科医生建议留在室内:波兰与挪威分别为98%与72%(肺炎);92%与26%(鼻窦炎);87%与9%(普通感冒)和92%与39%(COPD加重)。建议患者留在室内校正风险后(95%CI)回归分析显示,波兰与挪威分别为1.4〔95%CI(1.2,1.5)〕、3.7〔95%CI(2.8,4.8)〕、10.6〔95%CI(6.3,17.7)〕和2.5〔95%CI(2.0,3.1)〕。建议患者留在室内平均持续时间分别为:波兰8.1 d、6.6 d、5.1 d和6.7 d,挪威3.2 d、2.8 d、2.6 d和4.1 d。与挪威同行相比,波兰的全科医生更倾向于建议患者卧床休息和限制运动,时间也要更长。结论波兰的全科医生更倾向于建议患者卧床休息、留在室内和限制运动,提示与挪威的同行相比,他们认为这些患者病情更严重。
Background There is very little evidence of bed rest, staying indoors and limiting exercise in patients with respiratory infections. PURPOSE To address such patients, explore what advice general practitioners in Poland and Norway will make. Methods General practitioners in Poland (n = 216) and Norway (n = 171) as a convenient sample read 4 conditions, each presenting symptoms of increased pneumonia, sinusitis, common cold and chronic obstructive pulmonary disease (COPD). For each condition, the patient asks if the GP will advise staying indoors, bed rest and restricted exercise, and if so, asking for a few days. Results For each condition, the GP recommended staying indoors: Poland and Norway were 98% and 72% (pneumonia); 92% and 26% (sinusitis); 87% and 9% (common cold) and 92% With 39% (exacerbated COPD). Regression analysis suggested that patients stay in the room after correction of risk (95% CI) showed that in Poland and Norway 1.4 (95% CI 1.2, 1.5), 3.7 95% CI 2.8 2.8, 10.6 95% CI (6.3, 17.7)] and 2.5 (95% CI (2.0, 3.1)]. The average duration of stay of patients in the room is recommended: Poland 8.1 d, 6.6 d, 5.1 d and 6.7 d, Norway 3.2 d, 2.8 d, 2.6 d and 4.1 d. Compared to their Norwegian counterparts, GPs in Poland are more likely to advise patients to stay in bed and limit their exercise durations. Conclusion General practitioners in Poland are more likely to advise patients to stay in bed, stay indoors and limit their movements, suggesting that these patients are even more severely affected than their Norwegian counterparts.